ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse reviewing car seat safety with parents of 1 mo infant. When reviewing this, which instructions should nurse include?
Correct Answer: B
Rationale:
Correct Answer: B. Position car seat so that infant is rear-facing.
Rationale: Rear-facing position is safest for infants as it provides better support for their head, neck, and spine in case of sudden stops or crashes. This position reduces the risk of injury and is recommended by safety experts. It is crucial for the nurse to emphasize this to ensure the infant's safety.
Summary of other choices:
A: Using a car seat with a 3-point harness may not be the best choice as it may not provide optimal protection for the infant.
C: Placing the car seat in the front passenger seat is not recommended as it can be dangerous due to airbag deployment in case of a crash.
D: Putting soft padding behind the infant's back and neck is not recommended as it can interfere with the proper fit and functionality of the car seat, potentially compromising the infant's safety.
Question 2 of 5
Nursing instructor is reviewing steps of nursing process with group of students. Students should identify which of following data as objective? (Select all that apply.)
Correct Answer: A, D, E, F
Rationale: The correct answers are A, D, E, and F because they all represent objective data in the nursing process. Objective data are observable and measurable information that can be verified by multiple people.
A: Respiratory rate of 22/min with even, unlabored respirations is measurable and observable.
D: Skin pink, warm, dry - skin condition can be visually assessed and documented.
E: Urine output 300 mL/8 hr is quantifiable and measurable.
F: Dressing clean, dry, intact - the condition of the dressing is observable.
The incorrect choices are B and C because they represent subjective data, which are based on the patient's feelings or experiences and cannot be objectively measured or observed by others.
Question 3 of 5
Nurse reviewing CDC's immunization recommendations for young adult. Which should nurse include in this discussion?
Correct Answer: A, B, C
Rationale: The correct answer includes HPV, measles, mumps, rubella, and varicella vaccines. HPV is recommended for young adults to prevent certain cancers. Measles, mumps, rubella, and varicella vaccines protect against highly contagious diseases. Haemophilus influenzae type b and polio vaccines are usually given during infancy and are not typically included in recommendations for young adults.
Question 4 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 stress about starting a family indicates a significant emotional burden that may require immediate attention. This statement implies potential anxiety, fear, and uncertainty about future responsibilities. Addressing this issue is crucial to prevent negative outcomes like depression, relationship strain, or poor decision-making regarding family planning.
Choices A, B, D, and E are important concerns, but they do not directly indicate immediate distress or potential harm as much as the fear and stress related to starting a family.
Question 5 of 5
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client with dementia. Which component is the priority to determine from their family?
Correct Answer: D
Rationale: The correct answer is D: Any difficulty swallowing. This is the priority component to determine because individuals with dementia are at higher risk of dysphagia, which can lead to aspiration pneumonia. Identifying any swallowing difficulties early on can help prevent complications and ensure appropriate dietary modifications are made.
A: BMI is important, but not the priority as immediate concerns related to swallowing should be addressed first.
B: Usual times for meals/snacks are important for establishing a routine, but not as critical as identifying swallowing issues.
C: Favorite foods are relevant for providing patient-centered care, but not as urgent as assessing swallowing function.