ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?
Correct Answer: B
Rationale: An appropriate outcome statement for a client with a discharge goal of improved mobility should be specific measurable achievable relevant and time-bound. The statement "Client will ambulate without a walker by 6 weeks" meets these criteria specifying the desired outcome providing a measurable goal and including a time frame. Other statements are either too vague or not measurable enough to be considered appropriate.
Question 2 of 5
A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Correct Answer: C
Rationale: The nurse’s role in the informed consent process is to witness the client’s signature on the consent form verifying that the client is signing voluntarily and has been informed about the procedure. Explaining the procedure (
A) and risks and benefits (
D) is the responsibility of the physician performing the procedure and obtaining consent (
B) is also the physician’s role. The nurse may clarify information if the client has questions but witnessing the signature is the primary action.
Question 3 of 5
During discharge planning,the nurse is responsible for teaching the client how to maintain comfort promote healing and restore wellness. However one of the actions listed below is not correct.
Correct Answer: A
Rationale: During discharge planning the nurse is responsible for teaching the client how to maintain comfort promote healing and restore wellness. This includes instructing the client to report promptly to the practitioner any increased redness swelling pain or discharge from the incision or drain sites as these symptoms may indicate an infection or other complication. Instructing to report decreased symptoms is incorrect because a reduction in these symptoms typically indicates healing not a need for immediate reporting.
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
A nurse is educating a postoperative client on essential nutrition for healing. Which statement by the client would indicate a need for information?
Correct Answer: A
Rationale: Restricting the diet to only fats and carbohydrates indicates a need for further education as a balanced diet with protein vitamins and minerals is essential for postoperative healing. The other statements reflect appropriate nutritional choices for healing.