ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
By the 2nd post-op day
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. By the 2nd post-op day, adequate pain management is crucial for optimal recovery.
2. If the client has not achieved satisfactory pain relief, it indicates an issue with the current pain management plan.
3. According to the nursing process, the next step is to assess the client to identify reasons for inadequate pain relief.
4. This assessment will help the nurse understand the underlying factors contributing to the pain and guide further interventions.
5. By reassessing the client, the nurse can tailor the pain management plan to ensure adequate relief and promote the client's recovery.
Summary:
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Choice B is incorrect as reassessment is necessary before determining reasons for pain.
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Choice C is incorrect as waiting for pain to lessen without active intervention may compromise the client's recovery.
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Choice D is premature without assessing the reasons for inadequate pain relief.
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Choice E is not the immediate priority before addressing the current pain management issue.
Question 2 of 5
Nurse is caring for many clients during mass casualty event. Which client is highest priority?
Correct Answer: C
Rationale: The correct answer is C because clients with partial and full-thickness burns to the face are at high risk for airway compromise and respiratory distress. Airway management is the top priority in emergency situations. The burns can cause swelling and obstruction of the airway, potentially leading to respiratory failure.
Therefore, immediate intervention is crucial to ensure the client's airway is clear and breathing is maintained.
Choice A can be ruled out because expected death does not change the priority of care.
Choice B is less urgent as it does not directly threaten the client's airway or breathing.
Choice D and E do not provide enough information to determine urgency.
Question 3 of 5
Nurse is reviewing safety precautions with group of young adults at community health fair. Which recommendations should nurse include specifically for this age group? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet (
B) is crucial for head protection. Carbon monoxide exposure is a concern in any age group, so installing a detector (
C) is important. Young adults may have access to firearms, making it vital to secure them in a safe location (
D) to prevent accidents.
Choices A and E are more relevant for older adults to prevent falls, while F and G are not provided in the question.
Question 4 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C because sitting on the side of the bed and resting arms over pillows on top of a raised bedside table is the orthopneic position for a client with COPD. This position allows for optimal lung expansion and makes breathing easier by reducing pressure on the diaphragm. Option A is incorrect as lying on the back with head and shoulders elevated may not provide the same level of relief for breathing difficulties. Option B is incorrect as lying flat on the stomach can further compromise breathing. Option D is incorrect as lying on the side with weight on hips and shoulders does not facilitate optimal lung expansion.
Question 5 of 5
Charge nurse is designating room assignments for clients. Based on her knowledge of fall prevention, which client should be assigned to room closest to the nursing station?
Correct Answer: D
Rationale: The correct answer is D - 79-year-old client post-op following below-the-knee amputation. This client should be assigned to the room closest to the nursing station for fall prevention due to the increased risk of falls associated with post-amputation status. Patients who have undergone amputations may experience balance issues, weakness, and difficulty with mobility, increasing their risk of falls. Placing this client closer to the nursing station allows for closer monitoring and quicker response in case of any potential fall risks or incidents.
Choice A is incorrect because a 43-year-old client post-op following laparoscopic cholecystectomy typically does not have the same level of fall risk as a post-amputation patient.
Choice B is incorrect as a 61-year-old client being admitted for telemetry to rule out MI does not necessarily have an increased fall risk compared to a post-amputation patient.
Choice C is incorrect as a 50-year-old client post-op following open reduction internal fixation of an ankle may have