ATI RN
ATI Fundamentals Proctored Exam 2023-2024 with NGN Questions
Extract:
Question 1 of 5
The patient has been in bed for several days and needs to be ambulated. Which action will the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to dangle at the bedside. This is the first step in ambulating a patient who has been in bed for several days. Dangling helps prevent postural hypotension by allowing the patient's body to adjust gradually to an upright position. Maintaining a narrow base of support (
A) is important during ambulation but comes after dangling. Isometric exercises (
C) and suggesting a high-calcium diet (
D) are not immediate actions needed for ambulation.
Question 2 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 (renal calculi) due to increased levels of calcium in the blood being excreted by the kidneys. The nurse should monitor for signs and symptoms of renal colic, such as severe flank pain, hematuria, and urinary urgency.
Incorrect choices:
A: Hypostatic pneumonia - Hypercalcemia does not directly lead to pneumonia.
C: Pressure ulcers - Hypercalcemia does not increase the risk of pressure ulcers.
D: Thrombus formation - While hypercalcemia can predispose to blood clot formation, it is not the most closely monitored condition in this scenario.
Question 3 of 5
A nurse is caring for an immobile patient. Which metabolic alteration will the nurse monitor for in this patient?
Correct Answer: D
Rationale: The correct answer is D: Altered nutrient metabolism. Immobility can lead to changes in nutrient metabolism due to decreased physical activity and muscle mass. The body may start breaking down muscle tissue for energy, leading to altered nutrient metabolism.
A: Increased appetite is not directly related to immobility and is unlikely to be a metabolic alteration seen in this patient.
B: Increased diarrhea is more likely related to gastrointestinal issues rather than a direct metabolic alteration due to immobility.
C: Increased metabolic rate is unlikely in an immobile patient as physical activity is decreased.
Therefore, D is the correct choice as it directly relates to the metabolic changes associated with immobility.
Question 4 of 5
A nurse is preparing a care plan for a patient who is immobile. Which psychosocial aspect will the nurse consider?
Correct Answer: D
Rationale: The correct answer is D: Loss of hope. When a patient is immobile, they may experience feelings of hopelessness, leading to negative psychosocial impacts. The nurse must address this aspect in the care plan to promote the patient's mental well-being. Loss of bone mass (
A), loss of strength (
B), and loss of weight (
C) are physical aspects related to immobility, not psychosocial. These factors are important but do not directly address the patient's emotional state. It is crucial for the nurse to focus on the psychosocial well-being of the patient to provide holistic care.
Question 5 of 5
A nursing instructor is reviewing documentation with students. Which of the following legal guidelines should they follow when documenting in a client record?
Correct Answer: B,C
Rationale: The correct answers are B and C. Putting date and time on all entries ensures accuracy and accountability. Documenting objective data maintains professionalism and avoids subjective bias.
Choice A is incorrect as it can be considered tampering with records.
Choice D is incorrect as opinions should be avoided for objectivity.
Choice E is incorrect as excessive abbreviations can lead to misinterpretation.