ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse is counseling older adult who describes having difficulty with several issues. Which problem should nurse identify as priority for more assessment & intervention?
Correct Answer: D
Rationale: The correct answer is D: "I just heard my friend Al died. That's the 3rd one in 3 months." This response indicates a potential issue with grief and loss, which is crucial to address in older adults as they are more vulnerable to the impact of multiple losses. The nurse should prioritize this for further assessment and intervention to provide emotional support and prevent complications such as depression.
Choices A, B, C, and E focus on adjustment issues and social challenges, but they do not pose an immediate risk to the client's mental health and well-being compared to the potential impact of unresolved grief.
Question 2 of 5
Nurse caring for 19 yo client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention?
Correct Answer: C
Rationale: The correct answer is C: Determine client's risk factors. This is crucial to assess the client's current health status, identify potential health risks, and develop a personalized health promotion plan. By understanding the client's risk factors such as sexual behaviors, substance use, family history, and lifestyle habits, the nurse can tailor education and interventions to promote health and prevent diseases specific to the client's needs.
A: Measuring vital signs is important but does not directly address health promotion and disease prevention strategies in this context.
B: Encouraging HIV screening is important, but it focuses on a specific test rather than a comprehensive assessment of risk factors.
D: Instructing the client to use condoms is a good preventive measure, but determining risk factors provides a broader picture for a more comprehensive approach.
Question 3 of 5
Nurse reviewing car seat safety with parents of 1 mo infant. When reviewing this, which instructions should nurse include?
Correct Answer: B
Rationale:
Correct Answer: B. Position car seat so that infant is rear-facing.
Rationale: Rear-facing position is safest for infants as it provides better support for their head, neck, and spine in case of sudden stops or crashes. This position reduces the risk of injury and is recommended by safety experts. It is crucial for the nurse to emphasize this to ensure the infant's safety.
Summary of other choices:
A: Using a car seat with a 3-point harness may not be the best choice as it may not provide optimal protection for the infant.
C: Placing the car seat in the front passenger seat is not recommended as it can be dangerous due to airbag deployment in case of a crash.
D: Putting soft padding behind the infant's back and neck is not recommended as it can interfere with the proper fit and functionality of the car seat, potentially compromising the infant's safety.
Question 4 of 5
Adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. Nurse believes that this is not in client's best interest, so she administers a PRN sedative medication that the client has not requested along with his usual medication. Which of the following types of tort has the nurse committed?
Correct Answer: B
Rationale: The nurse committed the tort of false imprisonment by administering the sedative medication without the client's consent, restricting his freedom of movement. This action constitutes a violation of the client's right to autonomy and self-determination. Assault (choice
A) involves the threat of harm or unwanted touching, which did not occur in this scenario. Negligence (choice
C) would involve a failure to provide reasonable care, which is not applicable here. Breach of confidentiality (choice
D) relates to disclosing privileged information without consent, which is not relevant to the situation.
Question 5 of 5
Nurse counseling young adult who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the young adult expressing stress about starting a family indicates a significant emotional burden that may require immediate attention. This statement implies potential anxiety, fear, and uncertainty about future responsibilities. Addressing this issue is crucial to prevent negative outcomes like depression, relationship strain, or poor decision-making regarding family planning.
Choices A, B, D, and E are important concerns, but they do not directly indicate immediate distress or potential harm as much as the fear and stress related to starting a family.