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

Nursing instructor reviewing documentation with students. Which of the following legal guidelines should they follow when documenting in client record? (Select all that apply.)

Correct Answer: B, C

Rationale:
Correct Answer: B, C

Rationale:
1. Putting date & time on all entries ensures accurate tracking of events.
2. Documenting objective data maintains professionalism & avoids subjective bias.
Summary:
A: Covering errors is unethical & can lead to legal issues.
D: Excessive abbreviations can lead to misinterpretation & errors.
E: Waiting to document can lead to inaccuracies & jeopardize patient care.

Question 2 of 5

Nurse is talking with 45 yo client with no specific family hx of cancer or DM, about planning routine screenings. Which client statement indicates client understands how to proceed?

Correct Answer: B

Rationale:
Correct Answer: B


Rationale: The correct answer is B because the client understands the importance of continuing to have a mammogram each year. This shows good knowledge of routine screening practices for early detection of breast cancer.


Choice A: Incorrect. The client should have a colon cancer screening procedure as recommended by guidelines, not wait 2-3 years.


Choice C: Incorrect. Annual pap smears are recommended, so the client should come back annually, not just next year.


Choice D: Incorrect. Annual blood glucose testing is recommended for early detection of diabetes, so the client should have it done each year.

In summary, choice B is correct as it aligns with recommended screening guidelines, while the other choices do not demonstrate an understanding of routine screening practices.

Question 3 of 5

Nurse manager of med-surg unit is assigning care responsibilities for oncoming shift. Client is awaiting transfer back to unit from PACU following thoracic surgery. To which staff member should nurse assign to this client?

Correct Answer: B

Rationale: The correct answer is B: RN. A registered nurse (RN) is the most suitable staff member to care for a client awaiting transfer from PACU after thoracic surgery due to their advanced training and skills in managing complex post-surgical care. RNs are trained to assess, monitor, and provide specialized care to patients with critical needs, such as those recovering from surgery. The charge nurse (choice
A) may have administrative duties and may not be available to provide direct patient care. LPNs (choice
C) have a more limited scope of practice compared to RNs and may not have the necessary skills to care for a post-thoracic surgery patient. Assistive personnel (AP) (choice
D) are not qualified to provide the level of care and monitoring required for a patient in this condition.

Question 4 of 5

Nurse counseling middle adult who describes having difficulty with many issues. Which problem should nurse identify as priority for more assessment & intervention?

Correct Answer: B

Rationale: The correct answer is B because the client's difficulty with intimate relationships can significantly impact their mental health and overall well-being. Establishing intimate connections is crucial for emotional fulfillment and social support. The nurse should assess the client's past experiences, beliefs, and current challenges in forming intimate relationships to provide appropriate interventions. Option A focuses on accepting aging parents, which is important but may not be as pressing as the client's struggles with intimacy. Options C and D involve personal values and family dynamics, respectively, which are significant but not as immediate as addressing intimate relationship issues.

Question 5 of 5

Home health nurse is discussing dangers of food poisoning with client. Which info should nurse include in counseling? (Select all that apply.)

Correct Answer: B,C,E

Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals are at higher risk for severe complications from food poisoning due to weakened immune systems.
C: Clients at higher risk should consume only pasteurized dairy products to reduce the risk of foodborne illnesses.
E: Separating raw and fresh foods helps prevent cross-contamination, which can lead to food poisoning.
Incorrect choices:
A: Most food poisoning is caused by bacteria, not viruses.
D: Healthy individuals usually recover within a few days, not weeks.
In summary, immunocompromised individuals should avoid unpasteurized dairy, and proper food handling can prevent food poisoning.

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