ATI RN
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ATI Fundamentals Final Exam Questions
Extract:
Question
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1 of 5
A client recovering from surgery asks the nurse why turning,deep breathing and coughing exercises need to be done. How should the nurse respond?
Correct Answer: C
Rationale: Turning deep breathing and coughing exercises are important for clients recovering from surgery as they help prevent the development of pneumonia. After surgery clients may have difficulty taking deep breaths and coughing due to pain or discomfort which can lead to mucus accumulation in the lungs increasing the risk of pneumonia. These exercises help clear the lungs and reduce this risk making this the primary reason for their implementation.
Question 2 of 5
A nurse is conducting an assessment on a client diagnosed with narcolepsy. The nurse should anticipate which of the following findings?
Correct Answer: A,B,E
Rationale: Narcolepsy is characterized by symptoms such as hallucinations at the onset of sleep sleep apnea and sudden attacks of sleep. These are common findings in clients with narcolepsy unlike a lack of REM sleep or the urge to move legs which are not typically associated with this condition.
Question 3 of 5
A nurse enters a client's room and sees that ashes from a cigarette are beginning to ignite trash in the wastebasket. What actions should the nurse take first?
Correct Answer: B
Rationale: The first action is to rescue the client from immediate danger ensuring their safety by removing them from the room. Client safety is the top priority in a fire situation followed by other actions like activating the alarm or extinguishing the fire if safe.
Question 4 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 5 of 5
The nurse is using the PED model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately? Select all that apply.
Correct Answer: A,C,D
Rationale: The PED model includes Problem Etiology and Defining Characteristics. Diagnoses with a problem cause and observable signs/symptoms (e.g. Ineffective Breathing Pattern as evidenced by cyanotic lips) correctly use this model. Option B lacks defining characteristics and E is unrelated. Writing Diagnostic Statements (PES Format)