ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 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 2 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should the 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. This condition is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution of the vesicles along a dermatome is a key distinguishing feature of herpes zoster. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly lesions, not linear vesicles. Systemic lupus erythematosus is an autoimmune disease that can present with a variety of symptoms, but linear clusters of vesicles are not characteristic of this condition.
Question 3 of 5
Nurse reviewing nutrition guidelines with parents of 11 yo. Which parent statement should indicate to nurse that they understand guidelines for school-age children?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale:
1. Rewards school achievements with a point system avoids using unhealthy food as a reward.
2. Promotes positive reinforcement for academic success.
3. Encourages the child to focus on achievements rather than food.
4. Aligns with the nutrition guidelines by promoting a healthy relationship with food.
Summary:
A: Focuses on weight concerns, not understanding nutrition guidelines.
B: Skipping lunch is not ideal and does not show understanding of balanced meals.
C: Limiting fast food is good, but doesn't directly address understanding of nutrition guidelines.
D: Promotes positive reinforcement without using unhealthy food.
E, F, G: Not provided, cannot be evaluated.
Question 4 of 5
Nurse enters a client's room & finds him sitting in his chair. He states, 'I fell in the shower, but I got myself back up & into my chair.' How should nurse document this in client's chart?
Correct Answer: B
Rationale: The correct answer is B because it accurately reflects the client's statement and actions. By documenting that the client fell in the shower but was able to get back into the chair, the nurse captures the client's experience while also noting his ability to self-recover.
Choice A is incorrect because it does not mention the client's ability to get back up.
Choice C is incorrect as important information provided by the client should be documented.
Choice D is incorrect as it does not reflect the client's ability to get back up.
Question 5 of 5
Nurse is teaching young adult about health promotion & illness prevention. Which client statement indicates understanding?
Correct Answer: B
Rationale: The correct answer is B because the client acknowledges the importance of immunizations received in childhood for protection against diseases. This demonstrates an understanding of health promotion and illness prevention.
Choice A is incorrect as past immunizations do not necessarily provide lifelong protection.
Choice C is incorrect as routine healthcare visits are essential for preventive care.
Choice D is incorrect as urgent care is for immediate needs, not routine care.
Choice E is incorrect as stress management is important but not directly related to health promotion and illness prevention.