ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse caring for client who reports severe sore throat
Correct Answer: D
Rationale: The correct answer is D: Incubation. In the incubation stage of an infection, the pathogen enters the body and begins to multiply but has not yet caused any symptoms. In this case, the client reporting a severe sore throat indicates that the infection is still in the early stages before symptoms have fully developed.
Choices A and B describe symptoms that would occur later in the infection process.
Choice C, Prodromal, is the stage where initial symptoms begin to appear, which is not the case here.
Choice E, Convalescence, is the stage where the body recovers from the infection, which is also not applicable in this scenario.
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: Client expresses concerns about the next generation. This behavior aligns with Erikson's task of generativity vs. stagnation in middle adulthood. This stage involves contributing to future generations through mentoring, guiding, and caring for others. Expressing concerns about the next generation demonstrates a sense of responsibility and investment in the well-being of future individuals.
A: Evaluating behavior after social interaction pertains more to self-reflection and self-awareness, not specifically related to generativity.
B: Learning to trust others is more aligned with Erikson's earlier stage of trust vs. mistrust in infancy.
C: Wishing to find meaningful relationships is associated with Erikson's intimacy vs. isolation stage in young adulthood, not middle adulthood.
Question 3 of 5
Nurse educator is reviewing with newly hired nurse the difference in clinical manifestations of localized vs. systemic infection. Nurse indicates understanding when she states that which are manifestations of systemic?
Correct Answer: A,B,E
Rationale: The correct answer is A, B, and E. Fever, malaise, and an increase in pulse and respiratory rate are manifestations of a systemic infection. Fever indicates the body's response to infection, malaise is a general feeling of discomfort, and an increase in pulse and respiratory rate are signs of the body's attempt to fight off the infection. Edema and pain/tenderness are more indicative of localized infections. In summary, systemic infections have manifestations that affect the whole body, such as fever, malaise, and changes in vital signs, while localized infections are more specific to the area of infection, such as edema and pain/tenderness.
Question 4 of 5
Charge nurse is designating room assignments for clients. Based on her knowledge of fall prevention, which client should be assigned to room closest to the nursing station?
Correct Answer: D
Rationale: The correct answer is D - 79-year-old client post-op following below-the-knee amputation. This client should be assigned to the room closest to the nursing station for fall prevention due to the increased risk of falls associated with post-amputation status. Patients who have undergone amputations may experience balance issues, weakness, and difficulty with mobility, increasing their risk of falls. Placing this client closer to the nursing station allows for closer monitoring and quicker response in case of any potential fall risks or incidents.
Choice A is incorrect because a 43-year-old client post-op following laparoscopic cholecystectomy typically does not have the same level of fall risk as a post-amputation patient.
Choice B is incorrect as a 61-year-old client being admitted for telemetry to rule out MI does not necessarily have an increased fall risk compared to a post-amputation patient.
Choice C is incorrect as a 50-year-old client post-op following open reduction internal fixation of an ankle may have
Question 5 of 5
Nurse performing an admission assessment for older adult client. After gathering assessment data & performing review of systems
Correct Answer: A
Rationale: The correct answer is A: which of the following actions is a priority for nursing? In this scenario, the priority is to identify any urgent or critical issues that require immediate attention to ensure the safety and well-being of the older adult client. By prioritizing actions based on assessment data, the nurse can address any immediate needs or concerns promptly. Orienting the client to the room (
B), conducting a client care conference (
C), reviewing medical orders (
D), and developing a plan of care (E) are important tasks but are not as urgent as addressing any critical issues identified during the assessment. Prioritizing the actions ensures that the client's immediate needs are met first before proceeding with other tasks.