ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse delegating ambulation of client who had knee arthroplasty 5 days ago to an AP. Which of following info should nurse share with the AP? (Select all that apply.)
Correct Answer: B, C, D
Rationale: The correct answers are B, C, and D.
B: Client ambulates with his slippers on over his antiembolic stockings - This information is important for the AP to ensure the client's safety during ambulation.
C: Client uses front-wheeled walker when ambulating - Sharing this information helps the AP provide appropriate assistance and support during ambulation.
D: Client had pain med 30 min ago - This is crucial for the AP to know to monitor for potential side effects and to ensure safe ambulation.
Incorrect choices:
A: The roommate is up independently - This information is not directly relevant to the client's ambulation and doesn't impact the task at hand.
E: Client is allergic to codeine - While important, this information is not directly related to the client's ambulation task.
F: Client ate 50% of his breakfast this morning - While nutrition is important, it is not directly related to the client's ambulation task.
Question 2 of 5
When nurse is observing client drawing up & mixing insulin injections, which best demonstrates psychomotor learning has taken place?
Correct Answer: B
Rationale: The correct answer is B because demonstrating the appropriate technique for drawing up and mixing insulin injections directly shows psychomotor learning. This involves physical skills and coordination, which is essential for performing the task accurately.
Choice A only involves verbal communication, which may not necessarily reflect actual skill.
Choice C relates to cognitive understanding, but not necessarily the ability to perform the task.
Choice D involves written communication, which is not a direct demonstration of psychomotor learning.
Question 3 of 5
Nurse counseling young adult who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the young adult expressing stress about starting a family indicates a significant emotional burden that may require immediate attention. This statement implies potential anxiety, fear, and uncertainty about future responsibilities. Addressing this issue is crucial to prevent negative outcomes like depression, relationship strain, or poor decision-making regarding family planning.
Choices A, B, D, and E are important concerns, but they do not directly indicate immediate distress or potential harm as much as the fear and stress related to starting a family.
Question 4 of 5
Nurse performing an admission assessment for an older adult client. After gathering assessment data & performing a review of systems, which of the following actions is the priority for nursing?
Correct Answer: A
Rationale: The correct answer is A: Orient client to his room. This is the priority as it ensures the client's safety and comfort upon admission. Orienting the client to the room helps reduce confusion and anxiety, promoting a positive experience. Conducting a client care conference (
B) and reviewing medical orders (
C) can wait until after the client is settled. Developing a plan of care (
D) is important but should come after the client is oriented to the environment.
Question 5 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C: Sit on the side of my bed & rest my arms over pillows on top of my raised bedside table. This position is known as the orthopneic position, which helps improve lung expansion and ease breathing difficulties in COPD patients. Sitting upright with arms supported on pillows on a raised surface allows for better chest expansion and less pressure on the diaphragm, facilitating easier breathing.
A: Lie on my back with head & shoulders elevated on a pillow - This position does not provide as much support for chest expansion and may not be as effective in improving breathing.
B: Lie flat on my stomach with head to one side - This position can restrict breathing and is not recommended for COPD patients.
D: Lie on my side with my weight on my hips & shoulder with my arms flexed in front of me - This position does not promote optimal chest expansion and may make breathing more difficult for COPD patients.