Questions 71

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ATI Fundamentals Final Exam Questions

Extract:


Question 1 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 2 of 5

An unlicensed assistive person (UAP) is working in a rehabilitation unit. Which task would be appropriate for this person to delegate?

Correct Answer: A

Rationale: An unlicensed assistive person may not delegate tasks to others as they are not licensed to do so. UAPs work under the supervision of licensed nurses and are responsible for performing assigned tasks not delegating them. Tasks such as making a bed assisting with bathing and taking and recording vital signs can be appropriately delegated to a UAP by a licensed nurse but the UAP cannot delegate these tasks to others.

Question 3 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 4 of 5

Which of the following principles does the nurse use in selecting interventions for the care plan?

Correct Answer: B

Rationale: When selecting interventions for a care plan a key principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. This ensures interventions are targeted and effective in resolving the problem. There is not always one best intervention interventions can include both doing and monitoring and both independent and collaborative interventions may be appropriate.

Question 5 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.

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