ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is reviewing safety precautions with group of young adults at community health fair. Which recommendations should nurse include specifically for this age group? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet (
B) is crucial for head protection. Carbon monoxide exposure is a concern in any age group, so installing a detector (
C) is important. Young adults may have access to firearms, making it vital to secure them in a safe location (
D) to prevent accidents.
Choices A and E are more relevant for older adults to prevent falls, while F and G are not provided in the question.
Question 2 of 5
When nurse is observing client drawing up & mixing insulin injections, which best demonstrates psychomotor learning has taken place?
Correct Answer: B
Rationale: The correct answer is B because demonstration of the appropriate technique directly shows psychomotor learning has taken place. The client is physically performing the task, indicating understanding and ability to execute the action.
Choice A involves verbal communication, which does not guarantee practical application.
Choice C focuses on cognitive understanding, not physical skill.
Choice D tests memory and written communication, not skill execution.
Question 3 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 4 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. The priority issue for assessment & intervention is the older adult struggling with helping out in the community. This indicates a potential loss of purpose and meaning in life, which can negatively impact mental health. It may also suggest decreased social engagement, which is crucial for overall well-being in older adults. This issue requires immediate attention to prevent further decline in mental health and overall quality of life.
A: While feeling regret about retirement is important, it does not pose an immediate risk to the individual's well-being.
B: Depending on family for help is common in older age but does not indicate an urgent need for intervention.
C: Grieving the loss of friends is significant, but it may not be the priority issue for immediate intervention.
E, F, G:
Choices are not provided, but they would likely be incorrect as they are not the priority issue for assessment & intervention.
Question 5 of 5
Nurse contributing to care plan for client being admitted to facility with suspected dx of pertussis. Which should nurse include in care plan?
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E. B is correct because wearing a mask within 3 ft of the client helps prevent the spread of pertussis via respiratory droplets. C is important to prevent transmission during transportation. E is necessary to protect the nurse from contamination during care involving secretions. A is incorrect because negative air pressure is not necessary for pertussis. D is incorrect as sterile gloves are not needed, regular gloves are sufficient. Overall, B, C, and E are crucial for preventing the spread of pertussis and ensuring the safety of both the client and the healthcare provider.