ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is admitting older adult who lost 4.5 kg since last admission 6 months ago. Which questions should nurse ask to investigate source of weight loss?
Correct Answer: A, C, D, E
Rationale:
Correct Answer: A, C, D, E
Rationale:
A: "Do you eat alone or with someone?" - Helps assess social support and potential issues with mealtime companions.
C: "Have you started any new meds in past 6 months?" - Investigates medication side effects that may lead to weight loss.
D: "What foods have you eaten in past 24 hours?" - Provides insight into dietary habits and possible nutritional deficiencies.
E: "Are you on a fixed income?" - Explores financial constraints impacting food choices and access to nutritious meals.
Summary:
B: Do you watch TV while eating your meals? - Not directly related to investigating weight loss in this scenario.
F: - No information provided.
G: - No information provided.
Question 2 of 5
Nurse is counseling older adult who describes having difficulty with several issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: D
Rationale: The correct answer is D: "I just heard my friend Al died. That's the 3rd one in 3 months." This response indicates a potential issue with grief and loss, which is crucial to address in older adults as they are more vulnerable to the impact of multiple losses. The nurse should prioritize this for further assessment and intervention to provide emotional support and prevent complications such as depression.
Choices A, B, C, and E focus on adjustment issues and social challenges, but they do not pose an immediate risk to the client's mental health and well-being compared to the potential impact of unresolved grief.
Question 3 of 5
Nurse has removed a sterile pack from its outside cover & placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
Correct Answer: D
Rationale: The correct answer is D: Flap farthest from the body. Unfolding this flap first ensures that the sterile contents inside the pack remain protected from contamination. By starting with the flap farthest from the body, the nurse minimizes the risk of accidental contamination from reaching the sterile items. Unfolding the other flaps first could potentially expose the sterile contents to non-sterile surfaces, compromising the aseptic technique needed for the procedure.
Therefore, unfolding the flap farthest from the body is the most appropriate step to maintain the sterility of the pack and its contents.
Question 4 of 5
A mother tells nurse that her 2 yo has temper tantrums. Child says 'no' every time mother tries to help her get dressed. Nurse explains that developmentally the toddler is...
Correct Answer: A
Rationale: The correct answer is A: Trying to gain her independence. At the age of 2, children begin to assert their independence and autonomy. By refusing help and saying 'no', the child is exhibiting typical behavior for their developmental stage. This is a sign of their growing independence and desire to do things on their own.
Choices B, C, and D are incorrect because they do not align with typical developmental milestones for a 2-year-old. Developing a sense of trust and anger management usually occur later in development, and attempting to finish a project is not a relevant behavior for a toddler.
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.