ATI Fundamentals Proctored Exam Study Guide 3 -Nurselytic

Correct Answer: D

Rationale: The correct answer is D: 79 yo client post-op following below-the-knee amputation. This client is at highest risk for falls due to mobility impairment after surgery. Placing them closest to the nursing station allows for closer monitoring and quick assistance if needed.
Choice A is less critical as laparoscopic cholecystectomy typically has lower fall risk.
Choice B, telemetry for MI, may require immediate intervention but not necessarily closer proximity.
Choice C, ankle surgery, may have mobility limitations but generally less severe than an amputation.

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.

Correct Answer: A,B,D

Rationale: The correct answers are A, B, and D. At 6 months, typical gross motor development includes rolling from back to front (
A), bearing weight on legs (
B), and sitting unsupported (
D). Rolling helps strengthen core muscles and coordination. Bearing weight on legs is a precursor to standing and walking. Sitting unsupported demonstrates good head and trunk control.

Choices C and E are not typically expected by 9 months. Walking holding onto furniture (
C) usually occurs around 9-12 months, and sitting down from a standing position (E) is a more complex skill that emerges later.

Correct Answer: D

Rationale: The correct answer is D: 79 yo client post-op following below-the-knee amputation. This client is at highest risk for falls due to mobility impairment after surgery. Placing them closest to the nursing station allows for closer monitoring and quick assistance if needed.
Choice A is less critical as laparoscopic cholecystectomy typically has lower fall risk.
Choice B, telemetry for MI, may require immediate intervention but not necessarily closer proximity.
Choice C, ankle surgery, may have mobility limitations but generally less severe than an amputation.

Correct Answer: B,C,E

Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals are at higher risk for severe complications from food poisoning due to weakened immune systems.
C: Clients at higher risk should consume only pasteurized dairy products to reduce the risk of foodborne illnesses.
E: Separating raw and fresh foods helps prevent cross-contamination, which can lead to food poisoning.
Incorrect choices:
A: Most food poisoning is caused by bacteria, not viruses.
D: Healthy individuals usually recover within a few days, not weeks.
In summary, immunocompromised individuals should avoid unpasteurized dairy, and proper food handling can prevent food poisoning.