ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is reviewing the CDC's immunization recommendations with a young adult client. Which of the following recommendations should the nurse include in this discussion? Select all.
Correct Answer: A, B, C
Rationale: The correct answer includes HPV, MMR, and Varicella because these vaccines are recommended for young adults by the CDC. HPV vaccine helps prevent certain cancers, MMR protects against highly contagious diseases, and Varicella prevents chickenpox. The other choices are incorrect: Haemophilus influenzae type b is typically given to children under 5, and Polio is usually administered in childhood. It's important for the nurse to discuss vaccines based on the client's age and health status.
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 collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated w/aging? Select all.
Correct Answer: B, C, D
Rationale: The correct answers are B, C, and D. Vision and hearing decline is common with aging due to changes in the sensory organs. Slower fine finger movement is expected as decreased motor coordination occurs. Short-term memory decline is characteristic of aging as cognitive processes may slow down. Slower light touch and superficial pain sensation are not typical age-related changes. These sensations are primarily affected by nerve function rather than aging.
Question 4 of 5
A nurse prepares to administer an injection of morphine (Duramorph) to a client who reports pain. Prior to administering, the nurse is called to another room to assist another client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following actions should the 2nd nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer to assist the client needing the bedpan. This is the appropriate action for the 2nd nurse to take because patient care and safety should always be the top priority. By offering to help the client in need of assistance onto the bedpan, the 2nd nurse ensures that both clients are attended to promptly and with dignity. This demonstrates professionalism, teamwork, and a patient-centered approach to care.
Summary of other choices:
B: Administer the injection prepared by the other nurse - Incorrect because the 2nd nurse should not administer a medication prepared by someone else without verifying the dose, patient identification, and other important details.
C: Prepare another syringe & administer the injection - Incorrect as it is not within the 2nd nurse's scope of practice to give medications without proper preparation and verification.
D: Tell the client needing the bedpan she will have to wait for her nurse - Incorrect as it disregards the immediate needs of the client and does
Question 5 of 5
A nurse is preparing to administer lactated Ringer's (LR) IV 100 mL over 15 minutes. The nurse should set the infusion pump to deliver how many mL/hr?
Correct Answer: 400
Rationale: The correct answer is 400 mL/hr.
To calculate the infusion rate in mL/hr, you first need to determine how many mL are being infused in 15 minutes. LR IV 100 mL over 15 minutes means 100 mL/15 minutes = 6.67 mL/min.
To convert this to mL/hr, you multiply by 60 (minutes in an hour), which gives 6.67 mL/min x 60 min/hr = 400 mL/hr.
Therefore, the nurse should set the infusion pump to deliver 400 mL/hr.
Incorrect choices:
A, B, C, D, E, F, G: These choices do not follow the correct calculation method and do not result in the accurate infusion rate of 400 mL/hr.