ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse in clinic caring for 21 yo client who reports sore throat. Client tells nurse he hasn't seen a doctor since high school. Which health screening should nurse expect provider to perform for this client?
Correct Answer: A
Rationale: The correct answer is A: Testicular exam. This is because the client is a 21-year-old male, and testicular cancer is most common in younger men. The provider would likely perform a testicular exam to screen for any abnormalities. Blood glucose (
B) is more relevant for diabetes screening, which is not indicated based on the client's sore throat complaint. Fecal occult blood (
C) is used to screen for colon cancer, which is not age-appropriate for a 21-year-old. Prostate-specific antigen (
D) screening is typically done for older men to detect prostate cancer.
Question 2 of 5
Occupational health nurse is caring for employee with chemical burn from unknown chemical. Which intervention should nurse include in care plan?
Correct Answer: C
Rationale: The correct answer is C: Brush chemical off skin & clothing. This intervention is crucial to prevent further absorption of the unknown chemical into the skin. Brushing off the chemical helps to remove any remaining particles from the skin and clothing, reducing the risk of prolonged exposure and further damage. Irrigating with water (choice
A) may spread the chemical and worsen the burn. Washing with antibacterial soap (choice
B) is not effective for chemical burns. Applying a neutralizing agent (choice
D) can be harmful if the chemical is unknown. In this case, immediate removal of the chemical is the priority to minimize damage.
Question 3 of 5
RN is making assignments for client care to LPN at beginning of shift. Which of following assignments should LPN question?
Correct Answer: D
Rationale: The LPN should question assignment D: Replacing cartridge & tubing on PCA pump. This task requires specialized knowledge and training that typically falls within the scope of practice of a registered nurse (RN) rather than a licensed practical nurse (LPN). LPNs are not typically trained to handle complex medication administration tasks such as managing a patient-controlled analgesia (PC
A) pump. Furthermore, errors in changing the cartridge or tubing on a PCA pump could have serious consequences for the patient's pain management and safety.
Therefore, the LPN should question this assignment to ensure that it is appropriate for their level of training and expertise. Other choices are less likely to require specialized RN-level skills, making them more suitable for LPN assignment.
Question 4 of 5
Nurse is talking with 45 yo client with no specific family hx of cancer or DM, about planning routine screenings. Which client statement indicates client understands how to proceed?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: The correct answer is B because the client understands the importance of continuing to have a mammogram each year. This shows good knowledge of routine screening practices for early detection of breast cancer.
Choice A: Incorrect. The client should have a colon cancer screening procedure as recommended by guidelines, not wait 2-3 years.
Choice C: Incorrect. Annual pap smears are recommended, so the client should come back annually, not just next year.
Choice D: Incorrect. Annual blood glucose testing is recommended for early detection of diabetes, so the client should have it done each year.
In summary, choice B is correct as it aligns with recommended screening guidelines, while the other choices do not demonstrate an understanding of routine screening practices.
Question 5 of 5
Nurse reviewing CDC's immunization recommendations with parents of 2 preschoolers. Which recommendations should nurse include in this discussion? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B (Varicella), C (Polio), and E (Seasonal influenza). Varicella and Seasonal influenza are important vaccinations for preschoolers as they protect against highly contagious diseases. Polio vaccination is crucial to prevent the spread of poliovirus. Haemophilus influenzae type b is typically administered in infancy, not preschool years. Hepatitis A is not a routine vaccination for preschoolers.