ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 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: devoting a great deal of time to establishing occupation. Young adulthood is characterized by the development of a sense of identity and establishing oneself in a career. This behavior reflects Erikson's psychosocial stage of intimacy vs. isolation, where individuals focus on forming close relationships and finding their place in society.
Choices A, B, and D involve behaviors more typical of other life stages such as middle adulthood or late adulthood.
Choice A relates more to generativity vs. stagnation in middle adulthood, choice B is more typical of coping with losses in later adulthood, and choice D is characteristic of the sandwich generation in middle adulthood.
Question 2 of 5
Nurse is receiving provider prescription by phone for morphine for client who is reporting moderate to severe pain. Which of the following actions are appropriate? (Select all that apply.)
Correct Answer: A, B, C
Rationale: The correct actions are A, B, and C.
A: Repeating details of the prescription back to the provider ensures accuracy and reduces errors.
B: Having another nurse listen to the phone prescription provides a second verification to prevent mistakes.
C: Obtaining the prescriber's signature on the prescription within 24 hours is necessary for documentation and legal purposes.
Incorrect choices:
D: Declining the verbal prescription is inappropriate as it is essential for managing the client's pain promptly.
E: Informing the charge nurse about the prescription is not necessary as the immediate focus should be on accurately receiving and documenting the prescription.
Question 3 of 5
Nurse caring for 19 yo client who is sexually active & has come to college health clinic for first time for checkup. Which intervention should nurse perform to determine client's health promotion & disease prevention?
Correct Answer: C
Rationale: The correct answer is C: Determine client's risk factors. This is crucial to assess the client's current health status, identify potential health risks, and develop a personalized health promotion plan. By understanding the client's risk factors such as sexual behaviors, substance use, family history, and lifestyle habits, the nurse can tailor education and interventions to promote health and prevent diseases specific to the client's needs.
A: Measuring vital signs is important but does not directly address health promotion and disease prevention strategies in this context.
B: Encouraging HIV screening is important, but it focuses on a specific test rather than a comprehensive assessment of risk factors.
D: Instructing the client to use condoms is a good preventive measure, but determining risk factors provides a broader picture for a more comprehensive approach.
Question 4 of 5
Nurse in clinic caring for 21 yo client who reports sore throat. Client tells nurse he hasn't seen a doctor since high school. Which health screening should nurse expect provider to perform for this client?
Correct Answer: A
Rationale: The correct answer is A: Testicular exam. This is because the client is a 21-year-old male, and testicular cancer is most common in younger men. The provider would likely perform a testicular exam to screen for any abnormalities. Blood glucose (
B) is more relevant for diabetes screening, which is not indicated based on the client's sore throat complaint. Fecal occult blood (
C) is used to screen for colon cancer, which is not age-appropriate for a 21-year-old. Prostate-specific antigen (
D) screening is typically done for older men to detect prostate cancer.
Question 5 of 5
Nurse educator conducting parenting class for new parents. Which statement made by participant indicates need for further teaching?
Correct Answer: B
Rationale: The correct answer is B: "Once my baby can sit up, he should be safe in the bathtub." This statement indicates a need for further teaching because infants can easily slip and drown in even a few inches of water, so they should never be left unattended in the bathtub even when they can sit up. This statement overlooks the importance of constant supervision during bath time.
Other choices are incorrect because:
A: Starting swimming lessons when the baby can close her mouth under water is not recommended for infants.
C: Testing the water temperature before placing the baby in the bath is a good practice.
D: Removing the mobile from over the bed once the infant starts to push up is a safety measure to prevent accidents.