{NGN} ATI PN FUNDAMENTALS PROCTORED EXAM 2024/400+QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES/PN FUNDAMENTALS PROCTORED EXAM 2024 -2025/100% VERIFIED/ALREADY GRADED A+/BRAND NEW!!! 1. A caregiver is planning to collect a stool specimen for ova and parasites from a client who hasdiarrhea. Which of the following actions should the caregiver take when collecting the specimen? A. Instruct the client to defecate into the toilet bowl Innacurate The caregiver should have the client defecate into a bedpan or a container for stoolcollection. The toilet water can dilute and contaminate the liquid specimen. B. Transfer the specimen to a sterile container Innacurate The caregiver should place the stool specimen in a clean container using a tonguedepressor. C. Refrigerate the collected specimen Innacurate The caregiver should send the collected stool specimen immediately to the laboratory after labeling the specimen properly to prevent contamination with microorganisms and keep thespecimen from getting cold. D. Place the stool specimen collection container in a biohazard bag RATIONALE :-The caregiver should place the specimen collection container in a biohazard bag with the client label on the container and the bag for easy identification. This will also prevent contaminationwith microorganisms. 2. A caregiver is caring for a client who has a tracheostomy and requires suctioning. Which of thefollowing actions should the caregiver take? A. Hyper oxygenate the client before suctioning RATIONALE :-The caregiver should use a manual resuscitation bag to hyper oxygenate the client for severalminutes prior to suctioning . B. Insert the catheter during exhalation Innacurate The caregiver should insert the catheter during inhalation C. Apply suction during insertion of the catheter Innacurate Applying suction while inserting the catheter increases the risk of damage to thetracheal mucosa and removes oxygen from the airways. D. Apply suction for no more than 15 secs Innacurate The caregiver should apply suction for no more than 10 seconds 3. A caregiver is providing teaching to a client regarding protein intake. Which of the followingfoods should the caregiver include as an example of an incomplete protein? A. Eggs Innacurate this is a complete protein, contains all of the essential amino acids necessary for the synthesis of protein in the body. B. Soybeans Innacurate this is a complete protein, contains all of the essential amino acids necessary for thesynthesis of protein in the body. C. Lentils RATIONALE :-Incomplete proteins are missing 1 or more of the essential amino acids necessary for the synthesis of protein in the body. Examples of incomplete proteins include lentils, vegetables,grains, nuts, and seeds. D. Yogurt Innacurate this is a complete protein, contains all of the essential amino acids necessary for thesynthesis of protein in the body. 4. A caregiver is caring for a client who was admitted to a long -term care facility for rehabilitationafter a total hip arthroplasty. At which of the following times should the caregiver begin discharge planning? A. One week prior to the client‟s discharge Innacurate Beginning to plan for the client‟s discharge a week prior to the event might not allow sufficient time for planning. The caregiver should begin discharge planning at the time of admission. B. Upon the client‟s admission to the care facility RATIONALE :-The caregiver should begin discharge planning at the time that the client is admitted to the facility. C. Once the discharge date is identified Innacurate Beginning to plan for the client‟s discharge once the discharge date is identified mightnot allow sufficient time for planning. The caregiver should begin discharge planning at the time of admission. D. When the client addresses the topic with the caregiver Innacurate Beginning to plan for the client‟s discharge once the discharge date is identified mightnot allow sufficient time for planning. The caregiver should begin discharge planning at the time of admission. 5. A caregiver is preparing to administer a cleansing enema to a client. Which of the followingactions should the caregiver plan to take? A. Insert the rectal tube 15.2 cm (6 in) Innacurate The caregiver should insert the rectal tube 7 to 10 cm (3 to 4 in) B. Wear sterile gloves to insert the tubing Innacurate The caregiver should wear clean (nonsterile) gloves to prevent contamination. C. Position the client on his left side RATIONALE :-Positioning is an important aspect of administering an enema. Having the client lie on his leftside facilitates the flow of the enema solution into the sigmoid and descending colon. D. Hold the solution bag 91 cm (36 inch) above the client‟s rectum Innacurate The caregiver should hold the solution bag 30 cm (12 in) above the client‟s rectum for alow enema and 45 cm (18 in) for a high enema. If the caregiver holds the solution bag too high, thesolution might run in too fast, causing discomfort and spasms that make retaining the enema more difficult. 5. A caregiver is caring for a client who has bilateral cats on her hands. Which of the followingactions should the caregiver take when assisting the client with feeding? A. Sit at the bedside when feeding the client RATIONALE :-The caregiver should avoid appearing to be in a hurry. Sitting at the bedside provides the client withthe caregiver ‟s full attention during the feeding B. Order pureed foods Innacurate Without any mouth or throat injuries that make chewing or swallowing difficult, the client should be served foods of an appropriate variety of textures. Pureed foods are for clients who cannot chew, have difficulty swallowing, or do not have teeth. C. Make sure feedings are provided at room temperature Innacurate The caregiver should ask the client if the food is the correct temperature D. Offer the client a drink of fluid after every bite Innacurate If the client is unable to communicate, the caregiver should offer the client fluids after every 3 or 4 mouthfuls. However, there is no indication that this client is unable to communicate.Therefore, the client should tell the caregiver when she would like a drink. 