ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following is the body's priority energy reserve?
Correct Answer: D
Rationale: The correct answer is D: Carbohydrates. Carbohydrates are the body's priority energy reserve because they are easily broken down into glucose, which is the primary source of energy for the body's cells. When carbohydrates are consumed, they are converted into glycogen and stored in the muscles and liver for quick energy release. In contrast, fats are a more efficient long-term energy source, proteins are primarily used for tissue repair and growth, and glycogen is a short-term energy source stored in the muscles and liver.
Therefore, carbohydrates are the body's priority energy reserve for immediate energy needs.
Question 2 of 5
A client who will undergo neurosurgery the following week tells the nurse in the surgeon's office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directives?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates understanding of advance directives because it expresses the client's specific wishes regarding medical treatment, which is a key aspect of advance directives. By stating that he doesn't want to be kept on a breathing machine, the client is making a clear directive about his end-of-life care preferences. This shows that he understands the purpose of advance directives and is able to make informed decisions about his healthcare.
Choice A is incorrect because it shows confusion about who can make decisions, which is not directly related to understanding advance directives.
Choice B is incorrect because it focuses on the surgery rather than the purpose of advance directives.
Choice D is incorrect because it involves getting the regular doctor's approval, which is not necessary for advance directives.
Question 3 of 5
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? Select all.
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Wearing a mask within 3 ft of the client helps prevent the spread of pertussis through respiratory droplets.
C: Placing a surgical mask on the client during transportation helps contain respiratory secretions and prevent transmission.
E: Wearing a gown during care involving secretions protects the nurse from potential contamination.
Incorrect
Choices:
A: Negative air pressure isn't necessary for pertussis; it's more for airborne diseases like TB.
D: Sterile gloves are not required for handling soiled linens unless there is a specific infection control protocol in place.
Question 4 of 5
A nurse is instructing an AP in caring for a client who has a low platelet count as a result of chemotherapy. Which of the following is the nurse's priority instruction for measuring vital signs for this client?
Correct Answer: A
Rationale: The correct answer is A: "Don't measure the client's temperature rectally." This is the priority instruction because clients with low platelet counts are at risk for bleeding easily. Rectal temperature measurements pose a higher risk for causing bleeding compared to other methods. It is crucial to avoid any unnecessary harm to the client.
Choice B is incorrect because counting the radial pulse and multiplying by 2 is a common method for measuring heart rate, but it is not the priority in this situation.
Choice C is incorrect because whether the client knows their respirations are being counted or not does not affect the accuracy of the vital sign measurement.
Choice D is incorrect because letting the client rest before measuring their blood pressure is a good practice, but it is not as critical as avoiding rectal temperature measurements in this scenario.
Question 5 of 5
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Flush the tube before & after each med. Flushing the tube before medication administration ensures there are no residues that might interfere with the medication. Flushing after helps clear the tube of any remnants, preventing clogs.
Choice B is incorrect as medications should not be mixed with enteral feedings to avoid interaction.
Choice C is incorrect as tablets should be crushed and dissolved in water before administration.
Choice D is incorrect as medications should be crushed and dissolved individually to ensure accurate dosing.