ATI Fundamentals Proctored Exam 2024 with rationales

ATI Fundamentals Proctored Exam 2024 with rationales 1) To ensure client safety a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is a nurse manager functioning? a. Case manager- they do no provide direct client care ,over see case load of clients b. Client educator c. Client advocate 2) A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?P .222 chapter 40 mobility and immobility a. Ankle-foot orthotic b. Continuous passive motion machine- range of motion prevents ankylosis ( permanant fixation of a joint ). c. Abduction splint d. Sequential compression device 3) A nurse is planning to use non formal logical pain methods for a client who reports still having mild back pain after receiving analgesia 1 hour ago. Which of the following actions should the nurse include in the plan? a. Apply an ice pack to the client's back for 1 hr.  Cold therapy = reduced inflammation & slows down nerve impulses  Heat therapy = stimulates blood flow & inhibits pain messages  Avoid long applications of either cold or heat b/c results in tissue damage b. Remove distractions from the client‟s room. c. Instruct the client to take deep rhythmic breaths. d. Encourage the client to apply a heating pad for 2 hr at a time.- 2 hours seems too long 4) A nurse on a medical-surgical unit is dividing care for four clients. The nurse should identify which of the following situations as an ethical dilemma? a. A client who has a new colostomy refuses to take instructions from the ostomy therapist because she “doesn't like him.” b. A surgeon who removed the wrong kidney during a surgical procedure refuses to take responsibility for her actions. c. The family of a client who has a terminal illness as the provider not to tell the client the diagnosis. d. A client who has Crohn's disease reports that his prescription drug plan will not pay for his medications. Rationale: ATI FUNDA pg. 11 it involves between two moral imperatives; answer will have a profound effect on the situation and the client. 5) A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the nurse place the client for postural drainage? a. Supine and low-Fowler's position b. Right lateral in Trendelenburg position c. Side lying with the right side of the chest elevated d. Prone with pillows under the extremities 6) A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching? a. “I should roll the NPH between my hands before drawing it up.”- it says ROLL so that makes sense , this would be wrong if it said SHAKE becasue that will break up the proteins. e. “I should wait 10 minutes after mixing the insulin to inject it.”- i believe it is up to 5 minutes but ima double check. f. “I should draw up the NPH insulin before the regular insulin.”- nope its clear to cloudy always so you must draw up regular beofre NPH g. “I should inject air into the vial of regular insulin first.”- nope, when doing clear to cloudy, you inject AIR into NPH first