NGN ATI PROCTORED FUNDAMENTALS EXAM 3
VERSIONS 2024 EXAM / NGN ATI FUNDAMENTALS
PROCTORED 300 EXAM QUESTIONS WITH 100%
CORRECT ANSWERS AND RATIONALE
... [Show More] /A+ GRADE
ASSURED
ATI FUNDAMENTALS VERSION 1
A nurse is caring for a client who will perform fecal occult blood
testing at home. Which of the following info should the nurse
include when explaining the procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated with water or urine -
...ANSWER...D.
The stool specimens cannot be contaminated with water or
urine
A nurse is talking w/a client who reports constipation. When the
nurse discusses dietary changes that can help prevent
constipation, which of the following foods should the nurse
recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice - ...ANSWER...B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past
4 days. When assessing the client, the nurse should expect
which of the following findings? Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema - ...ANSWER...B, C, D
RATIONALE: fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an
adult client in preparation for a diagnostic procedure. Which of
the following are appropriate steps for the nurse to take? Select
all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed
forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
- ...ANSWER...A, B, C
RATIONALE: -D is the appropriate length of insertion for a
child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible
painful distention of the colon, 18 inches is the recommended
height
While a nurse is administering a cleansing enema, the client
reports abdominal cramping. Which of the following is the
appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - ...ANSWER...D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for
3 hrs. Which of the following problems is the client at risk for
developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction - ...ANSWER...Answer: C
RATIONALE: Unrelieved pressure over a bony prominence for
too long increases the risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for a client who is on bed rest. Which of the
following interventions should the nurse implement to maintain
the patency of the client's airway?
A. Encourage isometric exercises
B. Suction Q8 hr
C. Give low-dose heparin
D. Promote incentive spirometer use - ...ANSWER...Answer: D.
it helps keep airways open and prevent atelectasis
A-this strengthens skeletal muscles
B-this is not indicated
C-helps prevent thrombus formation
A nurse is caring for a client who is postop. Which of the
following nursing interventions reduce the risk of thrombus
development? Select all.
A. Instruct the client not to use the Valsalva maneuver
B. Apply elastic stockings
C. Review lab values for total protein level
D. Place pillows under the client's knees & lower extremities
E. Assist the client to change position often - ...ANSWER...B, E
A nurse is instructing a postop client about the sequential
compression device the provider has prescribed. Which of the
following statements should indicate to the nurse that the client
understands the teaching?
A. "This device will keep me from getting sores on my skin."
B. "This thing will keep the blood pumping through my leg."
C. "With this thing on, my leg muscles won't get weak."
D. "This device is going to keep my joints in good shape." -
...ANSWER...B.
sequential pressure devices promote venous return in the deep
veins of the legs & thus help prevent thrombus formation
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.
A. Hold the cane on the right side
B. Keep 2 points of support on the floor
C. Place the cane 15in in front of the feet before advancing
D. After advancing the cane, move the weaker leg forward
E. Advance the stronger leg so that it aligns evenly w/the cane -
...ANSWER...A, B, D
RATIONALE: C-the client should place the cane 6-10 inches in
front before advancing not 15
E-the client should advance the stronger leg past the cane not
aligned w/it
A nurse is assessing the pain level of a client who has come to
the ER reporting severe abd. pain. The nurse asks the client
whether he has nausea & has been vomiting. The nurse is
assessing which of the following?
A. Presence of associated symptoms
B. Location of the pain
C. Pain quality
D. Aggravating & relieving factors - ...ANSWER...A.
this is a common symptom people have when experiencing [Show Less]