ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. The nurse should offer which of the following behaviors by a young adult as an example of appropriate psychosocial development?
Correct Answer: C
Rationale: The correct answer is C because devoting time to establishing an occupation is a characteristic behavior of young adults in Erikson's stage of Intimacy vs. Isolation. During this stage, individuals focus on developing careers and forming intimate relationships.
Choice A is incorrect as it pertains to generativity, a behavior more typical of middle adulthood.
Choice B is incorrect as it reflects the challenges faced in the stage of Generativity vs. Stagnation.
Choice D is incorrect as it reflects the responsibilities associated with the stage of Generativity vs. Stagnation as well.
Question 2 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.
Question 3 of 5
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?
Correct Answer: D
Rationale: The correct answer is D: Lower the enema fluid container. Lowering the enema fluid container helps regulate the flow rate and reduce the pressure on the client's abdomen, alleviating cramping. Holding the breath (
A) may increase intra-abdominal pressure, exacerbating cramping. Discontinuing the fluid instillation (
B) without addressing the cause of cramping can lead to incomplete cleansing. Reminding the client that cramping is common (
C) does not address the discomfort and may not provide relief. Lowering the container (
D) is the most appropriate intervention to manage cramping during the enema administration.
Question 4 of 5
A client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse who is providing preop care regarding informed consent? Select all.
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Making sure the surgeon obtained the client's consent is crucial to ensure that the client has been properly informed about the procedure and has voluntarily agreed to it.
B: Witnessing the client's signature on the consent form is important as it verifies that the client has personally agreed to the procedure after understanding the risks and benefits.
C: While explaining the risks and benefits of the procedure is important, this task is typically performed by the healthcare provider or surgeon, not the nurse providing preop care.
D: Describing the consequences of choosing not to have the surgery is important, but it is usually the responsibility of the healthcare provider or surgeon, not the nurse providing preop care.
E: Informing the client about alternatives to having the surgery is important, but this task is typically performed by the healthcare provider or surgeon, not the nurse providing preop care.
F: No information provided.
G: No information provided.
Summary:
The correct actions for
Question 5 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.