ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
Nurse reviewing CDC's immunization recommendations with parents of adolescent. Which should nurse include in this discussion? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct choices are B (Varicella), D (HPV), and E (Seasonal influenza) because they are recommended immunizations for adolescents by the CDC. Varicella protects against chickenpox, HPV protects against certain types of cancer, and seasonal influenza helps prevent the flu. Rotavirus (
A) is typically given to infants, not adolescents. Herpes zoster (
C) is for older adults to prevent shingles. The empty choices (F and G) are not relevant to adolescent immunization discussions.
Question 3 of 5
A nurse reviews an immobilized patient's laboratory results and discovers hypercalcemia. Which condition will the nurse monitor for most closely in this patient?
Correct Answer: B
Rationale: The correct answer is B: Renal calculi. Hypercalcemia can lead to the formation of kidney stones due to excessive calcium in the blood being excreted by the kidneys. The nurse should monitor for signs and symptoms of renal calculi, such as flank pain, hematuria, and urinary urgency.
Incorrect
Choices:
A: Hypostatic pneumonia - Hypercalcemia does not directly predispose a patient to pneumonia.
C: Pressure ulcers - Hypercalcemia is not typically associated with an increased risk of pressure ulcers.
D: Thrombus formation - While hypercalcemia can affect blood clotting, it is not the primary concern in an immobilized patient with hypercalcemia.
Question 4 of 5
Nurse is reviewing safety precautions with group of young adults at community health fair. Which recommendations should nurse include specifically for this age group? (Select all that apply.)
Correct Answer: B,C,D
Rationale: The correct answers are B, C, and D. Young adults are more likely to engage in risky activities like skiing, hence wearing a helmet (
B) is crucial for head protection. Carbon monoxide exposure is a concern in any age group, so installing a detector (
C) is important. Young adults may have access to firearms, making it vital to secure them in a safe location (
D) to prevent accidents.
Choices A and E are more relevant for older adults to prevent falls, while F and G are not provided in the question.
Question 5 of 5
Nurse is caring for a client receiving enteral tube feedings due to dysphagia. Which bed position is appropriate for safe care of this client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's position. This position promotes proper digestion and reduces the risk of aspiration during enteral tube feedings by ensuring that the client's head is elevated at a 30-45 degree angle. This helps prevent reflux and aspiration of feeding into the lungs. Supine position (
A) can increase the risk of aspiration, semi-prone (
C) and Trendelenburg (
D) positions are not appropriate for enteral feedings as they do not provide the necessary elevation for safe feeding.