ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Repeating the prescription details back ensures accurate communication and confirms understanding.
B: Having another nurse listen provides a second verification to prevent errors or misinterpretations.
C: Obtaining the prescriber's signature is essential for legal documentation and accountability.
Summary:
D: Declining the prescription is inappropriate as it disregards the client's pain management needs.
E: Informing the charge nurse alone does not fulfill the necessary steps to ensure safe medication administration.
Question 2 of 5
A nurse is caring for a client who has been sitting in a chair for 3 hours. Which of the following problems is the client at risk for developing?
Correct Answer: C
Rationale: The correct answer is C: Pressure ulcer. Prolonged sitting can lead to decreased blood flow and pressure on bony prominences, increasing the risk of pressure ulcers. Stasis of secretions (
A) may occur but is not directly related to sitting position. Muscle atrophy (
B) is more common with immobility. Fecal impaction (
D) is a risk with immobility but not specific to sitting for an extended period.
Question 3 of 5
A nurse is caring for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? Select all.
Correct Answer: A, D
Rationale: Correct Answer Explanation: A nurse should keep the head of the bed elevated at 30 degrees to reduce pressure on the sacrum and coccyx, thus preventing pressure ulcers. Having the client sit on a gel cushion when in a chair helps distribute weight evenly and reduce pressure points. These interventions promote skin integrity by minimizing pressure and friction. Massage of bony prominences can increase the risk of pressure ulcers by causing friction and compromising blood flow. Applying cornstarch can create a moist environment, which can lead to skin breakdown. Repositioning the client at least every 3 hours helps to prevent pressure ulcers by relieving pressure points.
Question 4 of 5
A client who will undergo neurosurgery the following week tells the nurse in the surgeon's office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directives?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates understanding of advance directives because it expresses the client's specific wishes regarding medical treatment, which is a key aspect of advance directives. By stating that he doesn't want to be kept on a breathing machine, the client is making a clear directive about his end-of-life care preferences. This shows that he understands the purpose of advance directives and is able to make informed decisions about his healthcare.
Choice A is incorrect because it shows confusion about who can make decisions, which is not directly related to understanding advance directives.
Choice B is incorrect because it focuses on the surgery rather than the purpose of advance directives.
Choice D is incorrect because it involves getting the regular doctor's approval, which is not necessary for advance directives.
Question 5 of 5
A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Restlessness is an early indication of hypoxemia because the body is trying to compensate for decreased oxygen levels. Tachypnea (rapid breathing) is the body's response to hypoxemia to increase oxygen intake. Pallor is a sign of decreased oxygen saturation in the blood. Bradycardia and confusion are not typically early signs of hypoxemia, as the body usually increases heart rate to compensate for low oxygen levels, and confusion is a later sign indicating severe hypoxemia.