ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is caring for client with many risk factors for CV disease. When planning health promotion & disease prevention strategies for this client, which intervention should nurse include? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale:
Correct Answer: A, B, C, E
Rationale:
A: Helping the client see the benefits of their actions promotes motivation and compliance with health promotion strategies.
B: Identifying client's support systems ensures they have the necessary resources and assistance to maintain healthy behaviors.
C: Suggesting and recommending community resources expands the client's access to additional support and information.
E: Teaching stress management strategies is crucial as stress can contribute to cardiovascular disease risk factors.
Summary:
D: Devising and setting goals for the client could be beneficial, but it is not as essential as the other options selected.
F and G: Not provided in the question, so cannot be analyzed.
Question 2 of 5
Nurse providing pre-op teaching for client scheduled for mastectomy next day. Which client statement indicates client is ready to learn?
Correct Answer: C
Rationale: The correct answer is C because the client's question about the duration of surgery shows readiness to learn about the procedure. This indicates they are seeking information to prepare themselves mentally and emotionally.
Choice A is focused on personal concerns, not learning.
Choice B is about post-op care, not readiness for pre-op teaching.
Choice D is unrelated to the situation.
Question 3 of 5
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client with dementia. Which component is the priority to determine from their family?
Correct Answer: D
Rationale: The correct answer is D: Any difficulty swallowing. This is the priority component to determine because individuals with dementia are at higher risk of dysphagia, which can lead to aspiration pneumonia. Identifying any swallowing difficulties early on can help prevent complications and ensure appropriate dietary modifications are made.
A: BMI is important, but not the priority as immediate concerns related to swallowing should be addressed first.
B: Usual times for meals/snacks are important for establishing a routine, but not as critical as identifying swallowing issues.
C: Favorite foods are relevant for providing patient-centered care, but not as urgent as assessing swallowing function.
Question 4 of 5
Nurse is planning diversionary activities for children on inpatient peds unit. Which should nurse incorporate as appropriate play activities for preschoolers? (Select all that apply.)
Correct Answer: A,C,E
Rationale: The correct activities for preschoolers are A, C, and E. Preschoolers have developing fine motor skills, so assembling puzzles (
A) can help with hand-eye coordination and problem-solving. Using musical toys (
C) can enhance auditory and sensory development. Coloring with crayons (E) promotes creativity and fine motor skills. Pulling wheeled toys (
B) may not be suitable for indoor play or could pose safety risks. Using finger paints (
D) might be messy and require more supervision. Other choices do not address the developmental needs of preschoolers.
Question 5 of 5
Nurse is completing discharge teaching to client with COPD. Client verbalizes understanding of orthopneic position when he states, 'When I have difficulty breathing at night, I will...'
Correct Answer: C
Rationale: The correct answer is C: Sit on the side of my bed & rest my arms over pillows on top of my raised bedside table. This position is known as the orthopneic position, which helps improve lung expansion and ease breathing difficulties in COPD patients. Sitting upright with arms supported on pillows on a raised surface allows for better chest expansion and less pressure on the diaphragm, facilitating easier breathing.
A: Lie on my back with head & shoulders elevated on a pillow - This position does not provide as much support for chest expansion and may not be as effective in improving breathing.
B: Lie flat on my stomach with head to one side - This position can restrict breathing and is not recommended for COPD patients.
D: Lie on my side with my weight on my hips & shoulder with my arms flexed in front of me - This position does not promote optimal chest expansion and may make breathing more difficult for COPD patients.