ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse preparing instructional session about managing stress incontinence for older adult. Which actions should nurse take first when meeting with client?
Correct Answer: D
Rationale: The correct answer is D: Determine what client knows about stress incontinence. This is the first step because it allows the nurse to assess the client's existing knowledge and understanding of the condition. By understanding the client's baseline knowledge, the nurse can tailor the instructional session accordingly, ensuring that the information provided is appropriate and effective. This step also helps in building rapport and establishing a foundation for effective communication.
Choice A (Encourage client to participate actively in learning) is important but should come after assessing the client's existing knowledge.
Choice B (Select instructional materials appropriate for older adult) can be done after understanding the client's knowledge level.
Choice C (Identify goals nurse & client can agree are reasonable) is essential but should be based on the assessment of the client's knowledge.
Question 2 of 5
Nurse is receiving provider prescription by phone for morphine for client who is reporting moderate to severe pain. Which of the following actions are appropriate? (Select all that apply.)
Correct Answer: A, B, C
Rationale: The correct actions are A, B, and C.
A: Repeating details of the prescription back to the provider ensures accuracy and reduces errors.
B: Having another nurse listen to the phone prescription provides a second verification to prevent mistakes.
C: Obtaining the prescriber's signature on the prescription within 24 hours is necessary for documentation and legal purposes.
Incorrect choices:
D: Declining the verbal prescription is inappropriate as it is essential for managing the client's pain promptly.
E: Informing the charge nurse about the prescription is not necessary as the immediate focus should be on accurately receiving and documenting the prescription.
Question 3 of 5
Nurse collecting data to evaluate middle adult's psychosocial development. Nurse should expect middle adults to demonstrate which capabilities?
Correct Answer: C, E
Rationale: The correct answers are C and E. Middle adults are typically in the generativity vs. stagnation stage according to Erikson's psychosocial theory.
Choice C is correct because middle adults are expected to welcome opportunities to be creative and productive, contributing to society and leaving a legacy. This reflects generativity.
Choice E is also correct as middle adults are likely to become involved in community issues and activities, showing a concern for the welfare of society.
Choices A and B are incorrect as middle adults are not expected to accept diminished strength or feel frustrated about time limitations.
Choice D is incorrect because while finding friendship and companionship is important, it does not solely capture the essence of middle adulthood psychosocial capabilities.
Question 4 of 5
Nurse in clinic caring for 21 yo client who reports sore throat. Client tells nurse he hasn't seen a doctor since high school. Which health screening should nurse expect provider to perform for this client?
Correct Answer: A
Rationale: The correct answer is A: Testicular exam. This is because the client is a 21-year-old male, and testicular cancer is most common in younger men. The provider would likely perform a testicular exam to screen for any abnormalities. Blood glucose (
B) is more relevant for diabetes screening, which is not indicated based on the client's sore throat complaint. Fecal occult blood (
C) is used to screen for colon cancer, which is not age-appropriate for a 21-year-old. Prostate-specific antigen (
D) screening is typically done for older men to detect prostate cancer.
Question 5 of 5
During evaluation, nurse must gather info about the client to...
Correct Answer: A
Rationale: The correct answer is A because during evaluation, nurses must gather information about the client to identify whether client outcomes have been met. This step helps assess the effectiveness of interventions and the progress towards achieving the desired goals. Gathering this information allows nurses to make informed decisions about the next steps in the client's care.
Choice B is incorrect because organizing resources to implement interventions is part of the planning phase, not evaluation.
Choice C is incorrect as establishing client-centered outcomes is part of the planning phase as well.
Choice D is incorrect because determining the priority of care and appropriate interventions is part of the assessment phase, not evaluation.