ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a med to a client. The med was scheduled for administration at 0900. Which of the following are acceptable administration times for this med? Select all.
Correct Answer: A,D
Rationale: The correct answers are A (905) and D (840) because they fall within the acceptable timeframe for administering the medication. The general rule for medication administration is usually within 30 minutes before or after the scheduled time.
Choice A (905) is within this range as it is 5 minutes after 0900, and choice D (840) is also within this range as it is 20 minutes before 0900.
Choices B (825) and E (935) are outside the 30-minute window.
Choice C (1,000) is significantly delayed and could potentially affect the medication's effectiveness.
Therefore, choices B, C, and E are incorrect due to being outside the acceptable administration times.
Question 2 of 5
A nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. Which of the following information should the nurse include? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Older adults are more prone to dehydration due to decreased kidney function and decreased sensation of thirst.
B: While older adults may need the same amount of most vitamins and minerals, they may require more of certain nutrients like vitamin D and calcium.
C: Many older adults, especially women, need calcium supplementation to prevent osteoporosis.
Summary of Incorrect
Choices:
D: Older adults actually need fewer calories as they age due to decreased metabolism and physical activity.
E: There is no specific recommendation for older adults to consume a low-carbohydrate diet.
Question 3 of 5
A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The client currently takes a Category D pregnancy risk medication for the control of seizures. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A because Category D medications are known to have a risk of harm to the fetus. It is important for the nurse to inform the client about the potential adverse effects to the fetus.
Choice B is incorrect because Category D medications are not considered safe during pregnancy.
Choice C is incorrect because it oversimplifies the decision-making process by only considering risk versus benefit.
Choice D is incorrect because the lack of studies in pregnant women does not guarantee safety.
Question 4 of 5
A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? Select all.
Correct Answer: C, D
Rationale: The correct answer is C (Occupational therapist) and D (Speech-language pathologist). An occupational therapist can help the client with dysphagia by providing strategies for safe eating and drinking. A speech-language pathologist is crucial for evaluating and treating swallowing difficulties. The social worker (
A) may not have the expertise in dysphagia management. A CNA (
B) is not trained to address dysphagia. The other choices are not provided, but they would likely not have the specific skills needed to address dysphagia effectively.
Question 5 of 5
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?
Correct Answer: A
Rationale: The correct answer is A: Offer to assist the client needing the bedpan. This is the appropriate action for the 2nd nurse to take because patient care and safety should always be the top priority. By offering to help the client in need of assistance onto the bedpan, the 2nd nurse ensures that both clients are attended to promptly and with dignity. This demonstrates professionalism, teamwork, and a patient-centered approach to care.
Summary of other choices:
B: Administer the injection prepared by the other nurse - Incorrect because the 2nd nurse should not administer a medication prepared by someone else without verifying the dose, patient identification, and other important details.
C: Prepare another syringe & administer the injection - Incorrect as it is not within the 2nd nurse's scope of practice to give medications without proper preparation and verification.
D: Tell the client needing the bedpan she will have to wait for her nurse - Incorrect as it disregards the immediate needs of the client and does