ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when new nurse states client who has heat stroke will have which of following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. In heat stroke, the body's cooling system fails, leading to a rapid rise in body temperature. This can cause vasodilation, leading to decreased blood pressure (hypotension) as the body tries to cool down. Bradycardia (
B) is unlikely because the body typically increases heart rate to try to cool itself down. Clammy skin (
C) is a common symptom of heat exhaustion, not heat stroke. Bradypnea (
D) refers to slow breathing, which is not typically associated with heat stroke. Overall, hypotension is the most relevant response as it directly relates to the body's response to heat stroke and the failure of its cooling mechanisms.
Question 2 of 5
Nurse caring for client who has new prescription. Prior to admin, nurse uses electronic database to gather info about med & effects it might have on this client. Which following component of critical thinking is nurse using when he reviews med info?
Correct Answer: A
Rationale: The correct answer is A: knowledge. In this scenario, the nurse is utilizing knowledge by accessing the electronic database to gather information about the medication and its potential effects on the client. Knowledge involves understanding facts, information, and principles related to the situation at hand. By reviewing the medication information, the nurse can make informed decisions based on evidence and data.
Summary:
B: Experience is not the correct choice in this context as the nurse is utilizing factual information rather than personal past experiences.
C: Intuition is not relevant here as the nurse is relying on concrete data from the electronic database rather than gut feelings.
D: Competence, while important, is not the primary component being demonstrated in this situation. It is more about the nurse's knowledge of the medication.
Question 3 of 5
Nurse manager is reviewing care of client with seizures with nurses on unit. Which statements by nurse requires more instruction?
Correct Answer: B
Rationale: The correct answer is B. Going to the nurses' station for assistance may cause a delay in providing immediate care to the client with seizures. The nurse should stay with the client to ensure safety and monitor for complications. Placing the client on their side (
A) helps prevent aspiration, administering meds as prescribed (
C) is essential for seizure management, and being prepared to insert an airway (
D) is a crucial step in case of respiratory distress. Other choices were left blank.
Question 4 of 5
Nurse on peds unit is caring for adolescent with multiple fractures. Which interventions are appropriate for client?
Correct Answer: B, E
Rationale: The correct answer is B and E. Providing a TV and DVDs for the adolescent to watch can help distract him from the pain and boredom, promoting psychological well-being. Allowing him to perform his own morning care promotes independence and self-esteem.
Choice A is incorrect as rooming in with parents may not be suitable for an adolescent seeking independence.
Choice C is incorrect as limiting visitors can lead to social isolation.
Choice D is incorrect as rigidity in routines may not cater to the adolescent's individual needs.
Question 5 of 5
Nurse caring for 19 yo client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention?
Correct Answer: C
Rationale: The correct answer is C: Determine client's risk factors. This is crucial to assess the client's current health status, identify potential health risks, and develop a personalized health promotion plan. By understanding the client's risk factors such as sexual behaviors, substance use, family history, and lifestyle habits, the nurse can tailor education and interventions to promote health and prevent diseases specific to the client's needs.
A: Measuring vital signs is important but does not directly address health promotion and disease prevention strategies in this context.
B: Encouraging HIV screening is important, but it focuses on a specific test rather than a comprehensive assessment of risk factors.
D: Instructing the client to use condoms is a good preventive measure, but determining risk factors provides a broader picture for a more comprehensive approach.