ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure cuff.
To assess for orthostatic hypotension, the nurse needs to measure the patient's blood pressure while they are lying down, then immediately upon standing. A drop in systolic blood pressure of 20mmHg or more, or a drop in diastolic blood pressure of 10mmHg or more, indicates orthostatic hypotension. The other options are not used to assess for this condition. A thermometer is used to measure temperature, elastic stockings are used to prevent venous stasis, and sequential compression devices are used for DVT prevention.
Question 2 of 5
Nurse is planning diversionary activities for children on inpatient peds unit. Which should nurse incorporate as appropriate play activities for preschoolers? (Select all that apply.)
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. Preschoolers have developing fine motor skills and enjoy activities that stimulate creativity and coordination. Assembling puzzles (
A) helps with problem-solving and hand-eye coordination. Using musical toys (
C) encourages auditory development and sensory exploration. Coloring with crayons (E) promotes creativity, hand-eye coordination, and fine motor skills. Pulling wheeled toys (
B) may not be suitable for all preschoolers due to safety concerns. Using finger paints (
D) may not be appropriate for inpatient settings due to mess and potential allergies.
Question 3 of 5
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when a new nurse states that a client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. In heat stroke, the body loses a significant amount of fluid through sweating, leading to decreased blood volume and hypotension. This is due to the body's attempt to cool down by dilating blood vessels and increasing blood flow to the skin. Bradycardia (
B) is unlikely as the body typically responds with tachycardia to try to cool down. Clammy skin (
C) is a common symptom of heat stroke due to the body's attempt to cool down through sweating. Bradypnea (
D) is unlikely as the body usually increases respiratory rate to expel heat. Other choices are not directly related to heat stroke.
Question 4 of 5
A home health nurse is discussing dangers of carbon monoxide poisoning with a client. What information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with hemoglobin in the body. Carbon monoxide is a colorless, odorless gas that can be deadly when inhaled as it binds with hemoglobin in the blood, reducing the blood's ability to carry oxygen. This can lead to tissue damage and organ failure. Option A is incorrect as carbon monoxide is odorless. Option B is incorrect as water heaters should be inspected annually. Option C is incorrect as carbon monoxide primarily affects the blood, not the lungs.
Question 5 of 5
Nurse is reviewing safety precautions with group of young adults at community health fair. Which recommendations should nurse include specifically for this age group? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet (
B) is crucial for head protection. Carbon monoxide exposure is a concern in any age group, so installing a detector (
C) is important. Young adults may have access to firearms, making it vital to secure them in a safe location (
D) to prevent accidents.
Choices A and E are more relevant for older adults to prevent falls, while F and G are not provided in the question.