ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Prepare the client for a central venous line. Parenteral nutrition (PN) with high dextrose concentrations and fat emulsions can be hypertonic and irritating to peripheral veins, leading to phlebitis and tissue damage.
Therefore, a central venous line is more appropriate for PN administration to prevent vein damage and complications. Changing the PN bag every 48 hours (
A) is not directly related to the administration of PN through a central line. Obtaining a random blood glucose daily (
B) is important but not specific to the administration of PN through a central line. Administering the PN and fat emulsion separately (
D) is not recommended as they are often combined in one solution for administration.
Question 2 of 5
A home health nurse is providing teaching about home safety to an older adult client. Which of the following examples of home safety should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Obtain a raised toilet seat for the bathroom. This is important for older adults to prevent falls and promote independence. Raised toilet seats reduce the risk of strain and provide stability when sitting and standing.
Choice B is incorrect because securing loose wires under carpeting can lead to tripping hazards.
Choice C is incorrect as using extension cords can increase the risk of electrical fires.
Choice D is incorrect as covering slippery stairs with an area rug can cause further slipping hazards.
Question 3 of 5
A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: The client has a symmetrical smile. Cranial nerve VII, the facial nerve, controls facial expressions including smiling. Assessing for a symmetrical smile helps determine if the nerve is functioning properly. A is incorrect as it relates to cranial nerve XI. B is incorrect as it relates to cranial nerve XII. C is incorrect as it relates to cranial nerve II.
Question 4 of 5
A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct answers are B, D, and E.
B: The client has legal authority to do so - This is crucial for informed consent to be valid, ensuring the client has the capacity to make decisions.
D: The client signed in the nurse's presence - Verifies the client's authenticity and prevents potential fraud or coercion.
E: The client was not coerced - Ensures the client's decision is voluntary and not influenced by external factors.
Incorrect choices:
A: The client speaks the same language as the nurse - Language proficiency does not affect the validity of informed consent.
C: The client does not have a mental health condition - Mental health status alone does not necessarily invalidate consent.
Question 5 of 5
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to take deep, rhythmic breaths. Deep breathing can help the client relax, distract from pain, and improve oxygenation, reducing perception of pain. This method is non-invasive and can be easily implemented by the client.
Choice A may provide temporary relief but is not recommended for prolonged periods as it can lead to skin damage.
Choice C may exacerbate the pain as ice is not indicated for mild back pain.
Choice D may help create a calming environment but does not directly address the pain.