ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse collecting history & physical exam data from middle adult. Nurse should expect to find decreases in which physiologic functions?
Correct Answer: A, C, E
Rationale: The correct answer is A, C, and E. As people age, metabolism decreases due to changes in hormone levels and muscle mass. Gastric secretion also decreases, leading to slower digestion. Glomerular filtration rate decreases, affecting kidney function. The other choices are incorrect. The ability to hear low-pitched sounds typically declines with age, but this is not specific to middle adulthood. Far vision may decline with age, but it is not a consistent finding in middle adulthood.
Question 2 of 5
Nurse reviewing car seat safety with parents of 1 mo infant. When reviewing this, which instructions should nurse include?
Correct Answer: B
Rationale:
Correct Answer: B. Position car seat so that infant is rear-facing.
Rationale: Rear-facing position is safest for infants as it provides better support for their head, neck, and spine in case of sudden stops or crashes. This position reduces the risk of injury and is recommended by safety experts. It is crucial for the nurse to emphasize this to ensure the infant's safety.
Summary of other choices:
A: Using a car seat with a 3-point harness may not be the best choice as it may not provide optimal protection for the infant.
C: Placing the car seat in the front passenger seat is not recommended as it can be dangerous due to airbag deployment in case of a crash.
D: Putting soft padding behind the infant's back and neck is not recommended as it can interfere with the proper fit and functionality of the car seat, potentially compromising the infant's safety.
Question 3 of 5
Nurse is preparing in-service program about delegation. Which of following elements should she identify when presenting 5 rights of delegation? (Select all that apply.)
Correct Answer: B, C, E
Rationale: The correct elements for the 5 rights of delegation are supervision/evaluation, direction/communication, and circumstances. Supervision/evaluation ensures oversight and accountability, while direction/communication ensures clear instructions and feedback. Circumstances consider the appropriateness of the delegation based on factors like workload and resources. Right client and right time are not included as they are not part of the 5 rights of delegation. Right client pertains to selecting the appropriate individual for the task, while right time relates to scheduling and timeliness, both not directly related to delegation principles.
Question 4 of 5
Nursing instructor explaining various stages of lifespan to students. Nurse should offer which following behavior by young adult as example of appropriate psychosocial development?
Correct Answer: C
Rationale: The correct answer is C: devoting a great deal of time to establishing occupation. Young adulthood is characterized by the development of a sense of identity and establishing oneself in a career. This behavior reflects Erikson's psychosocial stage of intimacy vs. isolation, where individuals focus on forming close relationships and finding their place in society.
Choices A, B, and D involve behaviors more typical of other life stages such as middle adulthood or late adulthood.
Choice A relates more to generativity vs. stagnation in middle adulthood, choice B is more typical of coping with losses in later adulthood, and choice D is characteristic of the sandwich generation in middle adulthood.
Question 5 of 5
Nurse educator is discussing facility protocol for tornados with staff. Which should nurse include in instructions? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. B: Placing blankets over clients in beds ensures they are protected from debris. C: Moving beds away from windows reduces the risk of glass injuries. D: Drawing shades and closing drapes can prevent glass from shattering and causing harm. A: Opening doors to client rooms can increase the risk of debris entering rooms. E: Relocating ambulatory clients back to rooms may expose them to more danger in confined spaces during a tornado.