ATI Fundamentals Proctored Exam Study Guide 3 -Nurselytic

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ATI Fundamentals Proctored Exam Study Guide 3 Questions

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Question 1 of 5

Nurse is preparing a discharge summary for a client who had knee surgery and is going home. Which of the following info about the client should the nurse include in it? (Select all that apply.)

Correct Answer: B,C,E

Rationale: The correct answers are B, C, and E.
B: Where to go for follow-up care is essential for continuity of care and ensuring the client receives necessary post-operative follow-up.
C: Instructions for diet/meds are crucial for the client's recovery and to prevent complications post-surgery.
E: Contact info for a home healthcare agency is important for arranging additional support and services post-discharge.
Incorrect answers:
A: Advance directives status is important but not directly related to immediate post-operative care instructions.
D: Most recent vital sign data may be important for the healthcare team but not necessary in a discharge summary.
By including B, C, and E in the discharge summary, the nurse ensures the client has the necessary information for a smooth transition from the hospital to home care.

Question 2 of 5

Nurse preparing wellness presentation for families at community center. When discussing health screenings for adolescents, which info about scoliosis should nurse include?

Correct Answer: A, C

Rationale: The correct answers are A and C.
A: "scoliosis is more common in girls than in boys" is correct as scoliosis is indeed more prevalent in girls.
C: "scoliosis screening is essential during adolescent growth spurt" is also correct because this is when scoliosis is most likely to be detected and monitored for progression.
B: Loss of height is not typically associated with scoliosis, making this choice incorrect.
D: Slouching is not a common cause of scoliosis; it is a misconception, hence incorrect.
E: Scoliosis is actually a sideways curvature of the spine, not a forward curvature, making this choice incorrect.

Question 3 of 5

Nurse reviewing CDC's immunization recommendations for young adult. Which should nurse include in this discussion?

Correct Answer: A, B, C

Rationale: The correct answer includes HPV, measles, mumps, rubella, and varicella vaccines. HPV is recommended for young adults to prevent certain cancers. Measles, mumps, rubella, and varicella vaccines protect against highly contagious diseases. Haemophilus influenzae type b and polio vaccines are usually given during infancy and are not typically included in recommendations for young adults.

Question 4 of 5

Nursing instructor is explaining various stages of lifespan to students. Nurse should offer which of following behaviors by young adult as example of accomplishing Erikson's tasks for psychosocial development during middle adulthood?

Correct Answer: D

Rationale: The correct answer is D, as the behavior of expressing concerns about the next generation aligns with Erikson's task of generativity vs. stagnation during middle adulthood. This stage involves a focus on contributing to future generations and leaving a positive impact on society.
Choice A focuses on self-reflection, not generativity.
Choice B relates to Erikson's trust vs. mistrust stage in infancy.
Choice C reflects the desire for intimacy vs. isolation in young adulthood. Overall, D is the best choice as it directly pertains to the developmental task of generativity in middle adulthood.

Question 5 of 5

Nurse caring for client just admitted after falling. This client is oriented 3x & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply.)

Correct Answer: C,D,E

Rationale:
Correct Answer: C, D, E


Rationale:
C: Ensuring the client's call light is within reach allows the client to easily call for assistance when needed, reducing the risk of falls.
D: Providing the client with nonskid footwear improves traction and stability, decreasing the risk of slipping and falling.
E: Completing a fall-risk assessment helps identify specific factors that increase the client's risk of falling, enabling tailored interventions to prevent falls.

Incorrect choices:
A: Placing a belt restraint on the client when sitting on the bedside commode is not appropriate as it restricts the client's movement and could lead to further complications.
B: Keeping the bed in a low position with full side rails up may restrict the client's mobility and independence, increasing the risk of falls. Full side rails can also pose entrapment hazards.

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