ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.
Correct Answer: B
Rationale: The statement "Outcome met. The client is able to state two positive aspects of therapy by week's end" demonstrates that the nurse appropriately evaluated the goal as it confirms the client achieved the specific goal of stating two positive aspects by the end of the week. Other statements indicate partial or no achievement of the goal.
Question 2 of 5
A nurse is caring for a client in the introductory (orientation) phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase?
Correct Answer: C
Rationale: During the introductory (orientation) phase of the nurse-client relationship the nurse should focus on establishing trust and rapport with the client. Eliciting information through active listening and open-ended questioning allows the nurse to gather important information about the client's health status needs and concerns laying the foundation for a therapeutic relationship. Other options are more appropriate for later phases of the relationship.
Question 3 of 5
A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.
Correct Answer: B
Rationale: The statement "Outcome met. The client is able to state two positive aspects of therapy by week's end" demonstrates that the nurse appropriately evaluated the goal as it confirms the client achieved the specific goal of stating two positive aspects by the end of the week. Other statements indicate partial or no achievement of the goal.
Question 4 of 5
A client is hospitalized with numerous acute health problems. According to Maslow's hierarchy of needs model,which nursing diagnosis should the nurse identify as being the highest priority for this client?
Correct Answer: C
Rationale: According to Maslow's hierarchy of needs physiological needs such as food water and shelter are the most basic and must be met before higher-level needs. The nursing diagnosis of Altered Nutrition Less Than Body Requirements related to the inability to absorb nutrients addresses a fundamental physiological need and is the highest priority. Other diagnoses address safety and psychological needs which are secondary to physiological needs.
Question 5 of 5
A nurse is educating a preoperative client on how to effectively deep breathe. Which instruction would be included?
Correct Answer: B
Rationale: When educating a preoperative client on how to effectively deep breathe the nurse should instruct the client to make each breath deep enough to move the bottom ribs. This ensures diaphragmatic breathing which fully expands the lungs improves oxygenation and helps prevent postoperative complications like atelectasis or pneumonia. Breathing in through the mouth and out through the nose (
A) is not specific to deep breathing weekly practice (
C) is insufficient for preoperative preparation and breathing only through the mouth (
D) is not optimal for effective lung expansion.