ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse providing pre-op teaching for client scheduled for mastectomy next day. Which client statement indicates client is ready to learn?
Correct Answer: C
Rationale: The correct answer is C because the client is seeking information about the surgery, indicating readiness to learn. This statement shows the client's engagement and interest in understanding the procedure, which is crucial for post-op care.
Choice A is incorrect as it focuses on personal concerns, not readiness to learn.
Choice B is incorrect as it is related to pain management, not the surgical process.
Choice D is irrelevant to the situation.
Choices E, F, and G are not provided.
Question 2 of 5
Charge nurse is designating room assignments for clients. Based on her knowledge of fall prevention, which client should be assigned to room closest to the nursing station?
Correct Answer: D
Rationale: The correct answer is D - 79-year-old client post-op following below-the-knee amputation. This client should be assigned to the room closest to the nursing station for fall prevention due to the increased risk of falls associated with post-amputation status. Patients who have undergone amputations may experience balance issues, weakness, and difficulty with mobility, increasing their risk of falls. Placing this client closer to the nursing station allows for closer monitoring and quicker response in case of any potential fall risks or incidents.
Choice A is incorrect because a 43-year-old client post-op following laparoscopic cholecystectomy typically does not have the same level of fall risk as a post-amputation patient.
Choice B is incorrect as a 61-year-old client being admitted for telemetry to rule out MI does not necessarily have an increased fall risk compared to a post-amputation patient.
Choice C is incorrect as a 50-year-old client post-op following open reduction internal fixation of an ankle may have
Question 3 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 because sitting on the side of the bed and resting arms over pillows on top of a raised bedside table is the orthopneic position for a client with COPD. This position allows for optimal lung expansion and makes breathing easier by reducing pressure on the diaphragm. Option A is incorrect as lying on the back with head and shoulders elevated may not provide the same level of relief for breathing difficulties. Option B is incorrect as lying flat on the stomach can further compromise breathing. Option D is incorrect as lying on the side with weight on hips and shoulders does not facilitate optimal lung expansion.
Question 4 of 5
Nurse on peds unit is caring for adolescent with multiple fractures. Which interventions are appropriate for client? (Select all that apply.)
Correct Answer: B,E
Rationale: The correct answers are B and E. Providing TV & DVDs and allowing the adolescent to perform his own morning care promotes independence and helps maintain a sense of normalcy during hospitalization. This fosters psychological well-being and empowerment.
Choice A may not be appropriate as it could infringe on the adolescent's privacy and autonomy.
Choice C could be too restrictive, limiting emotional support from friends.
Choice D is important but providing autonomy and distraction are more immediate priorities in this case.
Question 5 of 5
Nurse counseling young adult who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the young adult expressing uncertainty about their own identity indicates a potential issue with self-awareness and self-esteem, which are foundational for healthy development. This can impact decision-making and overall well-being.
Choices A, B, and D focus on external factors (living situation, family stress, and impending fatherhood) that can be addressed once the individual's self-identity is better understood. Prioritizing self-discovery and self-acceptance can lead to more effective coping mechanisms and decision-making skills for handling other stressors.