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
A nurse tells a client that she will call the surgeon about his request. The surgeon prescribes a full liquid diet. Which level of critical thinking did the nurse use?
Correct Answer: A
Rationale: The correct answer is A: Basic. The nurse's action of informing the surgeon about the client's request and following the prescribed full liquid diet shows a basic level of critical thinking. This decision involves understanding and following prescribed protocols without much analysis or interpretation. The other choices are incorrect because: B: Commitment would involve making a commitment to a course of action, C: Complex would involve analyzing and synthesizing information from various sources, and D: Integrity would involve adherence to ethical principles.
Question 3 of 5
Nurse is caring for client sitting in chair & asks to return to bed. What is the priority action for the nurse?
Correct Answer: D
Rationale: The correct answer is D: Assess client's ability to help with transfer. This is the priority action because it ensures the safety of the client by determining if they are able to assist in transferring themselves back to bed. By assessing the client's ability, the nurse can prevent injury and provide appropriate assistance.
Choice A: Obtaining a walker may be helpful, but assessing the client's ability should come first to determine if it is needed.
Choice B: Calling for additional personnel is not necessary if the client can transfer independently or with minimal assistance.
Choice C: Using a transfer belt is important for safety, but assessing the client's ability should be done before assisting them.
In summary, assessing the client's ability to help with transfer is the priority to ensure safe and appropriate care.
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. The 79-year-old client post-op following below-the-knee amputation should be assigned to the room closest to the nursing station for fall prevention. This is because this client may have mobility challenges and an increased risk of falls due to the recent surgery and potential use of assistive devices. Placing the client closer to the nursing station allows for closer monitoring and quicker assistance in case of any fall-related incidents.
Choice A is incorrect because a 43-year-old client post-op following laparoscopic cholecystectomy is not necessarily at an increased risk for falls related to mobility issues.
Choice B is incorrect as a 61-year-old client being admitted for telemetry to rule out MI is not specifically at a higher risk for falls compared to the client post-amputation.
Choice C is incorrect as a 50-year-old client post-op following open reduction internal fixation of the ankle may have mobility limitations, but the risk of falls is typically lower compared to a client post
Question 5 of 5
Nurse providing discharge instructions to client with a prescription for oxygen use at home. What should the nurse teach about using oxygen safely? (Select all that apply)
Correct Answer: B,C,E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Nail polish shouldn't be used near client receiving oxygen to prevent flammability risk as it contains volatile chemicals that can ignite.
C: A 'No Smoking' sign should be placed on the front door to remind visitors and family members to not smoke near oxygen, reducing fire risk.
E: Fire extinguisher should be readily available in the home to quickly address any potential fires related to oxygen use, ensuring safety.
Summary:
A: Keeping family members who smoke at least 10 ft away is important, but not the most critical safety measure.
D: Replacing cotton with wool clothing does not directly impact oxygen safety.
F & G: No information provided.