ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
An RN is making assignments for client care to an LPN at the beginning of shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale: The correct answer is D because LPNs are not typically responsible for changing cartridges and tubing on PCA pumps, as this task requires specialized training and knowledge that only RNs or higher-level healthcare providers possess. LPNs should question this assignment to ensure patient safety and proper care.
A: LPNs can assist with incentive spirometer use for post-op clients.
B: LPNs can collect clean-catch urine specimens.
C: LPNs can provide nasopharyngeal suctioning for pneumonia clients.
In summary, the LPN should question the assignment related to changing the cartridge and tubing on the PCA pump as it falls outside their scope of practice and requires RN-level skills.
Question 2 of 5
Mother of 7 mo infant tells nurse that her baby has been fussy with occasional loose stools since she started feeding him fruits & veggies. Which responses by nurse are appropriate? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Explanation:
B: It is important to make a list of foods the baby is eating to identify any potential triggers causing the fussiness and loose stools. This allows for a systematic approach to troubleshooting the issue.
C: Asking if the changes began after starting a particular food helps to pinpoint potential allergens or intolerances that may be causing the symptoms.
D: Inquiring about vomiting is important as it can indicate a more serious underlying issue that may be related to the introduction of new foods.
Incorrect Answers:
A: Adding bananas may not be appropriate as they can worsen loose stools in some infants due to their high fiber content.
E: Not all babies react with indigestion when starting new foods, so this statement is too general and not helpful in addressing the specific situation.
Question 3 of 5
Nurse is giving presentation about accident prevention to group of parents & toddlers. Which strategies should nurse include? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct strategies for accident prevention are A, C, and D. A is important to prevent children from accessing harmful substances. C is crucial to avoid accidental burns from hot pots. D is necessary to prevent falls down stairs. Keeping toilet seats up (
B) can pose a drowning risk. Ensuring balloons are fully inflated (E) increases choking hazard. Overall, A, C, and D directly address common household hazards for toddlers, making them the correct choices for the nurse's presentation.
Question 4 of 5
A nurse reviews an immobilized patient's laboratory results and discovers hypercalcemia. Which condition will the nurse monitor for most closely in this patient?
Correct Answer: B
Rationale: The correct answer is B: Renal calculi. Hypercalcemia can lead to the formation of kidney stones due to excessive calcium in the blood being excreted by the kidneys. The nurse should monitor for signs and symptoms of renal calculi, such as flank pain, hematuria, and urinary urgency.
Incorrect
Choices:
A: Hypostatic pneumonia - Hypercalcemia does not directly predispose a patient to pneumonia.
C: Pressure ulcers - Hypercalcemia is not typically associated with an increased risk of pressure ulcers.
D: Thrombus formation - While hypercalcemia can affect blood clotting, it is not the primary concern in an immobilized patient with hypercalcemia.
Question 5 of 5
A nurse is receiving a provider prescription by phone for morphine for a client who is reporting moderate to severe pain. Which of the following actions are appropriate?
Correct Answer: A,B,C
Rationale:
Correct Answer: A,B,C
Rationale:
A: Repeating details back to the provider ensures accuracy and clarity, reducing the risk of errors.
B: Having another nurse listen provides a second verification step to prevent misunderstandings.
C: Obtaining the prescriber's signature within 24 hours ensures proper documentation and legality.
Summary:
D: Declining the prescription is not appropriate as the client is in pain and requires timely treatment.
E: Informing the charge nurse alone does not ensure the prescription is properly confirmed and documented.