ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse caring for a client who reports severe sore throat, pain with swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?
Correct Answer: D
Rationale: The correct answer is D: Illness. This stage is characterized by the peak of infection where the client exhibits specific symptoms such as severe sore throat, pain with swallowing, and swollen lymph nodes. The client is actively fighting the infection, resulting in noticeable signs and symptoms.
Other choices are incorrect:
A: Prodromal stage is the initial period where nonspecific symptoms start to appear.
B: Incubation stage is the time from exposure to the pathogen to the onset of symptoms.
C: Convalescence stage is the recovery period after the illness where the client is getting better.
Question 2 of 5
Nurse has removed a sterile pack from its outside cover & placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
Correct Answer: D
Rationale: The correct answer is D: Flap farthest from the body. Unfolding this flap first ensures that the sterile contents inside the pack remain protected from contamination. By starting with the flap farthest from the body, the nurse minimizes the risk of accidental contamination from reaching the sterile items. Unfolding the other flaps first could potentially expose the sterile contents to non-sterile surfaces, compromising the aseptic technique needed for the procedure.
Therefore, unfolding the flap farthest from the body is the most appropriate step to maintain the sterility of the pack and its contents.
Question 3 of 5
Nurse counseling middle adult who describes having difficulty with many issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: B
Rationale: The correct answer is B because the client's difficulty with intimate relationships can significantly impact their mental health and overall well-being. Establishing intimate connections is crucial for emotional fulfillment and social support. The nurse should assess the client's past experiences, beliefs, and current challenges in forming intimate relationships to provide appropriate interventions. Option A focuses on accepting aging parents, which is important but may not be as pressing as the client's struggles with intimacy. Options C and D involve personal values and family dynamics, respectively, which are significant but not as immediate as addressing intimate relationship issues.
Question 4 of 5
Nurse has noticed several times in past week when another nurse on unit seemed drowsy & unable to focus. Today, she found nurse asleep in chair in break room when she was not on a break. Which of the following actions should nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to nurse manager on unit. This action is important because it addresses the safety concern of the drowsy nurse potentially compromising patient care. The nurse manager is in a position to intervene and ensure that appropriate measures are taken to address the issue and prevent any potential harm to patients.
Choice A is not the best option because simply reminding the drowsy nurse about safe client care may not address the underlying issue of their drowsiness and inability to focus.
Choice B is not as effective as reporting to the nurse manager, as it may delay the necessary intervention and resolution of the situation.
Choice D is incorrect because it dismisses the seriousness of the situation and the responsibility of the nurse to ensure patient safety.
In summary, reporting the observations to the nurse manager is the most appropriate action to take in this situation to prioritize patient safety and address the concerning behavior of the drowsy nurse effectively.
Question 5 of 5
Nurse caring for a client who reports severe sore throat, pain with swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?
Correct Answer: D
Rationale: The correct answer is D: Illness. This stage is characterized by the peak of infection where the client exhibits specific symptoms such as severe sore throat, pain with swallowing, and swollen lymph nodes. The client is actively fighting the infection, resulting in noticeable signs and symptoms.
Other choices are incorrect:
A: Prodromal stage is the initial period where nonspecific symptoms start to appear.
B: Incubation stage is the time from exposure to the pathogen to the onset of symptoms.
C: Convalescence stage is the recovery period after the illness where the client is getting better.