ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include specifically for this age group? Select all.
Correct Answer: B, C, D
Rationale: The correct recommendations for young adults are wearing a helmet while skiing (
B), installing a carbon monoxide detector (
C), and securing firearms in a safe location (
D). Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet is crucial for injury prevention. Carbon monoxide poisoning is a risk for all age groups, but young adults may be less aware of the dangers, making it important to install detectors. Additionally, young adults may have access to firearms, so securing them in a safe location is vital to prevent accidents or misuse. The other options (A, E) are more relevant for older adults to prevent falls, and may not be as critical for young adults who are more at risk for the mentioned activities.
Question 2 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.
Question 3 of 5
A client who had abdominal surgery 24 hr ago reports a pulling sensation & pain in his surgical incision. The nurse checks the client's surgical wound and finds the wound separated with viscera protruding. Which of the following interventions is appropriate? Select all.
Correct Answer: A, D
Rationale:
Correct Answer: A, D
Rationale:
A: Covering the area with saline-soaked sterile dressings helps to protect the exposed tissues from further contamination and dehydration.
D: Positioning the client supine with hips & knees bent helps reduce tension on the wound site and prevent further protrusion of viscera.
Incorrect
Choices:
B: Applying an abdominal binder snugly can increase pressure on the wound site, potentially worsening the separation and protrusion.
C: Using sterile gloves to apply pressure may further damage the exposed tissues and should be avoided.
E: Offering a warm beverage is not appropriate in this emergency situation and does not address the immediate need for wound management.
Question 4 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 5 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.