ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse observes smoke coming from under the door of the staff lounge. What is the priority action by the nurse?
Correct Answer: C
Rationale: The correct answer is C: Evacuate the clients. This is the priority action because ensuring the safety of the clients is paramount in any emergency situation. Evacuating them to a safe location away from potential harm should be the nurse's first response. Pulling the fire alarm (
B) can be done after ensuring the clients are safely evacuated. Extinguishing the fire (
A) should be left to the trained professionals to avoid putting oneself at risk. Closing all open doors on the unit (
D) may help contain the fire but is not as critical as evacuating the clients.
Question 2 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities? (Select all that apply.)
Correct Answer: C,E
Rationale: The correct choices, C and E, align with Erikson's theory of psychosocial development for middle adulthood.
Choice C, "Welcome opportunities to be creative & productive," reflects Erikson's stage of generativity versus stagnation, where individuals in middle adulthood seek to contribute to society and leave a legacy.
Choice E, "Become involved in community issues & activities," relates to the desire for social involvement and making a positive impact on the community.
Choices A, B, and D are incorrect because they do not align with the typical capabilities of middle adults according to Erikson's theory.
Choice A contradicts the idea of middle adults striving for independence and self-reliance, while choice B reflects feelings of regret or despair, which are more characteristic of Erikson's later stages.
Choice D, while important, does not capture the full scope of middle adulthood psychosocial development as outlined by Erikson.
Question 3 of 5
Nurse caring for 19-year-old client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention?
Correct Answer: C
Rationale: The correct answer is C: Determine client's risk factors. This intervention is crucial in assessing the client's health promotion and disease prevention needs. By identifying risk factors such as sexual history, behaviors, and practices, the nurse can tailor appropriate health education and preventive measures. Measuring vital signs (
A) is important but does not directly address health promotion in this context. Encouraging HIV screening (
B) is beneficial but does not encompass a comprehensive assessment of risk factors. Instructing the client to use condoms (
D) is a preventive measure but does not address the broader spectrum of risk factors.
Question 4 of 5
Nurse educator presenting on basic first aid for new home health nurses. She evaluates teaching as effective when a new nurse states that a client who has heat stroke will have which of the following?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. In heat stroke, the body loses a significant amount of fluid through sweating, leading to decreased blood volume and hypotension. This is due to the body's attempt to cool down by dilating blood vessels and increasing blood flow to the skin. Bradycardia (
B) is unlikely as the body typically responds with tachycardia to try to cool down. Clammy skin (
C) is a common symptom of heat stroke due to the body's attempt to cool down through sweating. Bradypnea (
D) is unlikely as the body usually increases respiratory rate to expel heat. Other choices are not directly related to heat stroke.
Question 5 of 5
Nursing instructor explaining various stages of lifespan to students. Nurse should offer which following behavior by young adult as example of appropriate psychosocial development?
Correct Answer: C
Rationale: The correct answer is C because in young adulthood, individuals typically focus on establishing their careers and developing a sense of identity. This behavior aligns with Erikson's psychosocial stage of intimacy vs. isolation.
Choices A, B, and D are incorrect for a young adult's appropriate psychosocial development. A focuses on generativity, which is more typical of middle adulthood. B suggests dealing with losses, which is more aligned with later stages of life. D describes the 'sandwich generation' phenomenon, which occurs later in life when individuals are responsible for both their children and aging parents.