6. A caregiver is administering an IM injection to a 5-month -old infant. Which of the followinginjection sites should the caregiver use? A. Deltoid Innacurate The caregiver can use the deltoid muscle for injecting small volumes of medication forchildren 18 months of age or older, but its proximity to several nerves and arteries make it a riskier choice. B. Ventrogluteal Innacurate This is a safe site for IM injections for clients older than 7 months. C. Vastus lateralis RATIONALE :-The caregiver should use the vastus lateralis site over the anterior thigh for IM injections for infantsand children. D. Dorsogluteal Innacurate This site is unsafe to use because of its proximity to the sciatic nerve and the superiorgluteal nerve and artery. 7. A caregiver is caring for a client who has major fecal incontinence and reports irritation in theperianal area. Which of the following actions should the caregiver take first? A. Apply a fecal collection system Innacurate The caregiver should apply a fecal collection system to divert the feces away from thearea of skin irritation; however, there is another action the caregiver should take first. B. Apply a barrier cream Innacurate The caregiver should apply a barrier cream to decrease skin breakdown in the perianalarea from the feces; however, there is another action the caregiver should take first. C. Cleanse and dry the area Innacurate The caregiver should cleanse and dry the perianal area to decrease skin irritation;however, there is another action the caregiver should take first. D. Check the client‟s perineum RATIONALE :-The caregiver should apply the nursing process priority -setting framework to plan care and prioritize nursing actions. Each step of the nursing process builds on the previous step, beginningwith an assessment or data collection. Before the caregiver can formulate a plan of action, implementa nursing intervention, or notify a provider of a change in the client‟s status, the caregiver must first collect adequate data from the client. Assessing or collecting additional data will provide the caregiver with knowledge to make an appropriate decision. The priority nursing action is for the caregiver to collect more data by assessing the area of irritation. 9. A caregiver is caring for a client who is receiving IV therapy via a peripheral catheter. The caregiver should identify that which of the following findings is an indication of infiltration? A. Redness at the infusion site Innacurate Redness at the infusion site is an indication of phlebitis or infection. B. Edema at the infusion site RATIONALE :-Edema due to fluid entering subcutaneous tissue is an indication of infiltration . C. Warmth at the infusion site Innacurate Warmth at the infusion site is an indication of phlebitis or infection. D. Oozing of blood at the infusion site Innacurate Oozing of blood at the infusion site is an indication that the IV system is not intact. 10. A caregiver is caring for a client who reports not sleeping at night, which interferes with her ability to function during the day. Which of the following interventions should the caregiver suggestto this client? A. Avoid beverages that contain caffeine RATIONALE :-Caffeine is a stimulant. The caregiver should suggest that the client avoid caffeinated beverages. B. Take a sleep medication regularly at bedtime Innacurate Sleep -promoting medication is a last resort. The caregiver should not suggest this type ofmedication for the client before recommending other nonpharmacological interventions. C. Watch television for 30 minutes in bed to relax prior to falling asleep Innacurate Clients should associate going to bed with sleep. Therefore, the client should not getinto bed until she is sleepy. D. Advise the client to take several naps during the day Innacurate Napping in the daytime can prevent sound sleep at night 11. A caregiver is conducting an admission interview with a client. Which of the following pieces ofassessment information should the caregiver collect during the introductory phase of the interview? A. Clients level of comfort and ability to participate in the interview RATIONALE :-The caregiver should assess the client‟s level of comfort and establish a rapport during the introductory or orientation phase. The caregiver should engage in active listening and present a relaxed attitude to place the client at ease and encourage client participation. This will assist thecaregiver in gaining the necessary data to formulate appropriate nursing diagnoses and outcomes. B. Previous illnesses and surgeries Innacurate The caregiver should assess the client‟s health history, including previous illnesses andsurgeries, during the working phase of the interview. C. Events surrounding the client‟s recent illness Innacurate The caregiver should assess the client‟s health history, including events surrounding therecent or current illness, during the working phase of the interview. D. Sociocultural history Innacurate The caregiver should assess the client‟s sociocultural history during the working phase ofthe interview. 12. A caregiver is performing an abdominal assessment of a client. Which of the following positionsshould the caregiver tell the client to assume for this examination? A. Lithotomy Innacurate The lithotomy position is useful for gynecological examinations.
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