ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is talking with 45 yo client with no specific family hx of cancer or DM, about planning routine screenings. Which client statement indicates client understands how to proceed?
Correct Answer: B
Rationale: The correct answer is B because the client correctly indicates the need for annual mammograms. Mammograms are recommended yearly for women aged 45-54 to screen for breast cancer.
Choice A is incorrect as colon cancer screening is recommended starting at age 45.
Choice C is incorrect because pap smears are usually done every 3-5 years depending on age and risk factors.
Choice D is incorrect as blood glucose tests should be done annually for individuals at risk for diabetes.
Question 2 of 5
A nurse receives a prescription for an antibiotic for a client with cellulitis. Upon review
Correct Answer: B
Rationale: The correct answer is B: Fairness. The nurse is demonstrating fairness by acknowledging the client's allergy and taking the necessary steps to address it. This shows a commitment to treating all clients ethically and without bias. The other choices are incorrect because: C: Responsibility does not directly relate to how the nurse handles the situation. D: Risk taking is not applicable as the nurse is not taking any risks in this scenario. E: Creativity is not relevant as the nurse is following standard protocol for managing allergies.
Question 3 of 5
A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. Which finding will indicate goal achievement for the nurse's action?
Correct Answer: D
Rationale: The correct answer is D: Prevention of joint contractures. Passive ROM exercises and splinting help maintain joint mobility and prevent joint contractures in at-risk patients. Joint contractures can result from prolonged immobility, leading to permanent stiffness and limited range of motion. By performing passive ROM and splinting, the nurse aims to preserve the patient's joint flexibility and prevent contractures.
Incorrect choices:
A: Prevention of atelectasis - Atelectasis is the collapse of lung tissue, which is not directly related to passive ROM and splinting.
B: Prevention of renal calculi - Renal calculi are kidney stones, not influenced by joint mobility exercises.
C: Prevention of pressure ulcers - Pressure ulcers are prevented by proper skin care and pressure relief, not by passive ROM exercises.
In summary, the correct choice, D, directly aligns with the goal of maintaining joint mobility, while the other choices are not related to the outcomes of performing passive ROM and spl
Question 4 of 5
Nurse is caring for client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should 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. The virus responsible for shingles is the varicella-zoster virus, which also causes chickenpox. The linear distribution of vesicles along a dermatome is a key distinguishing feature of herpes zoster. This pattern is due to reactivation of the virus from the dorsal root ganglia. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly patches. Systemic lupus erythematosus is an autoimmune disease that can present with a butterfly rash on the face, joint pain, and systemic symptoms, but not linear clusters of vesicles.
Question 5 of 5
Nurse caring for client just admitted after falling. This client is oriented x3 & 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 client's call light is within reach allows client to easily request assistance, reducing risk of attempting to get up independently.
D: Providing client with nonskid footwear helps improve traction and stability, reducing risk of slipping or falling.
E: Completing a fall-risk assessment helps identify specific factors putting the client at risk, allowing for tailored interventions to prevent falls.
Incorrect
Choices:
A: Placing a belt restraint on the client is considered a restrictive measure and should only be used as a last resort due to potential negative effects on mobility and dignity.
B: Keeping bed in low position with full side rails up can lead to increased risk of falls as it restricts client's movement and independence, increasing the likelihood of attempting to get out of bed unsafely.