ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse caring for 5 yo whose parents report she fears painful procedures, like shots. Which strategies should nurse use to try to help ease child's fear? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct strategies are A, D, and E. A: Involving the child in non-threatening activities like mealtime can build trust. D: Bringing in a favorite toy from home provides comfort and distraction. E: Engaging in pretend play with a medical kit allows the child to explore and understand medical procedures in a safe environment. These strategies empower the child, provide comfort, and help them understand and cope with their fears. Other choices are incorrect: B: Clustering invasive procedures may increase anxiety. C: Assigning familiar caregivers may help, but not directly address the fear.
Question 2 of 5
Nursing instructor is explaining various stages of lifespan to students. Nurse should offer which of following behaviors by young adult as example of accomplishing Erikson's tasks for psychosocial development during middle adulthood?
Correct Answer: D
Rationale: The correct answer is D, as the behavior of expressing concerns about the next generation aligns with Erikson's task of generativity vs. stagnation during middle adulthood. This stage involves a focus on contributing to future generations and leaving a positive impact on society.
Choice A focuses on self-reflection, not generativity.
Choice B relates to Erikson's trust vs. mistrust stage in infancy.
Choice C reflects the desire for intimacy vs. isolation in young adulthood. Overall, D is the best choice as it directly pertains to the developmental task of generativity in middle adulthood.
Question 3 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. The presentation of linear clusters of fluid-containing vesicles with crusting is characteristic of herpes zoster, also known as shingles. This condition is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution of the vesicles along a dermatome is a key distinguishing feature of herpes zoster. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly lesions, not linear vesicles. Systemic lupus erythematosus is an autoimmune disease that can present with a variety of symptoms, but linear clusters of vesicles are not characteristic of this condition.
Question 4 of 5
Nurse has prepared a sterile field for assisting a provider with chest tube insertion. Which should the nurse recognize as contaminating the sterile field? (Select all that apply.)
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile NS and placing it on the sterile field introduces moisture and potentially non-sterile elements, contaminating the field.
C: Any delay increases the risk of contamination as the sterile field may no longer be maintained sterile for the intended procedure.
D: Turning away from the sterile field to speak to someone allows for potential contaminants to enter the sterile area.
Incorrect
Choices:
A: While dropping a sterile instrument near the field is not ideal, it may not necessarily contaminate the field.
E: The client's hand brushing against the outer edge of the sterile field is a concern, but it is not a direct cause of contamination in the field.
Question 5 of 5
Nurse educator is teaching module on proper body mechanics during employee orientation. Which statements by new nurse indicates need for more teaching?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. The line of gravity should fall within the base of support for stability.
2. A: Incorrect - the line of gravity should remain within the base of support.
3. B: Correct - lower center of gravity increases stability.
4. C: Correct - broader base of support enhances stability.
5. D: Correct - holding objects close to the body reduces strain.
6. Summary: A is incorrect as the line of gravity should not fall outside the base of support. B, C, and D are correct as they promote stability and proper body mechanics.