ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse perform prior to beginning the procedure? Select all.
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Review a signal the client can use if feeling any distress is important for client safety and to ensure the client can communicate any discomfort during the procedure.
B: Laying a towel across the client's chest protects the client's clothing and bedding from any gastric contents that may leak during the procedure.
C: Administering oral pain meds is not necessary prior to inserting an NG tube for gastric decompression unless specifically ordered by the healthcare provider.
D: Obtaining a Dobhoff tube is not required for a standard NG tube insertion for gastric decompression.
E: Having a petroleum-based lubricant available is important for lubricating the NG tube but is not a priority before starting the procedure.
Question 2 of 5
A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. What is the nurse's highest assessment priority before performing this procedure?
Correct Answer: B
Rationale:
Correct Answer: B - Verify the placement of the NG tube.
Rationale: Ensuring proper NG tube placement is crucial before administering enteral feedings to prevent complications such as aspiration. The nurse should confirm the tube's position by checking for gastric aspirate pH or using an X-ray. This step is essential for the client's safety.
Incorrect
Choices:
A: Checking the feeding container's duration is important for assessing feeding integrity but not as critical as verifying tube placement.
C: Diarrhea assessment is important for monitoring the client's gastrointestinal status but does not take precedence over tube placement verification.
D: Client's alertness and orientation are vital for overall assessment but not directly related to enteral feeding safety.
Question 3 of 5
A nurse is caring for a client who reports severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?
Correct Answer: D
Rationale:
Correct Answer: D (Illness)
Rationale:
1. The client is experiencing symptoms such as severe sore throat, pain when swallowing, and swollen lymph nodes, indicating an active infection.
2. The illness stage is characterized by the manifestation of specific symptoms as the body tries to fight off the infection.
3. During the illness stage, the infection is fully developed and the individual exhibits overt signs and symptoms.
4. The other stages - Prodromal, Incubation, and Convalescence - do not align with the client's current presentation as they represent different phases of an infection before or after the active illness period.
Summary:
A: Prodromal - Characterized by non-specific symptoms and mild discomfort, not severe sore throat and swollen lymph nodes.
B: Incubation - No symptoms present during this stage, so not applicable to the client's current condition.
C: Convalescence - Represents the recovery period after the illness, not the active symptomatic phase the client is currently
Question 4 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
Question 5 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes bathing, ambulating, toileting, and measuring vital signs as activities that CNAs may perform. CNAs are trained to assist with basic activities of daily living such as bathing, toileting, and ambulating to ensure the comfort and well-being of patients. They are also responsible for measuring vital signs to monitor the patient's health status. Choosing option D, determining pain level, would be incorrect as this task typically falls under the responsibility of a nurse who can assess and manage pain effectively. Option F and G are not provided in the question, but it is important to understand the scope of practice for CNAs and how it differs from other healthcare team members.