ATI RN
ATI Fundamentals Proctored Exam 2024
1. For abdominal inspection, in which of the following positions should a patient be placed?
- A. Prone
- B. Trendelenburg
- C. Supine
- D. Side-lying
Correct answer: C
Rationale: The supine position is ideal for abdominal inspection as it allows the healthcare provider to easily access and examine the abdomen. In the supine position, the patient lies flat on their back with arms at their sides, providing a clear view and access to the abdominal area for inspection.
2. Marissa wants to study people's emotional reactions to increases in temperature. Her classmate, Bernard, tells her that she should focus on observable behaviors rather than internal states in her study. Bernard's views are most similar to those found in?
- A. The psychodynamic perspective.
- B. The evolutionary perspective.
- C. The behavioral perspective.
- D. The biological perspective.
Correct answer: C
Rationale: Bernard's advice to focus on observable behaviors aligns with the behavioral perspective. Behaviorists emphasize studying external actions rather than internal states to understand human behavior. The psychodynamic perspective (Choice A) focuses on unconscious processes, the evolutionary perspective (Choice B) on adaptation and natural selection, and the biological perspective (Choice D) on the biological underpinnings of behavior, making them less similar to Bernard's suggestion.
3. A patient is receiving a blood transfusion and develops chills, a headache, and low back pain. What is the nurse’s priority action?
- A. Administer acetaminophen
- B. Stop the transfusion
- C. Slow the transfusion rate
- D. Administer antihistamines
Correct answer: B
Rationale: The correct answer is to stop the transfusion (Choice B). The symptoms described - chills, headache, and low back pain - are indicative of a transfusion reaction. The priority action is to immediately stop the transfusion to prevent further complications such as more severe reactions like hemolytic reactions or anaphylaxis. Administering acetaminophen (Choice A) may help with symptoms but does not address the underlying cause. Slowing the transfusion rate (Choice C) may not be sufficient if a serious transfusion reaction is occurring. Administering antihistamines (Choice D) is not the priority in this situation; stopping the transfusion takes precedence to ensure patient safety.
4. Phenytoin is an antiarrhythmic and anticonvulsant that has an unlabeled use for:
- A. Headaches
- B. Cold remedy
- C. Neuropathic pain
- D. Antianxiety
Correct answer: C
Rationale: Phenytoin, an antiarrhythmic and anticonvulsant medication, is also used off-label for treating neuropathic pain. While its primary indications are for managing heart rhythm disorders and seizures, it has shown efficacy in managing neuropathic pain, expanding its clinical utility. Choices A, B, and D are incorrect as phenytoin is not commonly used for headaches, cold remedies, or antianxiety purposes.
5. Which of the following categories identifies the focus of community/public health nursing practice?
- A. Promoting and maintaining the health of populations and preventing and minimizing the progress of disease
- B. Rehabilitation and restorative services
- C. Adaptation of hospital care to the home environment
- D. Hospice care delivery
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.