ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is caring for client who is 24h post-op following abdominal surgery. Nurse suspects client's pain management is inadequate. Which of following data reinforce suspicion? (Select all that apply.)
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
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Choice B: Nonadherence to post-op respiratory exercises can lead to atelectasis and pneumonia, indicating inadequate pain management.
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Choice C: Accepting pain meds beyond prescribed interval suggests inadequate pain relief.
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Choice E: Elevated heart rate and blood pressure indicate physiological response to pain, reinforcing inadequate pain control.
Incorrect
Choices:
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Choice A: Agitation can be due to various factors, not necessarily inadequate pain management.
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Choice D: Tenderness in lower leg may indicate other issues like DVT, not necessarily related to pain management.
Question 2 of 5
Nurse has noticed several times in past week when another nurse on unit seemed drowsy & unable to focus. Today, she found nurse asleep in chair in break room when she was not on a break. Which of the following actions should nurse take?
Correct Answer: C
Rationale: The correct answer is C: Report observations to nurse manager on unit. This action is important because it addresses the safety concern of the drowsy nurse potentially compromising patient care. The nurse manager is in a position to intervene and ensure that appropriate measures are taken to address the issue and prevent any potential harm to patients.
Choice A is not the best option because simply reminding the drowsy nurse about safe client care may not address the underlying issue of their drowsiness and inability to focus.
Choice B is not as effective as reporting to the nurse manager, as it may delay the necessary intervention and resolution of the situation.
Choice D is incorrect because it dismisses the seriousness of the situation and the responsibility of the nurse to ensure patient safety.
In summary, reporting the observations to the nurse manager is the most appropriate action to take in this situation to prioritize patient safety and address the concerning behavior of the drowsy nurse effectively.
Question 3 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 answers are A, B, and C. Building models (
A) promotes creativity and fine motor skills. Playing video games (
B) can be engaging and provide entertainment. Reading books (
C) helps with cognitive development and language skills. Using toy carpentry tools (
D) might not be safe for unsupervised play. Shaping modeling clay (E) is a good activity but not listed for school-age children. In summary, A, B, and C are appropriate for school-age children due to their developmental benefits.
Question 4 of 5
Nurse planning diversionary activities for children on an inpatient unit. Which should nurse incorporate as appropriate play activities for toddler? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Rationale:
C: Filling & emptying containers is appropriate for toddlers as it helps with sensory exploration and fine motor skills.
D: Playing with blocks promotes creativity, problem-solving, and hand-eye coordination.
E: Looking at books encourages language development and cognitive skills.
Incorrect
Choices:
A: Building simple models may be too advanced for toddlers.
B: Working with clay may pose a choking hazard.
Summary: The correct activities cater to toddlers' developmental needs, while the incorrect choices either lack age-appropriateness or pose safety concerns.
Question 5 of 5
Nurse cautioning mother of 8 mo infant about safety. Which statement by mother indicates understanding of safety for infant?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Removing the crib gym shows an understanding of safety as they are often a suffocation hazard for infants. Soft mattresses and fluffy pillows increase the risk of Sudden Infant Death Syndrome (SIDS). The child-safety gate is a positive step but not as critical as removing a potential suffocation hazard.