ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she would ask the client to close his eyes & identify which of the following items?
Correct Answer: D
Rationale:
Correct Answer: D - A familiar object she places in his hand
Rationale: Stereognosis is the ability to identify objects by touch without visual input. Asking the client to identify a familiar object placed in their hand tests this ability. By closing their eyes, the client relies solely on tactile sensations to recognize the object. This test requires intact sensory pathways and cognitive processing to interpret the information received through touch.
Summary of Other
Choices:
A: A word whispered close to the ear tests auditory processing, not stereognosis.
B: Tracing a number on the palm tests tactile recognition but not stereognosis.
C: Vibration sensation on the foot tests proprioception, not stereognosis.
Question 2 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 3 of 5
A nurse is teaching an adult client how to administer ear drops. Which of the following statements by the client indicates understanding of the proper technique?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Applying gentle pressure to the tragus helps in facilitating the passage of the drops into the ear canal. This action ensures that the drops reach the desired location for effectiveness. Pulling the ear down and back (
Choice
A) is incorrect as it is not recommended for adults. Inserting the nozzle snug into the ear (
Choice
C) can cause injury or discomfort. Placing a cotton ball into the ear canal (
Choice
D) can prevent the drops from reaching the ear.
Question 4 of 5
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. When the client asks why water is necessary after the formula drains, the nurse should respond:
Correct Answer: A
Rationale:
Correct Answer: A - Water helps clear the tube so it doesn't get clogged.
Rationale: Flushing the NG tube with water after delivering enteral feeding helps prevent clogging by clearing any residual formula from the tube. This practice ensures the tube remains patent, allowing for proper delivery of feedings and preventing complications such as blockages or infections.
Summary of other choices:
B: Flushing does not impact the tube's placement.
C: While hydration is important, the primary purpose of flushing is tube maintenance, not fluid intake.
D: Flushing does not affect the concentration of the formula.
Question 5 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.