ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse manager is reviewing guidelines to prevent injury with staff nurses. Which of the following should nurse manager include in teaching? (Select all that apply.)
Correct Answer: A,B,D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Requesting assistance when repositioning a client is crucial to prevent injury as it reduces the risk of strain on the nurse's back and muscles.
B: Avoiding twisting the spine or bending at the waist helps maintain proper alignment and reduces the risk of musculoskeletal injuries.
D: Using smooth movements when lifting and moving clients is important to prevent sudden jerking movements that can lead to strains or sprains.
Summary:
C: Keeping knees slightly lower than hips when sitting for long periods of time is important for ergonomic posture but not directly related to preventing injury when working with clients.
E: Taking breaks from repetitive movements to flex and stretch joints and muscles is important for overall health but does not specifically address injury prevention during client care.
Question 2 of 5
A nurse is caring for a client 24h post-op following abdominal surgery and suspects inadequate pain management. Which findings support this suspicion?
Correct Answer: B,C,E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Nonadherence with coughing and deep breathing after abdominal surgery can indicate inadequate pain management, as pain may inhibit the client from performing these important post-operative exercises.
C: Accepting pain medication every 6-7 hours instead of the recommended 4-6 hours suggests inadequate pain control, as the client may be waiting too long between doses, leading to unrelieved pain.
E: Elevated heart rate (HR 110/min) can be a sign of inadequate pain management as pain can cause physiological stress responses, such as tachycardia, indicating uncontrolled pain.
Incorrect choices:
A: Client agitation may be due to various reasons other than inadequate pain management.
D: Tenderness in right lower leg is not directly related to post-op pain management.
Summary:
The correct answers focus on indicators directly related to inadequate pain management post-operatively, such as nonadherence with coughing and deep breathing, delayed medication
Question 3 of 5
Nurse at elementary school is planning health promotion & primary prevention class. Which topics are appropriate for parents of school-age children? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct topics for parents of school-age children are A, B, C, and E.
A) Childhood obesity is important for parents to understand to prevent health issues.
B) Substance use disorders awareness is crucial to prevent drug abuse among children.
C) Scoliosis screening ensures early detection and treatment. E) Stranger awareness helps keep children safe. Incorrect choices:
D) Front-seat seatbelt use is more relevant for parents of younger children. F and G are not provided, so they are irrelevant.
Question 4 of 5
Nurse uses head-to-toe approach to conduct physical assessment of a client who will undergo surgery in 1 week. Which of following attitudes did nurse demonstrate?
Correct Answer: D
Rationale: The correct answer is D: Discipline. By using a head-to-toe approach for physical assessment, the nurse demonstrates discipline in following a systematic and thorough process. This approach ensures no areas are missed and all necessary information is gathered. Confidence (
A), perseverance (
B), and integrity (
C) are important traits but not directly related to the specific method of assessment used. Confidence is about self-assurance, perseverance is about determination, and integrity is about honesty and ethics. In this scenario, discipline is key for a structured and comprehensive assessment process.
Question 5 of 5
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer from PACU following thoracic surgery. To which staff member should the nurse assign this client?
Correct Answer: B
Rationale: The correct answer is B: RN. A registered nurse is qualified to care for a client post-thoracic surgery due to their advanced training and assessment skills. They can monitor for complications, administer medications, assess respiratory status, and provide skilled nursing care. The charge nurse (choice
A) may have administrative responsibilities and may not be available for direct client care. LPNs (choice
C) have a more limited scope of practice compared to RNs, which may not be sufficient for post-thoracic surgery care. Assistive personnel (choice
D) do not have the training or scope of practice to provide the level of care required for a client post-thoracic surgery.