ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care? Select all that apply
Correct Answer: B, C, E, F
Rationale: The correct answer includes documenting when the patient was placed in restraints (
B) to ensure accurate monitoring and compliance with regulations, noting the presence of bilateral radial pulses (
C) to assess circulation, recording unsuccessful attempts to distract the patient (E) to document interventions tried, and documenting when the patient was released from restraints and range-of-motion exercises completed (F) for continuity of care.
Choices A and D are not essential information related to the patient's care in restraints, as the family member going to lunch does not impact the patient's immediate care and the presence of straps with quick-release buckles is standard equipment.
Question 3 of 5
Nurse reviewing CDC's immunization recommendations for young adult. Which should nurse include in this discussion? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. The nurse should include HPV, measles, mumps, rubella, and varicella in the discussion as these are recommended immunizations for young adults by the CDC. HPV vaccination helps prevent certain types of cancers and genital warts. Measles, mumps, and rubella vaccines protect against highly contagious diseases. Varicella vaccine prevents chickenpox.
Choices D, E, F, and G are incorrect. Haemophilus influenzae type b and polio vaccines are typically given during infancy and childhood, not young adulthood. The options F and G are incomplete.
Question 4 of 5
Nurse observes smoke coming from under the door of the staff lounge. What is the priority action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Evacuate the clients. This is the priority action because ensuring the safety of the clients is paramount in any emergency situation. Evacuating them to a safe location away from potential harm should be the nurse's first response. Pulling the fire alarm (
B) can be done after ensuring the clients are safely evacuated. Extinguishing the fire (
A) should be left to the trained professionals to avoid putting oneself at risk. Closing all open doors on the unit (
D) may help contain the fire but is not as critical as evacuating the clients.
Question 5 of 5
Nurse reviewing nutrition guidelines with parents of 11 yo. Which parent statement should indicate to nurse that they understand guidelines for school-age children?
Correct Answer: D
Rationale: Answer D is correct because it shows an understanding of promoting healthy eating habits without using food as a reward. By rewarding school achievements with a point system instead of pizza or ice cream, the parents are reinforcing positive behaviors unrelated to food. This approach helps prevent the association of food with emotions or achievements, promoting a healthier relationship with food.
Choice A is incorrect because it focuses on weight concerns rather than healthy eating habits.
Choice B is incorrect as skipping meals is not recommended for school-age children.
Choice C is incorrect as limiting fast food intake is important, but it does not necessarily indicate a complete understanding of nutrition guidelines for this age group.