ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A community health nurse is caring for a client who has noticed that their drinking water isn't clear and reports they haven't been feeling well. The nurse should identify the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Waterborne disease. The client's symptoms of unclear drinking water and feeling unwell suggest possible contamination. Waterborne diseases are caused by pathogens in contaminated water, leading to gastrointestinal illnesses or other health issues. The nurse should consider testing the water source and advising the client to avoid using it until it is deemed safe.
Incorrect options:
A: Stroke. There is no direct link between unclear drinking water and stroke.
B: Asthma. Unclear drinking water does not typically cause asthma.
D: Clostridium difficile. This bacterium is not typically associated with water quality issues.
Question 2 of 5
A nurse is teaching a class about Piaget's stages of cognitive development. The nurse should instruct that abstract thinking develops during which of the following stages?
Correct Answer: A
Rationale: The correct answer is A: Formal operational stage. During this stage (ages 12 and up), individuals develop the ability for abstract thinking, problem-solving, and hypothetical reasoning. They can think about possibilities and concepts beyond concrete experiences. In contrast, B: Concrete operational (ages 7-11) involves more concrete logic and less abstract thinking. C: Sensorimotor (birth to 2 years) focuses on sensory experiences and motor skills. D: Preoperational (2-7 years) involves egocentric thinking and lack of conservation. E, F, G are not provided but would likely be incorrect as abstract thinking is not developed in those stages.
Question 3 of 5
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Tell the client to blow her nose gently before the instillation. This step helps to clear any excess mucus or debris from the nasal passages, allowing the decongestant drops to be more effective. Assisting the client to a side-lying position (
A) is not necessary for nasal decongestant administration. Holding the dropper 2 cm above the naris (
B) could lead to inaccurate dosing. Instructing the client to stay in the same position for 2 min (
C) is not required for nasal decongestant drops.
Question 4 of 5
A nurse is assessing a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut
Correct Answer: C
Rationale: The correct answer is C: Infection. A cool and taut catheter site in a client receiving IV therapy may indicate an infection. Infections can cause localized inflammation and result in the catheter site feeling cool and taut. The nurse should assess for other signs of infection such as redness, pain, swelling, and warmth at the site. IV fluid leaking would more likely indicate infiltration (choice
D) rather than infection. Phlebitis (choice
B) refers to inflammation of the vein, typically presenting with redness and tenderness along the vein. Circulatory overload (choice E) would manifest with symptoms such as shortness of breath and increased blood pressure, not a cool and taut catheter site.
Question 5 of 5
A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?
Correct Answer: A
Rationale: The correct answer is A: Using silence. Silence in therapeutic communication allows the patient to collect their thoughts and express themselves without feeling rushed. It promotes reflection and deeper understanding. Offering sympathy (
B) may convey judgment or bias. Offering personal opinions (
C) can hinder open dialogue and may not be relevant to the patient's needs. Providing passive responses (
D) lacks engagement and may not address the patient's concerns effectively. In summary, using silence promotes active listening and allows for a more meaningful exchange in therapeutic communication.