ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse collecting hx & physical exam data from middle adult. Nurse should expect to find decreases in which physiologic functions? (Select all that apply.)
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. As individuals age, metabolism decreases due to changes in muscle mass and activity levels. Gastric secretion decreases, leading to decreased absorption of certain nutrients. Glomerular filtration rate decreases with age, affecting kidney function.
Choice B is incorrect as hearing high-pitched sounds is more commonly affected with age.
Choice D is incorrect as near vision is usually affected, not far vision.
Question 2 of 5
Nurse manager is reviewing care of client with seizures with nurses on unit. Which statement by a nurse requires more instruction?
Correct Answer: B
Rationale: The correct answer is B: "I will go to the nurses' station for assistance." This statement indicates the nurse is leaving the client alone during a seizure, which is unsafe. The nurse should stay with the client, ensure a safe environment, and provide immediate assistance. Going to the nurses' station delays prompt intervention. Placing the client on the side (
A) is correct for airway protection. Administering meds as prescribed (
C) is appropriate for seizure management. Being prepared to insert an airway (
D) is also important in case of prolonged seizures.
Question 3 of 5
A nursing instructor is reviewing documentation with students. Which of the following legal guidelines should they follow when documenting in a client record?
Correct Answer: B,C
Rationale:
Correct Answer: B,C
Rationale:
B: Putting date & time on all entries is crucial for maintaining a clear timeline of events, aiding in continuity of care, and ensuring accuracy.
C: Documenting objective data is essential for providing a factual, unbiased account of the client's condition, treatment, and response.
Summary:
A: Covering errors with correction fluid can be seen as tampering with the record, leading to legal and ethical issues.
D: Leaving out opinions is important, but not the sole legal guideline for documentation.
E: Using too many abbreviations can lead to misinterpretation and errors in communication.
Question 4 of 5
The nurse is assessing a patient who reports a previous fall and is using the SPLATT acronym. Which questions will the nurse ask the patient? Select all that apply.
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D. These questions align with the SPLATT acronym, which stands for Symptoms, Previous similar events, Location, Activity, Time, and Trauma. Asking where the fall occurred (
A), what the patient was doing when they fell (
C), and what injuries occurred after the fall (
D) help the nurse assess the circumstances surrounding the fall. Knowing the time of the fall (
B) can provide information on potential contributing factors.
Choices E and F are incorrect as they do not directly address the key aspects of the SPLATT acronym related to the fall event. E focuses on post-fall actions, and F delves into the patient's medical problems rather than the fall itself.
Question 5 of 5
A nurse reviews an immobilized patient's laboratory results and discovers hypercalcemia. Which condition will the nurse monitor for most closely in this patient?
Correct Answer: B
Rationale: The correct answer is B: Renal calculi. Hypercalcemia can lead to the formation of kidney stones due to excessive calcium in the blood being excreted by the kidneys. The nurse should monitor for signs and symptoms of renal calculi, such as flank pain, hematuria, and urinary urgency.
Incorrect
Choices:
A: Hypostatic pneumonia - Hypercalcemia does not directly predispose a patient to pneumonia.
C: Pressure ulcers - Hypercalcemia is not typically associated with an increased risk of pressure ulcers.
D: Thrombus formation - While hypercalcemia can affect blood clotting, it is not the primary concern in an immobilized patient with hypercalcemia.