ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN 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:
Correct Answer: A, D, E
Rationale:
A: Inviting the child to assist with mealtime activities can help build trust and rapport with the nurse, providing a sense of comfort and distraction from fears.
D: Having parents bring in the child's favorite toy from home can provide a familiar and comforting object that offers emotional support during procedures.
E: Engaging the child in pretend play with a toy medical kit can help desensitize the child to medical procedures in a non-threatening way, allowing them to feel more in control and reduce fear.
Summary:
B: Clustering invasive procedures may not address the child's emotional fears and could potentially overwhelm them.
C: Assigning caregivers the child is familiar with may help, but it may not directly address the fear of painful procedures.
F, G: Since these options are not provided, they are not applicable in this scenario.
Question 2 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct choices, C and E, align with Erikson's theory of psychosocial development for middle adulthood.
Choice C, "Welcome opportunities to be creative & productive," reflects Erikson's stage of generativity versus stagnation, where individuals in middle adulthood seek to contribute to society and leave a legacy.
Choice E, "Become involved in community issues & activities," relates to the desire for social involvement and making a positive impact on the community.
Choices A, B, and D are incorrect because they do not align with the typical capabilities of middle adults according to Erikson's theory.
Choice A contradicts the idea of middle adults striving for independence and self-reliance, while choice B reflects feelings of regret or despair, which are more characteristic of Erikson's later stages.
Choice D, while important, does not capture the full scope of middle adulthood psychosocial development as outlined by Erikson.
Question 3 of 5
Nurse caring for 19-year-old client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention?
Correct Answer: C
Rationale: The correct answer is C: Determine client's risk factors. This intervention is crucial in assessing the client's health promotion and disease prevention needs. By identifying risk factors such as sexual history, behaviors, and practices, the nurse can tailor appropriate health education and preventive measures. Measuring vital signs (
A) is important but does not directly address health promotion in this context. Encouraging HIV screening (
B) is beneficial but does not encompass a comprehensive assessment of risk factors. Instructing the client to use condoms (
D) is a preventive measure but does not address the broader spectrum of risk factors.
Question 4 of 5
Nurse planning diversionary activities for children on an inpatient unit. Which should nurse incorporate as appropriate play activities for toddler? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answer includes filling & emptying containers, playing with blocks, and looking at books.
Toddlers benefit from activities that promote sensory exploration, fine motor skills, and cognitive development. Filling & emptying containers helps with hand-eye coordination. Playing with blocks enhances spatial awareness and problem-solving skills. Looking at books fosters language development and imagination. Building simple models (
A) may be too complex for toddlers. Working with clay (
B) may pose a choking hazard. The other choices do not target the specific developmental needs of toddlers.
Question 5 of 5
Nurse contributing to care plan for client being admitted to facility with suspected dx of pertussis. Which should nurse include in care plan?
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E. B is correct because wearing a mask within 3 ft of the client helps prevent the spread of pertussis via respiratory droplets. C is important to prevent transmission during transportation. E is necessary to protect the nurse from contamination during care involving secretions. A is incorrect because negative air pressure is not necessary for pertussis. D is incorrect as sterile gloves are not needed, regular gloves are sufficient. Overall, B, C, and E are crucial for preventing the spread of pertussis and ensuring the safety of both the client and the healthcare provider.