ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answer includes bathing, ambulating, toileting, and measuring vital signs as activities that CNAs may perform. CNAs are trained to assist with basic activities of daily living such as bathing, toileting, and ambulating to ensure the comfort and well-being of patients. They are also responsible for measuring vital signs to monitor the patient's health status. Choosing option D, determining pain level, would be incorrect as this task typically falls under the responsibility of a nurse who can assess and manage pain effectively. Option F and G are not provided in the question, but it is important to understand the scope of practice for CNAs and how it differs from other healthcare team members.
Question 2 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.
Question 3 of 5
A nurse is teaching a client about taking multiple oral meds at home to include time-release capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: Eating crackers with pain pills helps reduce stomach irritation commonly associated with narcotics. The client demonstrates an understanding of the importance of taking precautions to minimize side effects.
Incorrect
Choices:
A: Opening time-release capsules can alter drug release, affecting effectiveness.
B: Mixing liquid meds with food can affect absorption and potency.
C: Crushing enteric-coated pills can lead to irritation of the stomach lining.
E, F, G: No information provided.
Question 4 of 5
A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the interprofessional care team? Select all.
Correct Answer: C, D
Rationale: The correct answer is C (Occupational therapist) and D (Speech-language pathologist). An occupational therapist can help the client with dysphagia by providing strategies for safe eating and drinking. A speech-language pathologist is crucial for evaluating and treating swallowing difficulties. The social worker (
A) may not have the expertise in dysphagia management. A CNA (
B) is not trained to address dysphagia. The other choices are not provided, but they would likely not have the specific skills needed to address dysphagia effectively.
Question 5 of 5
To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of the left lower extremity, which of the following instructions should the nurse provide? Select all.
Correct Answer: A, B, D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Holding the cane on the right side helps provide support to the weaker left lower extremity, aiding balance and stability.
B: Keeping 2 points of support on the floor (cane and one leg) reduces the risk of falls and ensures proper weight distribution.
D: Moving the weaker leg forward after advancing the cane helps maintain balance and prevents overloading the injured extremity.
Summary:
C: Placing the cane 15 inches in front of the feet before advancing is incorrect as it may lead to overreaching and loss of balance.
E: Advancing the stronger leg to align with the cane may not provide adequate support to the weaker extremity.
F, G: The choices are left blank as they are not applicable to the question or do not contribute to promoting safe cane use for the client.