ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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 because sitting on the side of the bed and resting arms over pillows on top of a raised bedside table is the orthopneic position for a client with COPD. This position allows for optimal lung expansion and makes breathing easier by reducing pressure on the diaphragm. Option A is incorrect as lying on the back with head and shoulders elevated may not provide the same level of relief for breathing difficulties. Option B is incorrect as lying flat on the stomach can further compromise breathing. Option D is incorrect as lying on the side with weight on hips and shoulders does not facilitate optimal lung expansion.
Question 2 of 5
An RN is making assignments for client care to an LPN at the beginning of shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale: The correct answer is D because LPNs are not typically responsible for changing cartridges and tubing on PCA pumps, as this task requires specialized training and knowledge that only RNs or higher-level healthcare providers possess. LPNs should question this assignment to ensure patient safety and proper care.
A: LPNs can assist with incentive spirometer use for post-op clients.
B: LPNs can collect clean-catch urine specimens.
C: LPNs can provide nasopharyngeal suctioning for pneumonia clients.
In summary, the LPN should question the assignment related to changing the cartridge and tubing on the PCA pump as it falls outside their scope of practice and requires RN-level skills.
Question 3 of 5
Home health nurse is discussing dangers of food poisoning with client. What information should the nurse include? (Select all that apply)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals have weakened immune systems, making them more susceptible to severe complications from food poisoning.
C: Pasteurization kills harmful bacteria, making pasteurized dairy products safer for consumption, especially for at-risk individuals.
E: Cross-contamination between raw and fresh foods can introduce harmful bacteria, leading to food poisoning. Separate handling reduces this risk.
Incorrect answers:
A: While some food poisoning cases are caused by viruses, bacterial contamination is more common.
D: Healthy individuals may recover quickly, but this does not negate the importance of preventing food poisoning.
Overall, choices B, C, and E focus on specific preventive measures and risks relevant to food poisoning, making them the correct answers.
Question 4 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 is seeking information about the surgery, indicating readiness to learn. This statement shows the client's engagement and interest in understanding the procedure, which is crucial for post-op care.
Choice A is incorrect as it focuses on personal concerns, not readiness to learn.
Choice B is incorrect as it is related to pain management, not the surgical process.
Choice D is irrelevant to the situation.
Choices E, F, and G are not provided.
Question 5 of 5
Nurse manager is reviewing guidelines to prevent injury with staff nurses. Which of the following should nurse manager include in teaching? (Select all that apply.)
Correct Answer: A,B,D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Requesting assistance when repositioning a client is crucial to prevent injury as it reduces the risk of strain on the nurse's back and muscles.
B: Avoiding twisting the spine or bending at the waist helps maintain proper alignment and reduces the risk of musculoskeletal injuries.
D: Using smooth movements when lifting and moving clients is important to prevent sudden jerking movements that can lead to strains or sprains.
Summary:
C: Keeping knees slightly lower than hips when sitting for long periods of time is important for ergonomic posture but not directly related to preventing injury when working with clients.
E: Taking breaks from repetitive movements to flex and stretch joints and muscles is important for overall health but does not specifically address injury prevention during client care.