ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
The nurse is assessing a patient who reports a previous fall and is using the SPLATT acronym. Which questions will the nurse ask the patient? Select all that apply.
Correct Answer: A, B, C, D
Rationale: The correct answers are A, B, C, and D. These questions align with the SPLATT acronym, which stands for Symptoms, Previous similar events, Location, Activity, Time, and Trauma. Asking where the fall occurred (
A), what the patient was doing when they fell (
C), and what injuries occurred after the fall (
D) help the nurse assess the circumstances surrounding the fall. Knowing the time of the fall (
B) can provide information on potential contributing factors.
Choices E and F are incorrect as they do not directly address the key aspects of the SPLATT acronym related to the fall event. E focuses on post-fall actions, and F delves into the patient's medical problems rather than the fall itself.
Question 2 of 5
A nursing instructor is reviewing actions nurses can initiate without a provider's prescription. Which of the following are nurse-initiated?
Correct Answer: C,D,E
Rationale: The correct answers are C (Show client how to use progressive muscle relaxation), D (Perform daily bath after evening meal), and E (Re-position client every 2h to reduce pressure ulcer risk). These actions can be initiated by nurses without a provider's prescription as they fall within the scope of nursing practice.
Choice A involves administering medication, which typically requires a provider's prescription.
Choice B, inserting an NG tube, is an invasive procedure that requires a provider's order.
Choices C, D, and E are within the nurse's scope of practice to promote patient education, provide hygiene care, and implement preventive measures. Nurses can independently teach relaxation techniques, perform routine hygiene tasks, and re-position patients to prevent pressure ulcers. Thus, these choices are appropriate for nurse-initiated actions.
Question 3 of 5
Nurse admitting client with acute cholecystitis to med-surg unit. Which of the following actions are essential to admission procedure?
Correct Answer: A,B,C,E
Rationale: The correct answer is A, B, C, and E. A: Explaining roles of care staff helps establish trust. B: Starting discharge planning early ensures smooth transition. C: Providing info about advance directives respects client autonomy. E: Introducing the client to their roommate promotes a sense of community.
Choices D, F, and G are incorrect as they are not essential to the admission procedure for a client with acute cholecystitis.
Question 4 of 5
Nurse counseling young adult who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
Correct Answer: C
Rationale: The correct answer is C because the young adult expressing uncertainty about their own identity indicates a potential issue with self-awareness and self-esteem, which are foundational for healthy development. This can impact decision-making and overall well-being.
Choices A, B, and D focus on external factors (living situation, family stress, and impending fatherhood) that can be addressed once the individual's self-identity is better understood. Prioritizing self-discovery and self-acceptance can lead to more effective coping mechanisms and decision-making skills for handling other stressors.
Question 5 of 5
Nurse is caring for client with many risk factors for CV disease. When planning health promotion & disease prevention strategies for this client, which intervention should nurse include? (Select all that apply.)
Correct Answer: A,B,C,E
Rationale: The correct interventions are A, B, C, and E. A: Helping the client see the benefits of their actions can motivate them to engage in health-promoting behaviors. B: Identifying support systems can provide the client with necessary support to make lifestyle changes. C: Suggesting and recommending community resources can offer additional tools for disease prevention. E: Teaching stress management strategies is important as stress is a risk factor for CV disease.
Choices D, F, and G are incorrect as setting goals for the client should be a collaborative process involving the client, suggesting and recommending community resources can be more beneficial than devising goals for the client, and the question doesn't mention anything that would make choices F and G relevant.