ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A client has a history of an inconsistent fecal elimination pattern. What should the nurse instruct this client to improve this health problem?
Correct Answer: A,B
Rationale: The nurse should instruct the client to include more whole grains in their diet and increase water intake to improve an inconsistent fecal elimination pattern. Whole grains are high in fiber which adds bulk to stool and promotes regular bowel movements. Adequate hydration ideally 8–10 glasses of water daily keeps stools soft and easier to pass. While option B suggests 2–4 glasses increasing water intake is still beneficial though the amount is suboptimal. Spicy foods and sugar (
C) may irritate the bowel and enemas (
D) are not a long-term solution and may disrupt normal bowel function.
Question 2 of 5
A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)?
Correct Answer: A,D
Rationale: A test to determine the amount of residual urine measures the urine remaining in the bladder after voiding. This assessment helps determine the need for medications to improve bladder emptying and evaluates the amount of retained urine which can increase the risk of urinary tract infections. It is not typically used to assess fluid volume status glomerular filtration rate or the extent of renal failure.
Question 3 of 5
A client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counselling practice and work full-time. The nurse should realize that this client is demonstrating which aspect of values clarification?
Correct Answer: C
Rationale: Values clarification is the process of assisting another to clarify their own values in order to facilitate decision-making. In this case the client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counseling practice and work full-time. This demonstrates that the client has prioritized her values and made a decision based on them reflecting the prioritizing aspect of values clarification where the client evaluates and ranks her values to guide her actions.
Question 4 of 5
A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?
Correct Answer: A
Rationale: During a lung assessment on a client suspected of having pneumonia the nurse should report asymmetrical chest expansion to the physician immediately. Asymmetrical chest expansion can be a sign of a serious lung condition such as pneumonia where lung consolidation or pleural effusion may impair one lung's ability to expand fully. This finding suggests a potential obstruction or infection affecting lung function requiring prompt medical evaluation. The other options—breath sounds equal bilaterally bilateral symmetric vocal fremitus and chest symmetrical—are normal findings and do not indicate an immediate need for reporting as they suggest balanced lung function and chest structure.
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 group of nurses is using the phenomenology qualitative research tradition. Phenomenology focuses on understanding the essence of lived experiences from the perspective of those who have experienced them. Researching how care providers of Stage I/II Alzheimer’s clients use prior coping skills involves exploring their personal experiences and perspectives making phenomenology the appropriate tradition. Grounded theory (
A) develops theories from data ethnography (
B) studies cultures and substantive dimension (
C) is not a recognized research tradition.