ATI RN
ATI Fundamentals Final Exam Questions
Question 1 of 5
The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping effectively,which is resulting in edema and coarse crackles in his lungs. The term for this condition is:
Correct Answer: D
Rationale: The correct answer is D: Fluid volume excess. In heart failure, the heart is unable to pump effectively, leading to fluid accumulation in the body causing edema and coarse crackles in the lungs due to pulmonary congestion. This condition is characterized by an excess of fluid in the body, not a deficit. Myocardial Infarction (
A) is a sudden blockage of blood flow to the heart leading to tissue damage. Atelectasis (
B) is the collapse of lung tissue. Fluid volume deficit (
C) is a condition where there is insufficient fluid in the body.
Therefore, the correct term for the client's condition is fluid volume excess.
Question 2 of 5
The nurse has been caring for a client for several days and has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?
Correct Answer: A
Rationale:
Correct
Answer: A - Encourage his daughter to prepare food at home and bring it to the client.
Rationale:
1. Familiarity: Eating food prepared by a loved one can be comforting and motivating for the client.
2. Personalized Nutrition: The daughter can prepare meals that cater to the client's preferences and dietary needs.
3. Emotional Support: Having his daughter involved can provide emotional support, which can positively impact his appetite and overall well-being.
Incorrect
Choices:
B: Providing bland meals may not address the client's specific preferences or nutritional needs.
C: Providing distractions during meals may lead to mindless eating and may not address the root cause of poor appetite.
D: Serving large meals can be overwhelming and may not be effective in improving nutritional intake.
Question 3 of 5
When planning interventions to promote a client's appetite,which of the following would be included in the client's plan?
Correct Answer: C,D
Rationale:
Correct
Answer: C, D
Rationale:
C: Providing a tidy, clean environment that is free of unpleasant sights or odors is essential in promoting a client's appetite. A pleasant environment can stimulate appetite and make mealtime more enjoyable.
D: Encouraging or providing oral hygiene after mealtime helps maintain oral health, which can contribute to a healthy appetite. Poor oral hygiene can lead to dental issues that may affect eating habits.
Summary:
A: Performing unpleasant or uncomfortable treatments before or after a meal can have a negative impact on the client's appetite and should be avoided.
B: Providing unfamiliar food to try may not necessarily promote appetite, as it may lead to hesitation or aversion towards eating.
E: Oral hygiene after mealtime is already mentioned as option D, so this choice is a repetition and not necessary for the client's plan.
Question 4 of 5
The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?
Correct Answer: D
Rationale: The correct answer is D: Impaired Skin Integrity. This NANDA nursing diagnosis is most appropriate because a stage II pressure ulcer indicates damage to the skin, making impaired skin integrity the primary issue.
Choice A (Risk for Injury) is incorrect as the injury has already occurred.
Choice B (Altered Tissue Perfusion) is incorrect as it refers to circulation issues, not skin damage.
Choice C (Impaired Tissue Integrity) is incorrect as it is a broader term and doesn't specifically address the skin.
Question 5 of 5
A group of nurses is researching how care providers of Stage I/II Alzheimer's clients use prior coping skills in dealing with their current situation. Which qualitative research tradition are these nurses using?
Correct Answer: D
Rationale: The correct answer is D: Phenomenology. Phenomenology focuses on exploring individuals' subjective experiences and perceptions of a particular phenomenon. In this case, the nurses are interested in understanding how care providers use their prior coping skills in dealing with Stage I/II Alzheimer's clients. Phenomenology allows the researchers to delve deep into the lived experiences and perspectives of the care providers to gain a rich understanding of their coping strategies.
A: Grounded theory is more about developing theories based on data rather than exploring lived experiences like in this scenario.
B: Ethnography involves studying cultures and communities, not individual experiences like in this case.
C: Substantive dimension is not a qualitative research tradition; it is a term used in grounded theory to describe the main concept being studied.