ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is counseling a young adult who describes having difficulty dealing with several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the client expressing uncertainty about their identity indicates a potential identity crisis, which is a fundamental developmental task for young adults. This issue can impact various aspects of the client's life, including relationships, career choices, and overall well-being. Addressing this issue first can help the client gain clarity and confidence in navigating other challenges.
Choices A, B, and D are important concerns, but they are more specific and situational compared to the broader existential crisis of self-identity presented in option C. Prioritizing the identity crisis can lay the foundation for addressing other issues effectively.
Question 2 of 5
A nurse in a provider's office is preparing to assess a young adult male client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all.
Correct Answer: C, E
Rationale:
Correct Answer: C, E
Rationale:
1.
Choice C: A concave lumbar spine posteriorly is expected in a healthy musculoskeletal system as it indicates the natural curvature of the lumbar spine.
2.
Choice E: Muscles being slightly larger on the dominant side is a common finding due to increased use and strength development.
Incorrect
Choices:
A. A concave thoracic spine posteriorly is abnormal as the thoracic spine should have a slight convex curve posteriorly.
B. An exaggerated lumbar curvature is abnormal and can indicate conditions like lordosis.
D. An exaggerated thoracic curvature is abnormal and can indicate conditions like kyphosis.
Summary:
The correct choices align with the expected findings in a healthy musculoskeletal system, while the incorrect choices describe abnormal or atypical presentations that could indicate underlying issues.
Question 3 of 5
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to assistive personnel (AP)?
Correct Answer: C
Rationale: The correct answer is C. The nurse may assign the task of reapplying a condom catheter for a client who has urinary incontinence to assistive personnel (AP). This task involves a routine procedure that does not require specialized nursing knowledge or assessment skills. It is a straightforward task that can be safely delegated to AP under the supervision of the nurse.
Choices A, B, and D involve more complex care that requires nursing assessment, critical thinking, and specialized skills. Feeding a client with aspiration pneumonia requires monitoring for signs of aspiration, reinforcing teaching about using a quad cane involves patient safety and proper technique, and applying a sterile dressing to a pressure ulcer requires aseptic technique to prevent infection. These tasks should be performed by the nurse to ensure the safety and well-being of the clients.
Question 4 of 5
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. The rationale is that occupational therapists specialize in helping individuals with physical limitations achieve independence in daily activities, such as self-feeding. They can assess the client's needs, recommend appropriate adaptive devices, and provide training on how to use them effectively. Referring the client to an occupational therapist ensures personalized and effective intervention.
Choices A, B, and C are incorrect as they do not have the specific expertise in addressing self-feeding difficulties due to rheumatoid arthritis.
Question 5 of 5
A nurse is counseling a young adult who describes having difficulty dealing with several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the client expressing uncertainty about their identity indicates a potential identity crisis, which is a fundamental developmental task for young adults. This issue can impact various aspects of the client's life, including relationships, career choices, and overall well-being. Addressing this issue first can help the client gain clarity and confidence in navigating other challenges.
Choices A, B, and D are important concerns, but they are more specific and situational compared to the broader existential crisis of self-identity presented in option C. Prioritizing the identity crisis can lay the foundation for addressing other issues effectively.