ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is teaching a young adult client about health promotion & illness prevention. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: It is important to schedule routine health care visits even if I'm feeling well. This statement indicates an understanding of health promotion and illness prevention as it emphasizes the importance of preventive care to maintain overall health. Regular health check-ups can help detect early signs of illness and address any potential health concerns before they become serious.
Incorrect choices:
A: I already had my immunizations as a child, so I'm protected in that area. This choice shows a misunderstanding as immunizations may need to be updated throughout adulthood.
C: If I'm having any discomfort, I'll just go to an urgent care center. This choice focuses on reactive care rather than preventive measures.
D: If I am feeling stressed, I will remind myself that this is something I should expect. This choice does not address health promotion or illness prevention strategies.
Summary:
Choice B is correct as it highlights the importance of proactive health maintenance through routine check-ups, while the other choices lack a focus on preventive
Question 2 of 5
A nurse is caring for a client who is at high risk for aspiration. Which of the following is an appropriate nursing intervention?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to tuck her chin when swallowing. This intervention helps prevent aspiration by closing off the airway during swallowing, reducing the risk of food or liquid entering the lungs. Tucking the chin also helps direct the food towards the esophagus. Giving thin liquids (
A) can increase the risk of aspiration. Using a straw (
C) can also increase the risk as it can bypass the natural swallowing mechanism. Encouraging the client to lie down after meals (
D) can lead to aspiration as gravity may cause food or liquid to enter the airway.
Question 3 of 5
A nurse is caring for an 82-year-old client in the ER who has an oral body temperature of 38.3°C (101°F), a pulse rate of 114/min, & a respiratory rate of 22/min. He is restless & his skin is warm. Which of the following are appropriate nursing interventions for this client? Select all.
Correct Answer: A, C, E
Rationale:
Correct Answer: A, C, E
Rationale:
A: Obtaining culture specimens before initiating antimicrobials is crucial to identify the specific pathogen causing the infection and guide appropriate treatment.
C: Encouraging the client to limit activity and rest helps reduce metabolic demands, allowing the body to focus on fighting the infection and promoting healing.
E: Assisting the client with oral hygiene frequently is important to prevent further infection and maintain oral health, especially in older adults who may have compromised immune systems.
Summary:
B: Restricting the client's oral fluid intake is not appropriate as hydration is essential for maintaining fluid balance and aiding in infection recovery.
D: Allowing the client to shiver to dispel excess heat is not advised as it can lead to increased metabolic demands and potential complications.
F, G: No other choices are provided in the question.
Question 4 of 5
A nurse is caring for a client who reports severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?
Correct Answer: D
Rationale:
Correct Answer: D (Illness)
Rationale:
1. The client is experiencing symptoms such as severe sore throat, pain when swallowing, and swollen lymph nodes, indicating an active infection.
2. The illness stage is characterized by the manifestation of specific symptoms as the body tries to fight off the infection.
3. During the illness stage, the infection is fully developed and the individual exhibits overt signs and symptoms.
4. The other stages - Prodromal, Incubation, and Convalescence - do not align with the client's current presentation as they represent different phases of an infection before or after the active illness period.
Summary:
A: Prodromal - Characterized by non-specific symptoms and mild discomfort, not severe sore throat and swollen lymph nodes.
B: Incubation - No symptoms present during this stage, so not applicable to the client's current condition.
C: Convalescence - Represents the recovery period after the illness, not the active symptomatic phase the client is currently
Question 5 of 5
A nurse is reviewing the reported medications of a client who was recently admitted. The medications include cimetidine (Tagamet) and imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the metabolism of imipramine hydrochloride, the nurse should identify that this combination is likely to result in which of the following effects?
Correct Answer: B
Rationale: The correct answer is B: Increased risk of imipramine hydrochloride toxicity. Cimetidine inhibits the metabolism of imipramine hydrochloride, leading to increased levels of imipramine in the body. This can result in a higher risk of imipramine toxicity, as the drug will not be efficiently cleared from the system. Increased levels of imipramine can lead to adverse effects such as drowsiness, confusion, and cardiac arrhythmias.
Choice A is incorrect because cimetidine's therapeutic effects are not affected by its interaction with imipramine.
Choice C is incorrect as there is no evidence to suggest that cimetidine's adverse effects are decreased by its interaction with imipramine.
Choice D is incorrect as the increased levels of imipramine due to cimetidine inhibition do not necessarily translate to increased therapeutic effects; instead, it leads to toxicity.