ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
While performing a bed bath,the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?
Correct Answer: A
Rationale: A stage II pressure ulcer is a wound that presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of the dermis caused by unrelieved pressure on the skin. Stage I involves non-blanchable erythema Stage III involves full-thickness skin loss and Stage IV involves full-thickness tissue loss with exposed muscle or bone making Stage II the correct classification for the described wound.
Question 3 of 5
A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is:
Correct Answer: B
Rationale: Anxiety is an appropriate nursing diagnosis for a client experiencing hypoxia as hypoxia can cause shortness of breath and difficulty breathing leading to feelings of anxiety. Hypothermia nausea and pain are not directly related to hypoxia which primarily affects oxygenation and can trigger psychological responses like anxiety.
Question 4 of 5
How would a nurse document the condition in which a client has a normal state of awareness?
Correct Answer: D
Rationale: A normal state of awareness is characterized by being aware of oneself and one’s surroundings. The nurse would document this as “aware of self and environment ” indicating the client is oriented and responsive to their surroundings. Options A B and C describe altered mental states: distractibility and mood swings (
A) disorientation and agitation (
B) and unresponsiveness (
C) none of which reflect a normal state of awareness.
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.