ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP?
Correct Answer: B, C, D
Rationale:
Correct Answer: B, C, D
Rationale:
B: The client ambulates with his slippers on over his antiembolic stockings - This information is crucial to prevent falls and ensure proper ambulation technique.
C: The client uses a front-wheeled walker when ambulating - Knowing the client's assistive device is essential for safe ambulation post-arthroplasty.
D: The client had pain medication 30 min ago - Understanding the timing of pain medication helps in preventing any adverse effects during ambulation.
Incorrect
Choices:
A: "The roommate is up independently" - This information is irrelevant to the safe ambulation of the client post-arthroplasty.
E: The client is allergic to codeine - While important for overall client care, this information is not directly related to safe ambulation post-knee arthroplasty.
Question 2 of 5
A nurse is caring for an 82-year-old client in the ER who has an oral body temperature of 38.3°C (101°F), a pulse rate of 114/min, & a respiratory rate of 22/min. He is restless & his skin is warm. Which of the following are appropriate nursing interventions for this client? Select all.
Correct Answer: A, C, E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Obtaining culture specimens before initiating antimicrobials is crucial to identify the specific pathogen causing the infection and guide appropriate treatment.
C: Encouraging the client to limit activity and rest helps reduce metabolic demands, allowing the body to focus on fighting the infection and promoting healing.
E: Assisting the client with oral hygiene frequently is important to prevent further infection and maintain oral health, especially in older adults who may have compromised immune systems.
Summary:
B: Restricting the client's oral fluid intake is not appropriate as hydration is essential for maintaining fluid balance and aiding in infection recovery.
D: Allowing the client to shiver to dispel excess heat is not advised as it can lead to increased metabolic demands and potential complications.
F, G: No other choices are provided in the question.
Question 3 of 5
A nurse is instructing a group of nursing students in measuring a client's respiratory rate. Which of the following guidelines should the nurse include? Select all.
Correct Answer: A, B, C
Rationale: The correct answer includes guidelines A, B, and C. Placing the client in semi-Fowler's position allows for easier chest expansion. Having the client rest an arm across the abdomen helps to promote relaxation and allows for easier observation of respiratory movements. Observing one full respiratory cycle before counting the rate ensures an accurate assessment. Guidelines D and E are incorrect. Counting the rate for one minute is unnecessary if the rate is regular; it can be counted for 30 seconds and then doubled. Reporting sighs is not a standard practice in measuring respiratory rate and is not relevant to the assessment.
Question 4 of 5
A nurse is instructing a postop client about the sequential compression device the provider has prescribed. Which of the following statements should indicate to the nurse that the client understands the teaching?
Correct Answer: B
Rationale: The correct answer is B: "This thing will keep the blood pumping through my leg." This statement indicates understanding because sequential compression devices help prevent blood clots by promoting blood flow in the legs.
Choice A is incorrect as the device does not prevent skin sores.
Choice C is incorrect because the device does not prevent muscle weakness.
Choice D is incorrect as the device does not specifically target joint health.
Question 5 of 5
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration record, which of the following medications should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Morphine 2 mg IV. Morphine is the most appropriate choice for managing severe pain postoperatively due to its potency and rapid onset of action when administered intravenously. Meperidine (
A) has a shorter duration of action and is associated with more side effects. Fentanyl patch (
B) has a slow onset and is not suitable for immediate relief. Oxycodone (
D) is an oral medication and may not be appropriate for a client with severe pain who cannot swallow.