ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse planning diversionary activities for children on an inpatient unit. Which should nurse incorporate as appropriate play activities for toddler? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Rationale:
C: Filling & emptying containers is appropriate for toddlers as it helps with sensory exploration and fine motor skills.
D: Playing with blocks promotes creativity, problem-solving, and hand-eye coordination.
E: Looking at books encourages language development and cognitive skills.
Incorrect
Choices:
A: Building simple models may be too advanced for toddlers.
B: Working with clay may pose a choking hazard.
Summary: The correct activities cater to toddlers' developmental needs, while the incorrect choices either lack age-appropriateness or pose safety concerns.
Question 2 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 3 of 5
Nurse contributing to a care plan for a client being admitted to a facility with suspected pertussis. Which should the nurse include in the care plan? (Select all that apply.)
Correct Answer: B,C,E
Rationale:
Correct Answer: B, C, E
Rationale:
1. (
B) Wearing a mask within 3 ft of the client helps prevent the spread of pertussis through respiratory droplets.
2. (
C) Placing a mask on the client during unavoidable transportation reduces the risk of spreading the infection.
3. (E) Wearing a gown during care involving secretions minimizes the nurse's exposure to contaminated fluids, reducing transmission risk.
Incorrect
Choices:
A: Negative air pressure is not necessary for pertussis; it is more applicable for airborne diseases like TB.
D: Sterile gloves are not required for pertussis; standard precautions suffice.
F, G: No additional information provided, so these choices are irrelevant.
Question 4 of 5
By 2nd post-op day, a client has not achieved satisfactory pain relief. Based on this evaluation, what should nurse do next according to nursing process?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Assessment is the first step in the nursing process. The nurse must reassess the client to identify the reasons for unsatisfactory pain relief.
2. Reassessment helps in understanding the current status of the client's pain and any contributing factors.
3. Identifying the reasons for inadequate pain relief will guide the nurse in developing an appropriate plan of care.
4. This step ensures a comprehensive understanding of the client's condition and aids in providing individualized care.
Summary of other choices:
B. Waiting to see if pain lessens does not address the underlying reasons for inadequate pain relief.
C. Changing the plan without reassessment may not address the specific causes of the client's pain.
D. Teaching the client about the plan of care is important but should come after reassessment to tailor the education to the client's needs.
Question 5 of 5
Nurse is preparing a discharge summary for a client who had knee surgery and is going home. Which of the following info about the client should the nurse include in it? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Where to go for follow-up care is essential for continuity of care and ensuring the client receives necessary post-operative follow-up.
C: Instructions for diet/meds are crucial for the client's recovery and to prevent complications post-surgery.
E: Contact info for a home healthcare agency is important for arranging additional support and services post-discharge.
Incorrect answers:
A: Advance directives status is important but not directly related to immediate post-operative care instructions.
D: Most recent vital sign data may be important for the healthcare team but not necessary in a discharge summary.
By including B, C, and E in the discharge summary, the nurse ensures the client has the necessary information for a smooth transition from the hospital to home care.