ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is caring for client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. The presentation of linear clusters of fluid-containing vesicles with crusting is characteristic of herpes zoster, also known as shingles. The virus responsible for shingles is the varicella-zoster virus, which also causes chickenpox. The linear distribution of vesicles along a dermatome is a key distinguishing feature of herpes zoster. This pattern is due to reactivation of the virus from the dorsal root ganglia. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly patches. Systemic lupus erythematosus is an autoimmune disease that can present with a butterfly rash on the face, joint pain, and systemic symptoms, but not linear clusters of vesicles.
Question 2 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: My baby loved to play with crib gym, but I took it from him
Rationale:
1. Crib gyms can have small parts that pose a choking hazard.
2. By removing the crib gym, the mother is eliminating the risk of the baby choking on small parts.
3. This statement shows the mother's understanding of the safety concern and taking appropriate action.
Other
Choices:
B: Soft mattresses increase the risk of Sudden Infant Death Syndrome (SIDS).
C: Fluffy pillows pose suffocation hazards and should not be used for infants.
D: Child-safety gates that fold like accordions can pinch fingers and are not safe for infants.
Question 3 of 5
Nurse has prepared sterile field for assisting provider with chest tube insertion. Which should nurse recognize as contaminating sterile field?
Correct Answer: B,C,D
Rationale:
Correct Answer: B, C, D
Rationale:
B: Moistening a cotton ball with sterile normal saline and placing it on the sterile field introduces moisture from a non-sterile source, contaminating the field.
C: Delaying the procedure for 1 hour can lead to airborne contaminants settling on the sterile field, compromising its sterility.
D: Turning to speak to someone who enters behind the nurse can result in the nurse inadvertently breaching the sterile field by turning away from it.
Summary of Incorrect
Choices:
A: Although dropping a sterile instrument near the sterile field is not ideal, it does not directly contaminate the sterile field.
E: A client's hand brushing against the outer edge of the sterile field is a potential contamination, but not the most significant in this scenario.
Question 4 of 5
Nurse is preparing discharge summary for client whose had knee surgery & is going home. Which following info about client should nurse include in it?
Correct Answer: B,C,E
Rationale: The correct answer is B, C, and E. B, Where to go for follow-up care, is crucial for ensuring the client continues to receive necessary treatment post-surgery. C, Instructions for diet/meds, are essential for the client's recovery and to prevent complications. E, Contact info for home healthcare agency, is important for arranging any additional support needed at home. A, Advance directives status, is not directly related to the client's immediate post-operative care. D, Most recent vital sign data, may not be relevant for a discharge summary. F, Follow-up care, and G, Medication, are redundant as they are covered by the other options.
Question 5 of 5
Nurse evaluating how well client learned the info presented in teaching about heart-healthy diet. Client states she understands what to do now. Which actions by nurse should assist evaluation of client's learning?
Correct Answer: B
Rationale: The correct answer is B: Ask client to explain how to select or prepare meals. This action allows the nurse to assess the client's understanding and application of the heart-healthy diet information. By explaining the process of selecting and preparing meals, the client demonstrates practical knowledge and comprehension. Encouraging questions (choice
A) may gauge curiosity but not necessarily understanding. Filling out an evaluation form (choice
C) assesses completion but not comprehension. Inquiring about further resources (choice
D) tests awareness but not application.