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ATI FUNDAMENTALS PROCTORED FINAL EXAM
NEWEST 2024 TEST BANK COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
a nurse is performing an admission assessment for a client who has
asthma and several food allergies. Which of the following actions should
the nurse take first?
a) document the clients food allergies
b) ask the client to identify the specific food allergies
c) monitor the client for signs of anaphylaxis
d) have epinephrine available for administration - ANSWER- b) ask the
client to identify the specific food allergies
Rationale; The nurse should apply the nursing process priority-
setting framework in order to plan client care and prioritize nursing
actions. Each step the nursing process builds on the previous steps
beginning with an assessment or data collection, before the nurse
can formulate a plan of action implement a nursing intervention or
notify the provider of a change in the client status. the nurse must
first collect adequate data from the client assessing or collecting
additional data will provide the nurse with the knowledge to make
an appropriate decision. Therefore the nurse should first assess the
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client's allergies and identify specific allergens to ensure the specific
foods are not ordered to the client during meals
The nurse is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ANSWER- B) A
Rationale; lactating woman nursing her 3-day-old infantA lactating
woman (B) has the greatest need for additional protein intake. (A,
C, and D) are all conditions that require protein, but do not have the
increased metabolic protein demands of lactation
A nurse is assessing a client's thyroid gland. Which of the following
instructions should the nurse give to the client before inspecting and
palpating this gland?
a) "tilt your head slightly forward"
b) "keep your head straight and look ahead of you"
c) "tilt your head back and swallow"
d) "turn your head to the side against my hand" - ANSWER- c) "tilt your
head back and swallow"
Rationale; to examine the thyroid gland the nurse should instruct
the client to extend her head backward into swallow the nurse
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should be able to feel the thyroid gland is ascend as the client
swallows in observe any enlargement of the gland
- to palpate the supraclavicular lymph nodes, the nurse should
instruct the client to tilt her head forward and relax their shoulders
- to palpate the trachea for any deviation to the side, the nurse
should instruct the client to keep her head in an erect neutral
position
- to evaluate the strength of the neck muscles the nurse should place
a hand on the side of the clients head and ask her to turn her head
against the resistance of the hand then there should then repeat this
step on the other side of the client said (ROM)
A nurse is talking with a client whose provider recently informed him of
terminal pancreatic cancer. When the client reports that he understands
the full impact of this diagnosis, the nurse identifies that the client is in
which of the following stages of dying?
a) anger
b) bargaining
c) depression
d) acceptance - ANSWER- c) depression
Rationale; during this stage of depression, the client has realized the
full impact of the loss in might express hopelessness and despair
- anger: during the stage of anger the client shows resistance or
blames other people, a higher power, or the situation
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- bargaining: stalls awareness of the loss by trying to keep it from
occurring
- acceptance: integrate the loss (ex. by making final arrangements)
A nurse is planning care for a young adult client has a terminal illness.
Which of the following concepts for death should nurse considered for
this client?
a) death is unacceptable under any circumstances
b) magical thinking helps avoid thoughts of death
c) death is viewed as an interruption of what might have been
d) that is a natural consequence of the age appearance trading body -
ANSWER- c) death is viewed as an interruption of what might have
been
Rationale; young adults tend to see a whole life ahead of them so
that is often seen as an interesting that lies young adults do not
typically welcome death at this time
- a) adolescents tend to reject the end of life especially their own
- b) preschoolers tend to avoid thoughts of death by employing
magical thinking
- d) accepting the deterioration of the body is more likely among
older adults, some of them might consider that relief from a chronic
or terminal illness
ATI FUNDAMENTALS PROCTORED FINAL EXAM
NEWEST 2024 TEST BANK COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
a nurse is performing an admission assessment for a client who has
asthma and several food allergies. Which of the following actions should
the nurse take first?
a) document the clients food allergies
b) ask the client to identify the specific food allergies
c) monitor the client for signs of anaphylaxis
d) have epinephrine available for administration - ANSWER- b) ask the
client to identify the specific food allergies
Rationale; The nurse should apply the nursing process priority-
setting framework in order to plan client care and prioritize nursing
actions. Each step the nursing process builds on the previous steps
beginning with an assessment or data collection, before the nurse
can formulate a plan of action implement a nursing intervention or
notify the provider of a change in the client status. the nurse must
first collect adequate data from the client assessing or collecting
additional data will provide the nurse with the knowledge to make
an appropriate decision. Therefore the nurse should first assess the
,2|Page
client's allergies and identify specific allergens to ensure the specific
foods are not ordered to the client during meals
The nurse is assessing the nutritional status of several clients. Which
client has the greatest nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. - ANSWER- B) A
Rationale; lactating woman nursing her 3-day-old infantA lactating
woman (B) has the greatest need for additional protein intake. (A,
C, and D) are all conditions that require protein, but do not have the
increased metabolic protein demands of lactation
A nurse is assessing a client's thyroid gland. Which of the following
instructions should the nurse give to the client before inspecting and
palpating this gland?
a) "tilt your head slightly forward"
b) "keep your head straight and look ahead of you"
c) "tilt your head back and swallow"
d) "turn your head to the side against my hand" - ANSWER- c) "tilt your
head back and swallow"
Rationale; to examine the thyroid gland the nurse should instruct
the client to extend her head backward into swallow the nurse
,3|Page
should be able to feel the thyroid gland is ascend as the client
swallows in observe any enlargement of the gland
- to palpate the supraclavicular lymph nodes, the nurse should
instruct the client to tilt her head forward and relax their shoulders
- to palpate the trachea for any deviation to the side, the nurse
should instruct the client to keep her head in an erect neutral
position
- to evaluate the strength of the neck muscles the nurse should place
a hand on the side of the clients head and ask her to turn her head
against the resistance of the hand then there should then repeat this
step on the other side of the client said (ROM)
A nurse is talking with a client whose provider recently informed him of
terminal pancreatic cancer. When the client reports that he understands
the full impact of this diagnosis, the nurse identifies that the client is in
which of the following stages of dying?
a) anger
b) bargaining
c) depression
d) acceptance - ANSWER- c) depression
Rationale; during this stage of depression, the client has realized the
full impact of the loss in might express hopelessness and despair
- anger: during the stage of anger the client shows resistance or
blames other people, a higher power, or the situation
, 4|Page
- bargaining: stalls awareness of the loss by trying to keep it from
occurring
- acceptance: integrate the loss (ex. by making final arrangements)
A nurse is planning care for a young adult client has a terminal illness.
Which of the following concepts for death should nurse considered for
this client?
a) death is unacceptable under any circumstances
b) magical thinking helps avoid thoughts of death
c) death is viewed as an interruption of what might have been
d) that is a natural consequence of the age appearance trading body -
ANSWER- c) death is viewed as an interruption of what might have
been
Rationale; young adults tend to see a whole life ahead of them so
that is often seen as an interesting that lies young adults do not
typically welcome death at this time
- a) adolescents tend to reject the end of life especially their own
- b) preschoolers tend to avoid thoughts of death by employing
magical thinking
- d) accepting the deterioration of the body is more likely among
older adults, some of them might consider that relief from a chronic
or terminal illness
