ATI RN Fundamental Proctored Exam With NGN Graded -Nurselytic

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ATI RN Fundamental Proctored Exam With NGN Graded Questions

Extract:


Question 1 of 5

A nurse is preparing info for a change-of-shift report. Which of the following info should the nurse include in the report?

Correct Answer: C

Rationale: The correct answer is C: A bone scan that is scheduled for today. This information is crucial for the oncoming nurse to be aware of as it may impact the client's care plan and require specific preparations or monitoring. Including the client's input & output (
A) is important, but it may not be as time-sensitive as a scheduled procedure. The client's BP from the previous day (
B) is important but may not be as relevant for immediate care planning. The med routine from the med administration record (
D) is necessary information, but it is more appropriate for routine handovers rather than urgent updates.

Question 2 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 3 of 5

A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect which of the following findings? Select all.

Correct Answer: B, C, D

Rationale: The correct answers are B, C, and D. Diarrhea leads to fluid loss, causing dehydration. Hypotension results from decreased blood volume. Fever may indicate infection causing diarrhea. Poor skin turgor is a sign of dehydration. Bradycardia (
A) is unlikely due to dehydration. Peripheral edema (E) is more associated with fluid retention, not dehydration.

Question 4 of 5

While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?

Correct Answer: D

Rationale: The correct answer is D: Lower the enema fluid container. Lowering the enema fluid container helps regulate the flow rate and reduce the pressure on the client's abdomen, alleviating cramping. Holding the breath (
A) may increase intra-abdominal pressure, exacerbating cramping. Discontinuing the fluid instillation (
B) without addressing the cause of cramping can lead to incomplete cleansing. Reminding the client that cramping is common (
C) does not address the discomfort and may not provide relief. Lowering the container (
D) is the most appropriate intervention to manage cramping during the enema administration.

Question 5 of 5

A nurse educator is teaching a module on safe med administration to newly hired nurses. Which of the following statements by the newly hired nurse indicate understanding of the nurse's responsibility when implementing med therapy? Select all.

Correct Answer: A,B,E

Rationale: The correct answers are A, B, and E. A indicates understanding of monitoring for side effects, B for therapeutic effects, and E for refusing unsafe meds. These actions align with a nurse's responsibilities in medication administration to ensure patient safety.
Choice C, prescribing dose, is incorrect as nurses do not have prescribing authority.
Choice D, changing dose based on adverse effects, is incorrect as this requires a healthcare provider's order.

Similar Questions

A nurse prepares to administer an injection of morphine (Duramorph) to a client who reports pain. Prior to administering, the nurse is called to another room to assist another client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following actions should the 2nd nurse take?
An adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN sedative med that the client has not requested along w/his usual meds. Which of the following tort has the nurse committed?
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all.
A nurse is assessing the pain level of a client who has come to the ER reporting severe abdominal pain. The nurse asks the client whether he has nausea & has been vomiting. The nurse is assessing which of the following?
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?

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