ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?
Correct Answer: B
Rationale: In the absence of an advance directive the nurse should call a code initiating emergency resuscitation measures to attempt to revive the client. This is the standard protocol when a client stops breathing and has no heartbeat unless a do-not-resuscitate order is in place. Other options are not appropriate in this urgent situation.
Question 2 of 5
A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular,3+ and equal in radial,popliteal,and dorsalis pedis. What does the number "+3" represent?
Correct Answer: D
Rationale: The "+3" represents pulse amplitude which indicates the strength or force of the pulse on a scale of 0 to 4+. A "+3" pulse is full or strong suggesting good blood flow to the area being palpated. Pulse 4-Point Scale
Question 3 of 5
The nurse educator provides developmental testing for kindergarten through third-grade students. Which level of prevention is the nurse performing?
Correct Answer: D
Rationale: Developmental testing for kindergarten through third-grade students is an example of primary prevention. Primary prevention aims to prevent disease or injury before it occurs by promoting healthy behaviors and reducing exposure to risk factors. This involves proactive measures such as screenings to identify developmental issues early allowing for interventions before problems escalate.
Question 4 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 5 of 5
If a visitor in the dining room at the hospital has a forceful cough,the nurse should first:
Correct Answer: C,D
Rationale: If a visitor has a forceful cough the nurse should first allow the visitor to continue coughing as coughing is a natural reflex to clear the airway. The nurse should also assess the effectiveness of the cough. If the cough is weak or ineffective further intervention may be needed. CPR or the Heimlich maneuver would only be appropriate if the visitor is choking and assisting to a sitting position on the floor may not be necessary.