ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all.
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Nail polish should not be used near a client receiving oxygen as it is flammable and can ignite easily, posing a fire hazard.
C: A 'No smoking' sign should be placed on the front door to remind everyone that smoking is prohibited in the presence of oxygen, reducing the risk of fire.
E: A fire extinguisher should be readily available in the home to quickly extinguish any fire that may occur due to oxygen use, ensuring safety.
Incorrect
Choices:
A: Family members who smoke must be at least 10 ft from the client when oxygen is in use is important, but it is more crucial to prevent any source of ignition near oxygen.
D: Cotton bedding & clothing should not be replaced with items made from wool specifically due to oxygen use. It is unnecessary and not related to oxygen safety.
Question 2 of 5
A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client's medication administration record, which of the following medications should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Morphine 2 mg IV. Morphine is the most appropriate choice for managing severe pain postoperatively due to its potency and rapid onset of action when administered intravenously. Meperidine (
A) has a shorter duration of action and is associated with more side effects. Fentanyl patch (
B) has a slow onset and is not suitable for immediate relief. Oxycodone (
D) is an oral medication and may not be appropriate for a client with severe pain who cannot swallow.
Question 3 of 5
A client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse who is providing preop care regarding informed consent? Select all.
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Making sure the surgeon obtained the client's consent is crucial to ensure that the client has been properly informed about the procedure and has voluntarily agreed to it.
B: Witnessing the client's signature on the consent form is important as it verifies that the client has personally agreed to the procedure after understanding the risks and benefits.
C: While explaining the risks and benefits of the procedure is important, this task is typically performed by the healthcare provider or surgeon, not the nurse providing preop care.
D: Describing the consequences of choosing not to have the surgery is important, but it is usually the responsibility of the healthcare provider or surgeon, not the nurse providing preop care.
E: Informing the client about alternatives to having the surgery is important, but this task is typically performed by the healthcare provider or surgeon, not the nurse providing preop care.
F: No information provided.
G: No information provided.
Summary:
The correct actions for
Question 4 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.
Question 5 of 5
A nurse is assessing a client who takes haloperidol (Haldol) for the treatment of schizophrenia. Which of the following findings should the nurse document as extrapyramidal symptoms (EPS)? Select all.
Correct Answer: B, C, E
Rationale: The correct findings to document as EPS for a client taking haloperidol are B, C, and E. Fine motor tremors are a common EPS manifestation, indicating potential Parkinsonism. Acute dystonias are sudden, involuntary muscle contractions, a characteristic EPS symptom. Uncontrollable restlessness, known as akathisia, is another EPS effect. Orthostatic hypotension (
A) is not typically associated with EPS but rather with antipsychotic-induced orthostatic hypotension. Decreased level of consciousness (
D) is not a typical EPS manifestation but may indicate sedation.