ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing range of motion to the shoulder and must perform external rotation. Which action will the nurse take?
Correct Answer: D
Rationale: The correct answer is D. The nurse should move the patient's arm until the thumb is upward and lateral to the head with the elbow flexed to perform external rotation. This position maximizes the external rotation movement of the shoulder joint, allowing for a full range of motion.
Choice A, moving the arm in a full circle, does not specifically target external rotation.
Choice B, moving the arm across the body, is more indicative of internal rotation.
Choice C, moving the arm behind the body with the elbow straight, is associated with shoulder extension rather than external rotation.
Therefore, choice D is the most appropriate action for achieving external rotation of the shoulder joint.
Question 2 of 5
A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. Which finding will indicate goal achievement for the nurse's action?
Correct Answer: D
Rationale: The correct answer is D: Prevention of joint contractures. Passive ROM exercises and splinting help maintain joint mobility and prevent joint contractures in at-risk patients. Joint contractures can result from prolonged immobility, leading to permanent stiffness and limited range of motion. By performing passive ROM and splinting, the nurse aims to preserve the patient's joint flexibility and prevent contractures.
Incorrect choices:
A: Prevention of atelectasis - Atelectasis is the collapse of lung tissue, which is not directly related to passive ROM and splinting.
B: Prevention of renal calculi - Renal calculi are kidney stones, not influenced by joint mobility exercises.
C: Prevention of pressure ulcers - Pressure ulcers are prevented by proper skin care and pressure relief, not by passive ROM exercises.
In summary, the correct choice, D, directly aligns with the goal of maintaining joint mobility, while the other choices are not related to the outcomes of performing passive ROM and spl
Question 3 of 5
A nurse delegating ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D.
B: It is important for the AP to know that the client ambulates with slippers over antiembolic stockings to ensure proper support and prevent complications.
C: Sharing that the client uses a front-wheeled walker when ambulating ensures the AP assists the client safely and appropriately.
D: Informing the AP that the client had pain medication 30 min ago helps in monitoring for any potential side effects or need for further pain management.
Incorrect choices:
A: The roommate's independence is unrelated to the client's ambulation post-knee arthroplasty.
E: The client's allergy to codeine is not relevant to the task of delegating ambulation.
Question 4 of 5
Nurse reviewing CDC's immunization recommendations for young adult. Which should nurse include in this discussion? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. The nurse should include HPV, measles, mumps, rubella, and varicella in the discussion as these are recommended immunizations for young adults by the CDC. HPV vaccination helps prevent certain types of cancers and genital warts. Measles, mumps, and rubella vaccines protect against highly contagious diseases. Varicella vaccine prevents chickenpox.
Choices D, E, F, and G are incorrect. Haemophilus influenzae type b and polio vaccines are typically given during infancy and childhood, not young adulthood. The options F and G are incomplete.
Question 5 of 5
Nurse counseling middle adult who describes having difficulty with many issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: B
Rationale: The correct answer is B: It's been so stressful for me to think about having intimate relationships. This issue should be prioritized for more assessment and intervention because difficulties with intimate relationships can significantly impact one's mental and emotional well-being. It may indicate underlying issues such as fear of intimacy, past trauma, or self-esteem issues. Addressing these issues can help improve overall quality of life.
Choice A is not the priority as accepting aging parents is a common life transition and may not have an immediate negative impact on mental health.
Choice C, feeling selfish for not volunteering, is important but may not be as urgent as addressing intimate relationship stress.
Choice D, feeling pressured by son about grandparenting, is important but may not directly affect the individual's mental well-being.