ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 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 the best approach as it provides structure and predictability for the toddler, helping them understand what behavior is acceptable. Consistent boundaries promote a sense of security and routine, which are important for a child's development.
Choice B is incorrect as isolating the toddler may lead to feelings of fear or abandonment.
Choice C is incorrect as trial and error may not provide clear guidance on appropriate behavior.
Choice D is incorrect as using snacks as rewards can create unhealthy associations with food and may not address the underlying behavior issues effectively.
Question 2 of 5
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client with dementia. Which component is the priority to determine from their family?
Correct Answer: D
Rationale: The correct answer is D: Any difficulty swallowing. This is the priority component to determine because individuals with dementia are at higher risk of dysphagia, which can lead to aspiration pneumonia. Identifying any swallowing difficulties early on can help prevent complications and ensure appropriate dietary modifications are made.
A: BMI is important, but not the priority as immediate concerns related to swallowing should be addressed first.
B: Usual times for meals/snacks are important for establishing a routine, but not as critical as identifying swallowing issues.
C: Favorite foods are relevant for providing patient-centered care, but not as urgent as assessing swallowing function.
Question 3 of 5
Nurse wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects may the nurse touch without breaching sterile technique? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The nurse can touch the inner wrapping of an item on the sterile field because it is considered part of the sterile field. This is acceptable because the wrapping is sterile and does not compromise the sterile technique. The nurse can also touch the irrigation syringe on the sterile field as it is considered a sterile instrument within the field. Lastly, the nurse can touch one gloved hand with the other gloved hand because both hands are considered sterile if the gloves were put on properly. The other choices are incorrect because touching the bottle containing sterile solution can contaminate it, touching the edge of sterile drape at the base of the field can introduce microorganisms onto the field, and touching anything outside the sterile field can breach sterile technique.
Question 4 of 5
Nurse is caring for a client who presents with linear clusters of fluid-containing vesicles with some crusting. Which should the 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. This condition is caused by the reactivation of the varicella-zoster virus, which initially causes chickenpox. The linear distribution of the vesicles along a dermatome is a key distinguishing feature of herpes zoster. Allergic reactions typically present with generalized rash and itching, not linear clusters of vesicles. Ringworm is a fungal infection that presents with circular, scaly lesions, not linear vesicles. Systemic lupus erythematosus is an autoimmune disease that can present with a variety of symptoms, but linear clusters of vesicles are not characteristic of this condition.
Question 5 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: Sit on the side of my bed & rest my arms over pillows on top of my raised bedside table. This position is known as the orthopneic position, which helps improve lung expansion and ease breathing difficulties in COPD patients. Sitting upright with arms supported on pillows on a raised surface allows for better chest expansion and less pressure on the diaphragm, facilitating easier breathing.
A: Lie on my back with head & shoulders elevated on a pillow - This position does not provide as much support for chest expansion and may not be as effective in improving breathing.
B: Lie flat on my stomach with head to one side - This position can restrict breathing and is not recommended for COPD patients.
D: Lie on my side with my weight on my hips & shoulder with my arms flexed in front of me - This position does not promote optimal chest expansion and may make breathing more difficult for COPD patients.