ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
By 2nd post-op day, a client has not achieved satisfactory pain relief. Based on this evaluation, what should nurse do next according to nursing process?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Assessment is the first step in the nursing process. The nurse must reassess the client to identify the reasons for unsatisfactory pain relief.
2. Reassessment helps in understanding the current status of the client's pain and any contributing factors.
3. Identifying the reasons for inadequate pain relief will guide the nurse in developing an appropriate plan of care.
4. This step ensures a comprehensive understanding of the client's condition and aids in providing individualized care.
Summary of other choices:
B. Waiting to see if pain lessens does not address the underlying reasons for inadequate pain relief.
C. Changing the plan without reassessment may not address the specific causes of the client's pain.
D. Teaching the client about the plan of care is important but should come after reassessment to tailor the education to the client's needs.
Question 2 of 5
A mother tells nurse that her 2 yo has temper tantrums. Child says 'no' every time mother tries to help her get dressed. Nurse explains that developmentally the toddler is...
Correct Answer: A
Rationale: The correct answer is A: Trying to gain her independence. At the age of 2, children begin to assert their independence and autonomy. By refusing help and saying 'no', the child is exhibiting typical behavior for their developmental stage. This is a sign of their growing independence and desire to do things on their own.
Choices B, C, and D are incorrect because they do not align with typical developmental milestones for a 2-year-old. Developing a sense of trust and anger management usually occur later in development, and attempting to finish a project is not a relevant behavior for a toddler.
Question 3 of 5
Nurse reviewing CDC's immunization recommendations with middle adult. Which should nurse include in this discussion?
Correct Answer: B, C, E
Rationale: The correct choices (B, C, E) are essential immunizations for middle adults based on CDC recommendations. Varicella vaccine protects against chickenpox, herpes zoster vaccine against shingles, and seasonal influenza vaccine against flu. Middle-aged adults are at increased risk for these diseases, hence discussing these vaccines is crucial. Option A (Haemophilus influenzae type b) is not typically recommended for middle-aged adults. Option D (HPV) is important but typically recommended for younger individuals.
Therefore, it is not a priority for middle adults.
Question 4 of 5
Nursing instructor explaining various stages of lifespan to students. Nurse should offer which following behavior by young adult as example of appropriate psychosocial development?
Correct Answer: C
Rationale: The correct answer is C: devoting a great deal of time to establishing occupation. Young adulthood is characterized by the development of a sense of identity and establishing oneself in a career. This behavior reflects Erikson's psychosocial stage of intimacy vs. isolation, where individuals focus on forming close relationships and finding their place in society.
Choices A, B, and D involve behaviors more typical of other life stages such as middle adulthood or late adulthood.
Choice A relates more to generativity vs. stagnation in middle adulthood, choice B is more typical of coping with losses in later adulthood, and choice D is characteristic of the sandwich generation in middle adulthood.
Question 5 of 5
Nurse is preparing info for change-of-shift report. Which of the following info should nurse include in report?
Correct Answer: C
Rationale: The correct answer is C: Bone scan that is scheduled for today. This information is crucial for the oncoming shift as it pertains to the client's immediate care needs. Including the bone scan in the report ensures that the next nurse is aware of any specific preparations or precautions that need to be taken for the client.
A: While client's input & output is important, it is more relevant for ongoing monitoring than for immediate shift handover.
B: Client's blood pressure from the previous day may not be as urgent or pertinent for the upcoming shift.
D: Med routine from Med Admin Record is important but can be accessed directly from the record by the next nurse.
In summary, the bone scan scheduled for today is the most pertinent information to include in the change-of-shift report as it directly impacts the client's current care needs.