ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is providing teaching about managing anticholinergic effects for a client who has a new prescription for oxybutynin (Ditropan XL). Which of the following are appropriate to include in the teaching? Select all.
Correct Answer: A, B, E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Taking frequent sips of water helps combat dry mouth, a common anticholinergic effect of oxybutynin.
B: Wearing sunglasses protects against photophobia, another potential anticholinergic effect.
E: Urinating prior to taking the medication can help reduce urinary retention, a side effect of oxybutynin.
Incorrect
Choices:
C: Using a soft toothbrush is not directly related to managing anticholinergic effects.
D: Taking the medication with an antacid may interfere with its absorption and is not recommended.
Question 2 of 5
A nurse is providing teaching about managing anticholinergic effects for a client who has a new prescription for oxybutynin (Ditropan XL). Which of the following are appropriate to include in the teaching? Select all.
Correct Answer: A, B, E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Taking frequent sips of water helps combat dry mouth, a common anticholinergic effect of oxybutynin.
B: Wearing sunglasses protects against photophobia, another potential anticholinergic effect.
E: Urinating prior to taking the medication can help reduce urinary retention, a side effect of oxybutynin.
Incorrect
Choices:
C: Using a soft toothbrush is not directly related to managing anticholinergic effects.
D: Taking the medication with an antacid may interfere with its absorption and is not recommended.
Question 3 of 5
A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client's record? Select all.
Correct Answer: B, C
Rationale:
Correct Answer: B, C
Rationale:
B: Putting the date and time on all entries is crucial for legal purposes to establish a timeline of events and ensure accuracy in documentation.
C: Documenting objective data and excluding opinions maintains objectivity and prevents subjective biases from influencing the client's record.
Summary:
A: Covering errors with correction fluid is not recommended as it can be perceived as an attempt to conceal mistakes, compromising the integrity of the record.
D: Using excessive abbreviations can lead to misinterpretation and errors in communication, compromising the clarity and accuracy of the record.
E: Waiting until the end of the shift to document can result in important information being forgotten or inaccurately recorded, impacting the quality of care provided.
Question 4 of 5
A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect?
Correct Answer: C
Rationale: The correct answer is C: Fastening her bra behind her back. Internal rotation of the shoulder is necessary for this activity. Internal rotation is when the shoulder rotates inward towards the body. When assessing internal rotation, the nurse is testing the range of motion in this direction. Activities like mopping floors, brushing hair, and reaching into a cabinet primarily involve shoulder flexion and abduction, not internal rotation.
Therefore, fastening a bra behind the back, which requires internal rotation, is the likely activity to be affected by the reported pain during internal rotation evaluation.
Question 5 of 5
A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. The rationale is that occupational therapists specialize in helping individuals with physical limitations achieve independence in daily activities, such as self-feeding. They can assess the client's needs, recommend appropriate adaptive devices, and provide training on how to use them effectively. Referring the client to an occupational therapist ensures personalized and effective intervention.
Choices A, B, and C are incorrect as they do not have the specific expertise in addressing self-feeding difficulties due to rheumatoid arthritis.