ATI RN
ATI Fundamental Proctored Exam Simulated Exam Questions With Detailed Verified Answer Questions
Extract:
Question 1 of 5
A nurse is teaching a class about the guidelines for the standards of care for nursing. Which of the following defines the nursing scope of practice?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Acts. State Nurse Practice Acts outline the legal scope of practice for nurses in each state, defining what tasks and responsibilities nurses are allowed to perform. These acts ensure that nurses practice safely and within legal boundaries. The other choices, A, B, and C, are unrelated to defining the nursing scope of practice and do not provide any guidelines or legal framework for nursing care.
Therefore, State Nurse Practice Acts is the correct answer as it directly pertains to the standards of care and legal boundaries for nursing practice.
Question 2 of 5
A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The nurse should see the client with new onset dyspnea 24 hours after a total hip arthroplasty first. Dyspnea following surgery can indicate a potentially life-threatening complication like pulmonary embolism. Prompt assessment and intervention are crucial to prevent further complications. Acute abdominal pain (choice
A) can be urgent but is less likely to be immediately life-threatening compared to dyspnea post-surgery. Pneumonia with oxygen saturation of 96% (choice
B) and a urinary tract infection with low-grade fever (choice
C) may require attention, but they are less urgent compared to potential respiratory distress post-surgery.
Question 3 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: A
Rationale: The correct answer is A because antihypertensive medications can cause side effects like dizziness or lightheadedness, increasing the risk of falls. Secure electrical wires (
B) reduce tripping hazards. Rubber-sole shoes (
C) provide better traction and reduce slipping. Visual acuity of 20/40 (
D) is suboptimal but not directly related to home fall risk.
Question 4 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. An occupational therapist specializes in helping individuals improve their ability to perform daily living activities, such as eating. They assess and address physical, cognitive, and environmental factors affecting a person's ability to function independently. In this case, the client needs to relearn how to use eating utensils, which falls under the expertise of an occupational therapist. Referring the client to a physical therapist (choice
A) would focus more on mobility and strength training, while a speech-language pathologist (choice
B) would address communication and swallowing issues. A social worker (choice
D) typically helps with emotional and social support, not direct rehabilitation for physical tasks.
Question 5 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Prepare the client for a central venous line. Parenteral nutrition (PN) with high dextrose concentrations and fat emulsions can be hypertonic and irritating to peripheral veins, leading to phlebitis and tissue damage.
Therefore, a central venous line is more appropriate for PN administration to prevent vein damage and complications. Changing the PN bag every 48 hours (
A) is not directly related to the administration of PN through a central line. Obtaining a random blood glucose daily (
B) is important but not specific to the administration of PN through a central line. Administering the PN and fat emulsion separately (
D) is not recommended as they are often combined in one solution for administration.