ATI PN FUNDAMENTALS PROCTORED 2023 ACTUAL EXAM ALL 60 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI PN FUNDAMENTALS PROCTORED 2023 ACTUAL EXAM

ALL 60 QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS) |ALREADY

GRADED A+

A nurse is using the Braden scale to predict the pressure-ulcer risk for a client in a

long-term care facility. Using this scale, which of the following parameters should

the nurse evaluate?

1. incontinence

2. mental state

3. nutrition

4. general physical condition - ANSWER- Nutrition ; nutrition, sensory perception,

moisture, activity, mobility, and friction and shear are the parameters of the Braden

scale for determining a client's risk for developing pressure ulcers. Incontinence,

mental state, and general physical condition are parameters on the Norton scale.

A nurse is caring for a client who is immobile. The nurse should recognize that

immobility places the client at risk for which of the following health alterations?

1. increased intestinal motility

2. respiratory alkalosis

3. decreased cardiac output

4. hypocalcemia - ANSWER- Decreased cardiac output ; with immobility, the

heart rate increases to compensate for increased venous pooling. Hypoventilation

will lead to CO2 retention and respiratory acidosis.

A nurse is reinforcing teaching with an older adult client who has constipation.

Which of the following statements should the nurse include in the teaching?

1. Drink minimum 1L of fluid daily

2. increase your intake of refined-fiber foods

3. sit on the toilet 30 minutes after eating a meal

4. take a laxative every day to maintain regularity - ANSWER- Sit on the toilet 30

min after eating a meal ; increased peristalsis occurs after food enters the stomach.

This is a recommended method of bowel retraining to treat constipation. Consume

at least 1.5L of fluid. Increase consumption of coarse fiber and whole grains.

A nurse is caring for a client who has peripheral edema. The nurse should identify

that which of the following nutrients regulates extracellular fluid volume?

1. sodium

2. calcium

3. potassium

4. magnesium - ANSWER- Sodium ; regulates extracellular fluid balance as well

as nerve impulse transmission, acid-base balance.

A nurse is caring for a client who has xerostomia with a lack of saliva. The nurse

should identify that which of the following nutrients will be affected by the lack of

salivary amylase?

1. fat

2. protein

3. starch

4. fiber - ANSWER- Starch ; majority of starch breakdown occurs in the small

intestine with pancreatic amylase. Lipase breaks down fats. Pepsin breaks down

proteins.

A nurse is caring for a client who has a deficiency in vitamin D. Which of the

following foods should the nurse recommend the client include in his diet?

1. whole milk

2. chicken

3. oranges

4. dried peas - ANSWER- Whole milk ; it is often fortified with vitamin D and

contains vitamins A and K. Chicken contains many of the B complex vitamins.

Oranges are a good source of vitamin C.

A nurse is planning to administer diphenhydramine hydrochloride to an older

adults client. Which of the following actions should the nurse take prior to

administration?

1. review the client's medical record for a history of glaucoma

2. plan to administer medication 30 minutes before a meal

3. explain that he will need to restrict his fluid intake

4. remind the client that his appetite might increase when starting the medications -

ANSWER- Review the client's medical record for a history of glaucoma ;

diphenhydramine is contraindicated for clients who have narrow-angle glaucoma.

The client should increase fluid intake. Anorexia, nausea, and vomiting are GI

adverse effects of this medication.

A nurse is caring for an older adult client who has a hip fracture and is rating his

pain 8/10. Which of the following medications should the nurse administer?

1. capsaicin topical gel

2. oxycodone/acetaminophen

3. celecoxib

4. aspirin - ANSWER- Oxycodone/acetaminophen ; this is a combination of an

opioid and nonopioid analgesic for severe pain. Monitor for adverse effects such as

respiratory depression.

A nurse is caring for a client who has aphasia following a stroke. Which of the

following actions should the nurse take?

1. present a single idea in a sentence

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