ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Question 1 of 5
The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?
Correct Answer: C
Rationale: The correct answer is C: Parents. Parents are the best source of data for a toddler as they have the most knowledge about the child's health history, behaviors, and preferences. They can provide crucial information that can aid in providing optimal care for the child. Grandparents may also have some insight but may not have as detailed information as parents. The admitting provider and medical record are important sources of data but may not provide real-time, detailed information about the child's current status or immediate needs.
Therefore, the parents should be the primary source of data in this situation.
Question 2 of 5
A nurse is teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Palliative care is not restricted to clients who are terminally ill. This is because palliative care focuses on improving the quality of life for clients with serious illnesses, regardless of their life expectancy. It provides relief from symptoms and stress, addressing physical, emotional, and spiritual needs.
Choice A is incorrect because the goal of palliative care is to improve quality of life rather than prolonging life.
Choice C is incorrect as palliative care can be provided alongside curative treatments.
Choice D is incorrect as palliative care can be delivered in various settings, not just healthcare facilities.
Question 3 of 5
A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago. The nurse should identify that the client is experiencing which of the following stress-related disorders?
Correct Answer: D
Rationale: The correct answer is D: Posttraumatic stress disorder (PTS
D). PTSD is characterized by flashbacks, nightmares, and intrusive memories of a traumatic event that occurred in the past. In this case, the client reporting flashbacks of a traumatic event that happened a year ago aligns with the criteria for PTSD.
A: Episodic acute stress involves repeated episodes of acute stress, not necessarily related to past trauma.
B: Irritable bowel syndrome (IBS) is a gastrointestinal disorder and is not directly related to experiencing flashbacks of a traumatic event.
C: Acute stress disorder (AS
D) is a short-term condition that occurs immediately after a traumatic event, typically lasting for a few days to a month. Flashbacks persisting for a year would not align with ASD criteria.
Therefore, the correct answer is D as it best fits the client's symptoms of ongoing flashbacks related to a traumatic event from the past year.
Question 4 of 5
The nurse is reviewing interventions written for a client. Which of the following the nurse will consider as being independent?
Correct Answer: B
Rationale: The correct answer is B: Reposition the client every 2 hours. This is considered an independent nursing intervention because it does not require a healthcare provider's order and falls within the nurse's scope of practice. Repositioning helps prevent pressure ulcers and promotes circulation. Administering medication for high blood pressure (choice
A) and starting IV antibiotics (choice
C) are dependent interventions that require a healthcare provider's order. Administering medication for pain (choice D and E) can be either dependent or interdependent, depending on the specific situation and institutional policies. In this case, repositioning the client is the only truly independent action the nurse can take without needing permission from a healthcare provider.
Question 5 of 5
A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document?
Correct Answer: C
Rationale: The correct answer is C because it includes all essential components of a proper chart entry for a telephone order. It specifies the medication (Morphine), dose (2 mg IV), frequency (every 4 hours), indication (incisional pain), recipient (patient), ordering provider (Dr. Day Winds), and documentation of verification by the nurse. Option A lacks the ordering provider's name, Option B misses the ordering provider's name and verification by the nurse, and Option D uses "VO" instead of "TO" for telephone order, which is incorrect.
Therefore, Option C is the most comprehensive and accurate choice.