ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse is talking with parents of toddler. Which should nurse suggest regarding discipline?
Correct Answer: A
Rationale: The correct answer is A: Establish consistent boundaries. This is important for toddlers to understand expectations and behavior limits. Consistent boundaries provide structure and security, promoting positive behavior.
Choice B could cause fear and isolation.
Choice C may lead to confusion and potential harm.
Choice D may create unhealthy eating habits. It is essential to guide toddlers with clear and consistent boundaries to promote healthy development.
Question 2 of 5
Nurse caring for 5 yo whose parents report she fears painful procedures, like shots. Which strategies should nurse use to try to help ease child's fear? (Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Inviting the child to assist with mealtime activities can help build trust and rapport with the nurse, providing a sense of comfort and distraction from fears.
D: Having parents bring in the child's favorite toy from home can provide a familiar and comforting object that offers emotional support during procedures.
E: Engaging the child in pretend play with a toy medical kit can help desensitize the child to medical procedures in a non-threatening way, allowing them to feel more in control and reduce fear.
Summary:
B: Clustering invasive procedures may not address the child's emotional fears and could potentially overwhelm them.
C: Assigning caregivers the child is familiar with may help, but it may not directly address the fear of painful procedures.
F, G: Since these options are not provided, they are not applicable in this scenario.
Question 3 of 5
Nurse is caring for a client receiving enteral tube feedings due to dysphagia. Which bed position is appropriate for safe care of this client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's position. This position promotes proper digestion and reduces the risk of aspiration during enteral tube feedings by ensuring that the client's head is elevated at a 30-45 degree angle. This helps prevent reflux and aspiration of feeding into the lungs. Supine position (
A) can increase the risk of aspiration, semi-prone (
C) and Trendelenburg (
D) positions are not appropriate for enteral feedings as they do not provide the necessary elevation for safe feeding.
Question 4 of 5
A nurse delegating ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D.
B: It is important for the AP to know that the client ambulates with slippers over antiembolic stockings to ensure proper support and prevent complications.
C: Sharing that the client uses a front-wheeled walker when ambulating ensures the AP assists the client safely and appropriately.
D: Informing the AP that the client had pain medication 30 min ago helps in monitoring for any potential side effects or need for further pain management.
Incorrect choices:
A: The roommate's independence is unrelated to the client's ambulation post-knee arthroplasty.
E: The client's allergy to codeine is not relevant to the task of delegating ambulation.
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 uncertainty about their own identity indicates a potential issue with self-awareness and self-esteem, which are foundational for healthy development. This can impact decision-making and overall well-being.
Choices A, B, and D focus on external factors (living situation, family stress, and impending fatherhood) that can be addressed once the individual's self-identity is better understood. Prioritizing self-discovery and self-acceptance can lead to more effective coping mechanisms and decision-making skills for handling other stressors.