ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse educator is reviewing with a newly hired nurse the difference in clinical manifestations of localized vs. systemic infection. The nurse indicates understanding when she states that which are manifestations of systemic infection? (Select all that apply.)
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Fever is a common manifestation of systemic infection due to the body's response to infection. Malaise, a general feeling of discomfort or unease, is a typical symptom seen in systemic infections. An increase in pulse and respiratory rate is a sign of the body's attempt to fight off infection and maintain homeostasis. Edema, pain/tenderness are more indicative of localized infections rather than systemic ones. In summary, A, B, and E are related to the body's overall response to infection, while C and D are more specific to localized infections.
Question 2 of 5
A home health nurse is discussing dangers of carbon monoxide poisoning with client. Which of following info should nurse include in her counseling?
Correct Answer: D
Rationale: The correct answer is D: Carbon monoxide binds with Hgb in the body. This is crucial information to include in counseling as carbon monoxide binds with hemoglobin in the blood, reducing the blood's ability to carry oxygen. This can lead to tissue hypoxia and potentially fatal consequences.
Choice A is incorrect because carbon monoxide is odorless.
Choice B is not directly related to carbon monoxide poisoning prevention.
Choice C is not the primary mechanism of harm from carbon monoxide poisoning.
Question 3 of 5
Nursing instructor reviewing documentation with students. Which of the following legal guidelines should they follow when documenting in client record? (Select all that apply.)
Correct Answer: B, C
Rationale:
Correct Answer: B, C
Rationale:
1. Putting date & time on all entries ensures accurate tracking of events.
2. Documenting objective data maintains professionalism & avoids subjective bias.
Summary:
A: Covering errors is unethical & can lead to legal issues.
D: Excessive abbreviations can lead to misinterpretation & errors.
E: Waiting to document can lead to inaccuracies & jeopardize patient care.
Question 4 of 5
Nurse talking to parents of school-age child who describe many issues that concern them. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: A
Rationale: The correct answer is A. This indicates a potential physical issue affecting the child's ability to keep up with peers in physical activities, which could point to an underlying health concern that requires immediate attention. Other choices focus on behavioral, academic, or social issues that are not as urgent as a possible physical limitation impacting the child's physical development and well-being. It is crucial to prioritize assessing and intervening in physical health concerns to ensure the child's overall health and development.
Question 5 of 5
Nurse is caring for newly admitted client with history of falls. Which is priority action by nurse?
Correct Answer: A
Rationale: The correct answer is A: Complete fall-risk assessment. This is the priority action because it allows the nurse to identify specific factors contributing to the client's fall risk. By conducting a thorough assessment, the nurse can develop a personalized care plan to prevent future falls. Educating the client and family (
B) and completing physical assessment (
C) are important but assessing fall risk takes precedence. Surveying client's belongings (
D) is not as urgent as identifying fall risk factors.