ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of the left lower extremity, which of the following instructions should the nurse provide? Select all.
Correct Answer: A, B, D
Rationale:
Correct Answer: A, B, D
Rationale:
A: Holding the cane on the right side helps provide support to the weaker left lower extremity, aiding balance and stability.
B: Keeping 2 points of support on the floor (cane and one leg) reduces the risk of falls and ensures proper weight distribution.
D: Moving the weaker leg forward after advancing the cane helps maintain balance and prevents overloading the injured extremity.
Summary:
C: Placing the cane 15 inches in front of the feet before advancing is incorrect as it may lead to overreaching and loss of balance.
E: Advancing the stronger leg to align with the cane may not provide adequate support to the weaker extremity.
F, G: The choices are left blank as they are not applicable to the question or do not contribute to promoting safe cane use for the client.
Question 2 of 5
A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable & infectious diseases. Which of the following illustrate the rationale for reporting? Select all.
Correct Answer: A, B, C, E
Rationale: The correct answers are A, B, C, and E. Reporting communicable & infectious diseases is crucial for planning and evaluating control & prevention strategies to contain the spread of the disease. It helps determine public health priorities by allocating resources accordingly. Reporting also ensures proper medical treatment for affected individuals to prevent complications and further transmission. Additionally, monitoring for common-source outbreaks allows for timely intervention to prevent widespread infections.
Choices D, F, and G are incorrect as they do not directly relate to the rationale for reporting communicable & infectious diseases.
Question 3 of 5
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?
Correct Answer: D
Rationale: The correct answer is D: Lower the enema fluid container. Lowering the enema fluid container helps regulate the flow rate and reduce the pressure on the client's abdomen, alleviating cramping. Holding the breath (
A) may increase intra-abdominal pressure, exacerbating cramping. Discontinuing the fluid instillation (
B) without addressing the cause of cramping can lead to incomplete cleansing. Reminding the client that cramping is common (
C) does not address the discomfort and may not provide relief. Lowering the container (
D) is the most appropriate intervention to manage cramping during the enema administration.
Question 4 of 5
A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? Select all.
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Wearing a mask within 3 ft of the client helps prevent the spread of pertussis through respiratory droplets.
C: Placing a surgical mask on the client during transportation helps contain respiratory secretions and prevent transmission.
E: Wearing a gown during care involving secretions protects the nurse from potential contamination.
Incorrect
Choices:
A: Negative air pressure isn't necessary for pertussis; it's more for airborne diseases like TB.
D: Sterile gloves are not required for handling soiled linens unless there is a specific infection control protocol in place.
Question 5 of 5
A nurse is assessing the pain level of a client who has come to the ER reporting severe abdominal pain. The nurse asks the client whether he has nausea & has been vomiting. The nurse is assessing which of the following?
Correct Answer: A
Rationale: The correct answer is A: Presence of associated symptoms. This is because asking about nausea and vomiting helps the nurse understand if the abdominal pain may be related to gastrointestinal issues or other underlying conditions. This information provides important context for the assessment and can guide further evaluation and treatment.
Summary of other choices:
B: Location of the pain - While important, knowing the location alone does not provide insight into potential causes or severity.
C: Pain quality - Important for understanding the nature of pain but does not specifically address associated symptoms.
D: Aggravating & relieving factors - Relevant for understanding pain triggers but does not directly address associated symptoms.