ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is caring for client receiving enteral tube feedings due to dysphagia. Which of following bed positions is appropriate for safe care of this client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's. This position allows for optimal digestion and absorption of the enteral feedings by decreasing the risk of aspiration. Semi-Fowler's position helps prevent reflux and aspiration as it promotes proper alignment of the gastrointestinal tract. Supine position (choice
A) can increase the risk of aspiration. Semi-prone (choice
C) and Trendelenburg (choice
D) positions are not appropriate for enteral feedings due to potential complications like aspiration and reflux.
Question 2 of 5
Nurse talking with parents of 6 mo infant about gross motor development. Which gross motor skills are expected in next 3 mo? (Select all that apply.)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. At 6 months, typical gross motor development includes rolling from back to front (
A), bearing weight on legs (
B), and sitting unsupported (
D). Rolling helps strengthen core muscles and coordination. Bearing weight on legs is a precursor to standing and walking. Sitting unsupported demonstrates good head and trunk control.
Choices C and E are not typically expected by 9 months. Walking holding onto furniture (
C) usually occurs around 9-12 months, and sitting down from a standing position (E) is a more complex skill that emerges later.
Question 3 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.
Question 4 of 5
Adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. Nurse believes that this is not in client's best interest, so she administers a PRN sedative medication that the client has not requested along with his usual medication. Which of the following types of tort has the nurse committed?
Correct Answer: B
Rationale: The nurse committed the tort of false imprisonment by administering the sedative medication without the client's consent, restricting his freedom of movement. This action constitutes a violation of the client's right to autonomy and self-determination. Assault (choice
A) involves the threat of harm or unwanted touching, which did not occur in this scenario. Negligence (choice
C) would involve a failure to provide reasonable care, which is not applicable here. Breach of confidentiality (choice
D) relates to disclosing privileged information without consent, which is not relevant to the situation.
Question 5 of 5
Nurse collecting history & physical exam data from middle adult. Nurse should expect to find decreases in which physiologic functions?
Correct Answer: A, C, E
Rationale: The correct answer is A, C, and E. As people age, metabolism decreases due to changes in hormone levels and muscle mass. Gastric secretion also decreases, leading to slower digestion. Glomerular filtration rate decreases, affecting kidney function. The other choices are incorrect. The ability to hear low-pitched sounds typically declines with age, but this is not specific to middle adulthood. Far vision may decline with age, but it is not a consistent finding in middle adulthood.