ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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 2 of 5
Nurse is caring for client with SARS. Nurse is aware that healthcare professionals are required to report communicable & infectious diseases. Which of these illustrate rationale for reporting?
Correct Answer: A,B,C,E
Rationale: The correct answers A, B, C, and E are essential in the context of reporting communicable and infectious diseases.
A: Reporting helps in planning and evaluating control and prevention strategies by providing data on disease spread.
B: It aids in determining public health priorities by identifying which diseases are prevalent and require immediate attention.
C: Reporting ensures proper medical treatment for affected individuals by enabling healthcare professionals to track and manage cases effectively.
E: It assists in monitoring for common-source outbreaks, which is crucial for early detection and prevention of further spread.
Therefore, these choices align with the purpose of reporting communicable diseases, while options D and F are incorrect as they are not directly related to the rationale for reporting in this scenario.
Question 3 of 5
Nurse talking with parents of 6 mo infant about gross motor development. Which gross motor skills are expected in next 3 mo? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. At 6-9 months, infants typically develop the ability to roll from back to front (
A), bear weight on legs (
B), and sit unsupported (
D). Rolling helps with strengthening core muscles and coordination. Bearing weight on legs is a precursor to standing and walking, showing strength and balance development. Sitting unsupported indicates improved muscle control and balance.
Choices C and E are incorrect because walking while holding onto furniture and sitting down from a standing position are skills typically seen later in development, around 9-12 months.
Question 4 of 5
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer from PACU following thoracic surgery. To which staff member should the nurse assign this client?
Correct Answer: B
Rationale: The correct answer is B: RN. A registered nurse is qualified to care for a client post-thoracic surgery due to their advanced training and assessment skills. They can monitor for complications, administer medications, assess respiratory status, and provide skilled nursing care. The charge nurse (choice
A) may have administrative responsibilities and may not be available for direct client care. LPNs (choice
C) have a more limited scope of practice compared to RNs, which may not be sufficient for post-thoracic surgery care. Assistive personnel (choice
D) do not have the training or scope of practice to provide the level of care required for a client post-thoracic surgery.
Question 5 of 5
A nurse is caring for a client 24h post-op following abdominal surgery and suspects inadequate pain management. Which findings support this suspicion?
Correct Answer: B,C,E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Nonadherence with coughing and deep breathing after abdominal surgery can indicate inadequate pain management, as pain may inhibit the client from performing these important post-operative exercises.
C: Accepting pain medication every 6-7 hours instead of the recommended 4-6 hours suggests inadequate pain control, as the client may be waiting too long between doses, leading to unrelieved pain.
E: Elevated heart rate (HR 110/min) can be a sign of inadequate pain management as pain can cause physiological stress responses, such as tachycardia, indicating uncontrolled pain.
Incorrect choices:
A: Client agitation may be due to various reasons other than inadequate pain management.
D: Tenderness in right lower leg is not directly related to post-op pain management.
Summary:
The correct answers focus on indicators directly related to inadequate pain management post-operatively, such as nonadherence with coughing and deep breathing, delayed medication