ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
Nurse reviewing CDC's immunization recommendations for young adult. Which should nurse include in this discussion? (Select all that apply.)
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. The nurse should include HPV, measles, mumps, rubella, and varicella in the discussion as these are recommended immunizations for young adults by the CDC. HPV vaccination helps prevent certain types of cancers and genital warts. Measles, mumps, and rubella vaccines protect against highly contagious diseases. Varicella vaccine prevents chickenpox.
Choices D, E, F, and G are incorrect. Haemophilus influenzae type b and polio vaccines are typically given during infancy and childhood, not young adulthood. The options F and G are incomplete.
Question 2 of 5
Nurse cautioning mother of 8 mo infant about safety. Which statement by mother indicates understanding of safety for infant?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Crib gyms can pose a suffocation risk for infants, so removing it shows understanding of safety.
2. Soft mattresses increase the risk of Sudden Infant Death Syndrome.
3. Fluffy pillows pose suffocation hazard; infants should sleep on a firm, flat surface.
4. Child-safety gates should not fold like accordions as they can trap fingers.
Summary:
B and C pose suffocation risks. D is incorrect as accordion-style gates can be hazardous. A demonstrates understanding of infant safety by removing the crib gym.
Question 3 of 5
Nurse reviewing CDC's immunization recommendations with parents of 2 preschoolers. Which recommendations should nurse include in this discussion? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct recommendations to include are Varicella (
B), Polio (
C), and Seasonal influenza (E). Varicella vaccination prevents chickenpox, a common childhood illness. Polio vaccination is crucial to prevent the spread of polio, a highly contagious disease that can cause paralysis. Seasonal influenza vaccination is recommended to protect against the flu, which can be severe in young children. Haemophilus influenzae type b (
A) is typically given in infancy, not preschool years. Hepatitis A (
D) is recommended for older children and high-risk groups, not necessarily preschoolers.
Question 4 of 5
An RN is making assignments for client care to an LPN at the beginning of shift. Which of the following assignments should the LPN question?
Correct Answer: D
Rationale: The LPN should question replacing cartridge & tubing on PCA pump (
Choice
D) because this task involves manipulating the patient's medication delivery system, which is beyond the LPN's scope of practice. LPNs are not trained to handle complex medication administration devices like PCA pumps, as this requires a higher level of knowledge and skill typically reserved for RNs. The LPN should advocate for clarification from the RN or delegate this task to someone with the appropriate training.
Choices A, B, and C are within the LPN's scope of practice and do not require specialized training like manipulating a PCA pump.
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.