ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
An adolescent who has diabetes mellitus is 2 days postop following an appendectomy. The client is tolerating a regular diet. He has ambulated successfully around the unit with assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10 after receiving the med. His incision is approximated & free of redness, with scant serous drainage on the dressing. Which of the following risk factors for poor wound healing does this client have? Select all.
Correct Answer: B, C
Rationale: The correct answers are B and C. Impaired circulation (
B) can lead to poor wound healing by limiting the delivery of oxygen and nutrients to the wound site. In this case, the adolescent has undergone surgery, which can disrupt circulation. Impaired/suppressed immune system (
C) can also hinder wound healing as the immune response is crucial for fighting off infection and promoting healing. The client's successful ambulation and toleration of a regular diet suggest good overall health, reducing the risk of malnutrition (
D) and poor wound care (E). Extremes in age (
A) are not relevant in this case.
Question 2 of 5
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following is the body's priority energy reserve?
Correct Answer: D
Rationale: The correct answer is D: Carbohydrates. Carbohydrates are the body's priority energy reserve because they are easily broken down into glucose, which is the primary source of energy for the body's cells. When carbohydrates are consumed, they are converted into glycogen and stored in the muscles and liver for quick energy release. In contrast, fats are a more efficient long-term energy source, proteins are primarily used for tissue repair and growth, and glycogen is a short-term energy source stored in the muscles and liver.
Therefore, carbohydrates are the body's priority energy reserve for immediate energy needs.
Question 3 of 5
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the 1st-pass effect?
Correct Answer: B
Rationale: The correct answer is B. The 1st-pass effect refers to the metabolism of a drug in the liver before it reaches systemic circulation. Administering drugs via nonenteral routes bypasses the liver, avoiding inactivation.
Choice A discusses receptor activity, not the 1st-pass effect.
Choice C relates to drug elimination, not the 1st-pass effect.
Choice D mentions safety margins, not drug metabolism.
Question 4 of 5
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the act of intentionally causing someone to fear that they will be physically harmed. In this case, the AP's threat of putting a diaper on the client if he doesn't use the urinal properly next time constitutes an act of assault because it instills fear in the client.
Choice B, Battery, involves actual physical harm, which is not present in this scenario.
Choice C, False imprisonment, involves restricting someone's freedom of movement, which is not the case here.
Choice D, Invasion of privacy, refers to intruding into someone's private affairs, which is not relevant in this situation.
Question 5 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