ATI RN
ATI Fundamentals Proctored Exam 2024
1. A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?
- A. Encourage the patient to walk in the hall alone
- B. Discourage the patient from walking in the hall for a few more days
- C. Accompany the patient for his walk
- D. Consult a physical therapist before allowing the patient to ambulate
Correct answer: C
Rationale: Accompanying the patient for his walk is the appropriate nursing intervention in this scenario to ensure his safety during his first ambulation. This allows the nurse to provide immediate assistance if needed and ensures the patient's well-being during this critical postoperative period.
2. Which of the following is NOT an example of clinical manifestations of leukemia and lymphoma?
- A. Fatigue
- B. Increased risk of bleeding
- C. Increased risk of infections
- D. Increased energy and strength
Correct answer: D
Rationale: The correct answer is D: Increased energy and strength. Leukemia and lymphoma typically present with symptoms such as fatigue, weakness, increased risk of bleeding, and increased risk of infections. Patients with these conditions often experience a lack of energy and strength due to the disease's impact on the body. Therefore, increased energy and strength are not typical manifestations of leukemia and lymphoma.
3. Which of the following is NOT an example of public health services?
- A. Control of communicable diseases
- B. Environmental sanitation
- C. Hospital management
- D. Health education
Correct answer: C
Rationale: Public health services focus on promoting and protecting the health of communities. Control of communicable diseases, environmental sanitation, and health education directly impact the overall well-being of populations. However, hospital management is typically associated with the administration and operations of healthcare facilities rather than public health initiatives.
4. A nurse is planning care for a client who had gastric bypass surgery 1 week ago and has signs of early dumping syndrome. Which of the following findings should the nurse expect?
- A. Facial flushing
- B. Syncope
- C. Diaphoresis
- D. Bradycardia
Correct answer: A
Rationale: Facial flushing is a common symptom of early dumping syndrome, which occurs when food moves too quickly into the small intestine. This rapid movement triggers the release of vasoactive peptides causing vasodilation, leading to facial flushing. Syncope (choice B) is not a typical finding in early dumping syndrome. Diaphoresis (choice C) and bradycardia (choice D) are also not characteristic symptoms of early dumping syndrome.
5. When a nurse signs a consent form, which ethical principle is being observed regarding the patient?
- A. Autonomy
- B. Justice
- C. Accountability
- D. Beneficence
Correct answer: A
Rationale: The correct answer is 'Autonomy'. Autonomy refers to the patient's right to make their own decisions, which is being honored when a nurse signs a consent form. While beneficence (Choice D) is an important ethical principle that involves acting in the patient's best interest, it is not what is being primarily observed in this instance. Justice (Choice B) refers to fairness and equal treatment and is not specifically relevant to this scenario. Accountability (Choice C) pertains to being answerable for one's actions and decisions, but again, it is not the principle directly observed in this situation. Therefore, when a nurse signs a consent form, it is the principle of autonomy that is being observed.