ATI Fundamentals Proctored Exam Study Guide 3 -Nurselytic

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ATI Fundamentals Proctored Exam Study Guide 3 Questions

Extract:


Question 1 of 5

Nurse transferring a client from an acute-care hospital to a rehab facility. Which of the following info about the client should the nurse include in the transfer report? (Select all that apply.)

Correct Answer: A,C,D

Rationale: The correct answers are A, C, and D. A - Alert and oriented status is important for the rehab facility to know the client's mental status. C - Shellfish allergy is critical information to prevent allergic reactions. D - Knowing the client's request for morphine every 4 hours is essential for appropriate pain management. B - Refusing to eat spinach is not crucial for the transfer report. E - Missing cats is not pertinent medical information for the rehab facility.

Question 2 of 5

Nurse reviewing CDC's immunization recommendations with middle adult. Which should nurse include in this discussion?

Correct Answer: B, C, E

Rationale: The correct choices (B, C, E) are essential immunizations for middle adults based on CDC recommendations. Varicella vaccine protects against chickenpox, herpes zoster vaccine against shingles, and seasonal influenza vaccine against flu. Middle-aged adults are at increased risk for these diseases, hence discussing these vaccines is crucial. Option A (Haemophilus influenzae type b) is not typically recommended for middle-aged adults. Option D (HPV) is important but typically recommended for younger individuals.
Therefore, it is not a priority for middle adults.

Question 3 of 5

Nurse talking with parents of 6 mo infant about gross motor development. Which gross motor skills are expected in next 3 mo? (Select all that apply.)

Correct Answer: A,B,D

Rationale: The correct answers are A, B, and D. At 6 months, typical gross motor development includes rolling from back to front (
A), bearing weight on legs (
B), and sitting unsupported (
D). Rolling helps strengthen core muscles and coordination. Bearing weight on legs is a precursor to standing and walking. Sitting unsupported demonstrates good head and trunk control.

Choices C and E are not typically expected by 9 months. Walking holding onto furniture (
C) usually occurs around 9-12 months, and sitting down from a standing position (E) is a more complex skill that emerges later.

Question 4 of 5

Nurse enters a client's room & finds him sitting in his chair. He states, 'I fell in the shower, but I got myself back up & into my chair.' How should nurse document this in client's chart?

Correct Answer: B

Rationale: The correct answer is B because it accurately reflects the client's statement and actions. By documenting that the client fell in the shower but was able to get back into the chair, the nurse captures the client's experience while also noting his ability to self-recover.
Choice A is incorrect because it does not mention the client's ability to get back up.
Choice C is incorrect as important information provided by the client should be documented.
Choice D is incorrect as it does not reflect the client's ability to get back up.

Question 5 of 5

Mother of 7 mo infant tells nurse that her baby has been fussy with occasional loose stools since she started feeding him fruits & veggies. Which responses by nurse are appropriate? (Select all that apply.)

Correct Answer: B,C,D

Rationale:
Correct Answer: B, C, D


Rationale:
B: Making a list of foods helps identify triggers for fussiness and loose stools.
C: Identifying if symptoms started after a specific food can pinpoint the issue.
D: Asking about vomiting helps assess if there's a more serious reaction to new foods.
Incorrect Answers:
A: Bananas can exacerbate loose stools due to their high fiber content.
E: Not all babies react with indigestion to new foods; it's not a general rule.

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