ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Question 1 of 5
A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the 'background' portion of the Situation,Background,Assessment,Recommendation (SBAR) Communication tool?
Correct Answer: A
Rationale: The correct answer is A: Client's present condition. In the 'background' portion of SBAR, the nurse should include the current status of the client to provide context for the provider. This information helps the provider understand the situation and make informed decisions.
Choices B, C, and D are incorrect as they do not directly relate to the client's present condition, which is crucial for effective communication in healthcare settings. Including suggestions for care (
B), physical findings (
C), and previous treatments (
D) may be relevant in other parts of the SBAR tool, but for the 'background' section, focusing on the client's current status is essential.
Question 2 of 5
A nurse is caring for a client who reports using alcohol and controlled substances to cope with the death of their partner. The nurse should identify that maladaptive coping is an indication of which of the following types of complicated grief?
Correct Answer: B
Rationale: The correct answer is B: Exaggerated grief. This type of complicated grief involves intense emotional responses that may lead to maladaptive coping mechanisms such as substance abuse. Exaggerated grief is characterized by persistent and overwhelming sorrow that interferes with daily functioning. In this scenario, the client's use of alcohol and controlled substances to cope indicates maladaptive coping strategies, which align with the characteristics of exaggerated grief.
Incorrect
Choices:
A: Chronic grief refers to long-lasting grief that persists over time. While substance abuse may be present in chronic grief, the key characteristic of chronic grief is its prolonged duration.
C: Delayed grief involves a significant delay in the expression of grief following a loss. The client in the scenario is actively coping with the loss through substance use, indicating a more immediate response.
D: Masked grief involves expressing grief through behaviors that may not be recognized as related to the loss. In this case, the client is directly using substances to cope, making masked grief less applicable.
Question 3 of 5
A nurse on a medical-surgical unit is planning care for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: D
Rationale: The correct answer is D: Using a pulse oximeter to measure oxygen saturation for a client who is ready for discharge. This task can be safely delegated to an assistive personnel (AP) as it involves a straightforward procedure that does not require clinical judgment or interpretation of results. The AP can be trained on how to use the pulse oximeter accurately and report the results to the nurse for further assessment if needed.
A: Administering a rectal suppository requires assessment and knowledge of client condition, making it inappropriate for delegation to an AP.
B: Instructing a client on using an incentive spirometer involves teaching and assessment, which should be done by a nurse.
C: Measuring blood glucose for a client with diabetic ketoacidosis requires critical thinking and immediate intervention based on results, so it should not be delegated to an AP.
Question 4 of 5
A nurse is reviewing transmission precautions with an assistive personnel (AP) who is providing care for a client who has a Clostridium difficile infection. Which of the following statements by the AP indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I will wear gloves when changing the client's hospital gown. This is correct because Clostridium difficile is transmitted through contact with feces. Wearing gloves during gown changes helps prevent the spread of the infection.
Choice A is incorrect as isopropyl alcohol is not effective against C. difficile spores.
Choice B is incorrect because hand sanitizer is not enough to remove C. difficile spores.
Choice C is incorrect as wearing a mask is not necessary for C. difficile transmission.
Question 5 of 5
A nurse is providing discharge teaching to a client who has heart failure and a new prescription for furosemide. Which of the following foods should the nurse recommend to the client as the best source of potassium?
Correct Answer: B
Rationale: The correct answer is B: 1 cup cantaloupe. Cantaloupe is a rich source of potassium, which is important for heart health and can help counteract the potassium-wasting effect of furosemide. Shredded lettuce (
A) and raspberries (
D) are low in potassium. Tuna (
C) is a good source of protein but not as high in potassium as cantaloupe.