ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale:
Correct Answer: D. Replacing the cartridge and tubing on a PCA pump
Rationale: LPNs are not typically trained to safely manage PCA pumps, which involve intricate medication delivery systems. This task requires advanced skills and knowledge that are within the scope of practice for an RN, not an LPN.
Summary of other choices:
A: Assisting a client with an incentive spirometer is within the LPN's scope of practice.
B: Collecting a clean-catch urine specimen is a routine task that an LPN can perform.
C: Providing nasopharyngeal suctioning for a client with pneumonia is within the LPN's scope of practice.
Question 2 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 3 of 5
A nurse is counseling a young adult who describes having difficulty dealing with several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the client expressing uncertainty about their identity indicates a potential identity crisis, which is a fundamental developmental task for young adults. This issue can impact various aspects of the client's life, including relationships, career choices, and overall well-being. Addressing this issue first can help the client gain clarity and confidence in navigating other challenges.
Choices A, B, and D are important concerns, but they are more specific and situational compared to the broader existential crisis of self-identity presented in option C. Prioritizing the identity crisis can lay the foundation for addressing other issues effectively.
Question 4 of 5
A nurse is preparing to administer digoxin (Lanoxin) to a client who states, 'I don't want to take that med. I do not want one more pill.' Which of the following responses by the nurse is appropriate in this situation?
Correct Answer: D
Rationale: The correct answer is D: "Tell me your concerns with taking this med." This response demonstrates therapeutic communication by acknowledging the client's feelings and opening up a dialogue to address their concerns. By actively listening to the client's reasons for not wanting to take the medication, the nurse can provide education, address misconceptions, and work collaboratively with the client to find a solution. This approach promotes client autonomy and informed decision-making.
Choice A is incorrect as it dismisses the client's feelings and does not address their concerns.
Choice B is inappropriate as it shows a lack of empathy and understanding.
Choice C is incorrect as it ignores the client's refusal of the specific medication. These responses do not promote effective communication or client-centered care.
Question 5 of 5
A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team may assist the client in understanding the medication's effects? Select all.
Correct Answer: A, C, D
Rationale:
Correct Answer: A, C, D
Rationale:
1. Provider (
A): The provider, such as a physician or surgeon, is responsible for prescribing the medication and can explain its effects to the client.
2. Pharmacist (
C): Pharmacists are experts in medications and can provide detailed information about the drug's effects, interactions, and side effects.
3. RN (
D): Registered nurses are involved in direct patient care and can educate the client about the medication's effects and monitor for any adverse reactions.
Summary:
B: CNA - While CNAs provide valuable patient care, they may not have the expertise to explain medication effects.
E: Respiratory therapist - Respiratory therapists primarily focus on respiratory care and may not have the necessary knowledge about pain medication effects.