ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse caring for client just admitted after falling. This client is oriented 3x & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Correct Answer: C, D, E
Rationale:
C: Ensuring the client's call light is within reach allows the client to easily call for assistance when needed, reducing the risk of falls.
D: Providing the client with nonskid footwear improves traction and stability, decreasing the risk of slipping and falling.
E: Completing a fall-risk assessment helps identify specific factors that increase the client's risk of falling, enabling tailored interventions to prevent falls.
Incorrect choices:
A: Placing a belt restraint on the client when sitting on the bedside commode is not appropriate as it restricts the client's movement and could lead to further complications.
B: Keeping the bed in a low position with full side rails up may restrict the client's mobility and independence, increasing the risk of falls. Full side rails can also pose entrapment hazards.
Question 2 of 5
Nurse planning diversionary activities for children on peds unit. Which should nurse incorporate as appropriate play activities for school-age children? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. Building models (
A) promotes creativity and fine motor skills. Playing video games (
B) can be engaging and provide entertainment. Reading books (
C) helps with cognitive development and language skills. Using toy carpentry tools (
D) might not be safe for unsupervised play. Shaping modeling clay (E) is a good activity but not listed for school-age children. In summary, A, B, and C are appropriate for school-age children due to their developmental benefits.
Question 3 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities?
Correct Answer: C, E
Rationale: The correct answers are C and E. Middle adults are typically in the generativity vs. stagnation stage according to Erikson's psychosocial theory.
Choice C is correct because middle adults are expected to welcome opportunities to be creative and productive, contributing to society and leaving a legacy. This reflects generativity.
Choice E is also correct as middle adults are likely to become involved in community issues and activities, showing a concern for the welfare of society.
Choices A and B are incorrect as middle adults are not expected to accept diminished strength or feel frustrated about time limitations.
Choice D is incorrect because while finding friendship and companionship is important, it does not solely capture the essence of middle adulthood psychosocial capabilities.
Question 4 of 5
Nurse is counseling older adult who describes having difficulty with several issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: D
Rationale: The correct answer is D: "I just heard my friend Al died. That's the 3rd one in 3 months." This response indicates a potential issue with grief and loss, which is crucial to address in older adults as they are more vulnerable to the impact of multiple losses. The nurse should prioritize this for further assessment and intervention to provide emotional support and prevent complications such as depression.
Choices A, B, C, and E focus on adjustment issues and social challenges, but they do not pose an immediate risk to the client's mental health and well-being compared to the potential impact of unresolved grief.
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:
Correct Answer: D
Rationale:
1. Rewards school achievements with a point system avoids using unhealthy food as a reward.
2. Promotes positive reinforcement for academic success.
3. Encourages the child to focus on achievements rather than food.
4. Aligns with the nutrition guidelines by promoting a healthy relationship with food.
Summary:
A: Focuses on weight concerns, not understanding nutrition guidelines.
B: Skipping lunch is not ideal and does not show understanding of balanced meals.
C: Limiting fast food is good, but doesn't directly address understanding of nutrition guidelines.
D: Promotes positive reinforcement without using unhealthy food.
E, F, G: Not provided, cannot be evaluated.