ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when a new nurse states that a client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. In heat stroke, the body loses a significant amount of fluid through sweating, leading to decreased blood volume and hypotension. This is due to the body's attempt to cool down by dilating blood vessels and increasing blood flow to the skin. Bradycardia (
B) is unlikely as the body typically responds with tachycardia to try to cool down. Clammy skin (
C) is a common symptom of heat stroke due to the body's attempt to cool down through sweating. Bradypnea (
D) is unlikely as the body usually increases respiratory rate to expel heat. Other choices are not directly related to heat stroke.
Question 2 of 5
Nurse planning diversionary activities for children on peds unit. Which should nurse incorporate as appropriate play activities for school-age children? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Building models (
A) promotes creativity and problem-solving skills. Playing video games (
B) can be engaging and stimulating. Reading books (
C) encourages literacy and imagination.
Toy carpentry tools (
D) may pose safety risks. Shaping modeling clay (E) is appropriate but less interactive. No further choices are provided. In summary, A, B, and C are suitable for school-age children due to their developmental benefits.
Question 3 of 5
An RN is making assignments for client care to an LPN at the beginning of shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale: The correct answer is D because LPNs are not typically responsible for changing cartridges and tubing on PCA pumps, as this task requires specialized training and knowledge that only RNs or higher-level healthcare providers possess. LPNs should question this assignment to ensure patient safety and proper care.
A: LPNs can assist with incentive spirometer use for post-op clients.
B: LPNs can collect clean-catch urine specimens.
C: LPNs can provide nasopharyngeal suctioning for pneumonia clients.
In summary, the LPN should question the assignment related to changing the cartridge and tubing on the PCA pump as it falls outside their scope of practice and requires RN-level skills.
Question 4 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct choices, C and E, align with Erikson's theory of psychosocial development for middle adulthood.
Choice C, "Welcome opportunities to be creative & productive," reflects Erikson's stage of generativity versus stagnation, where individuals in middle adulthood seek to contribute to society and leave a legacy.
Choice E, "Become involved in community issues & activities," relates to the desire for social involvement and making a positive impact on the community.
Choices A, B, and D are incorrect because they do not align with the typical capabilities of middle adults according to Erikson's theory.
Choice A contradicts the idea of middle adults striving for independence and self-reliance, while choice B reflects feelings of regret or despair, which are more characteristic of Erikson's later stages.
Choice D, while important, does not capture the full scope of middle adulthood psychosocial development as outlined by Erikson.
Question 5 of 5
Nurse is giving presentation about accident prevention to group of parents & toddlers. Which strategies should nurse include? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct strategies for accident prevention are A, C, and D. A is important to prevent children from accessing harmful substances. C is crucial to avoid accidental burns from hot pots. D is necessary to prevent falls down stairs. Keeping toilet seats up (
B) can pose a drowning risk. Ensuring balloons are fully inflated (E) increases choking hazard. Overall, A, C, and D directly address common household hazards for toddlers, making them the correct choices for the nurse's presentation.