ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
A nurse on med-surg unit has received change-of-shift report & will care for 4 clients. Which of following client's needs may nurse assign to AP?
Correct Answer: C
Rationale: The correct answer is C. The nurse can assign reapplying a condom catheter for a client with urinary incontinence to an assistive personnel (AP). This task is within the scope of practice for an AP as it does not require specialized nursing knowledge or assessment skills. It is a routine task that can be safely delegated. The other options require nursing assessment, critical thinking, or specialized skills, making them inappropriate for delegation to an AP. For example, feeding a client with aspiration pneumonia requires monitoring for signs of aspiration; reinforcing teaching for walking with a quad cane requires assessing the client's gait and balance; applying a sterile dressing to a pressure ulcer requires knowledge of wound care principles. Assigning these tasks to an AP could compromise client safety and outcomes.
Question 2 of 5
Nurse is caring for client with many risk factors for CV disease. When planning health promotion & disease prevention strategies for this client, which intervention should nurse include? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Helping the client see the benefits of their actions promotes motivation and compliance with health promotion strategies.
B: Identifying client's support systems ensures they have the necessary resources and assistance to maintain healthy behaviors.
C: Suggesting and recommending community resources expands the client's access to additional support and information.
E: Teaching stress management strategies is crucial as stress can contribute to cardiovascular disease risk factors.
Summary:
D: Devising and setting goals for the client could be beneficial, but it is not as essential as the other options selected.
F and G: Not provided in the question, so cannot be analyzed.
Question 3 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. The presentation of linear clusters of fluid-containing vesicles with crusting is characteristic of herpes zoster, also known as shingles. This condition is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution of the vesicles along a dermatome is a key distinguishing feature of herpes zoster. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly lesions, not linear vesicles. Systemic lupus erythematosus is an autoimmune disease that can present with a variety of symptoms, but linear clusters of vesicles are not characteristic of this condition.
Question 4 of 5
Nurse providing pre-op teaching for client scheduled for mastectomy next day. Which client statement indicates client is ready to learn?
Correct Answer: C
Rationale: The correct answer is C because the client's question about the duration of surgery shows readiness to learn about the procedure. This indicates they are seeking information to prepare themselves mentally and emotionally.
Choice A is focused on personal concerns, not learning.
Choice B is about post-op care, not readiness for pre-op teaching.
Choice D is unrelated to the situation.
Question 5 of 5
Nurse is reviewing nutrition guidelines with parents of 2 yo. Which parent statement should indicate to nurse that they understand feeding guidelines for this age group?
Correct Answer: C
Rationale: The correct answer is C. Giving a 2-year-old about 2 tablespoons of each food at mealtimes aligns with appropriate portion sizes for toddlers, promoting balanced nutrition and preventing overeating. This statement indicates an understanding of feeding guidelines for this age group.
Choice A is incorrect as whole milk is recommended until 2 years old, then switching to low-fat milk.
Choice B is incorrect as excessive juice consumption can lead to excessive sugar intake.
Choice D is incorrect as popcorn can pose a choking hazard for young children.