ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A group of nurses is researching how care providers of Stage I/II Alzheimer's clients use prior coping skills in dealing with their current situation. Which qualitative research tradition are these nurses using?
Correct Answer: D
Rationale: The correct answer is D: Phenomenology. Phenomenology focuses on exploring individuals' subjective experiences and perceptions of a particular phenomenon. In this case, the nurses are interested in understanding how care providers use their prior coping skills in dealing with Stage I/II Alzheimer's clients. Phenomenology allows the researchers to delve deep into the lived experiences and perspectives of the care providers to gain a rich understanding of their coping strategies.
A: Grounded theory is more about developing theories based on data rather than exploring lived experiences like in this scenario.
B: Ethnography involves studying cultures and communities, not individual experiences like in this case.
C: Substantive dimension is not a qualitative research tradition; it is a term used in grounded theory to describe the main concept being studied.
Question 2 of 5
The client who has sleep apnoea reports falling asleep while driving,almost being involved in an accident and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?
Correct Answer: C
Rationale: The correct answer is C: Risk for injury related to somnambulism. The client's reported sleepwalking poses a direct risk for injury. Sleepwalking can lead to accidents or injuries due to impaired consciousness during sleep.
Choice A is incorrect because the client's issue is not difficulty staying asleep but rather engaging in activities while asleep.
Choice B is incorrect as chronic insomnia is not mentioned in the scenario.
Choice D is incorrect as impaired gas exchange is a common physiological effect of sleep apnea, but the priority here is the immediate risk of injury from sleepwalking.
Question 3 of 5
A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?
Correct Answer: A
Rationale: The correct answer is A: Anorexia. Anorexia specifically refers to the loss of appetite, which is the primary concern in this scenario. It is important for the nurse to document this term accurately to convey the client's condition clearly.
B: Emaciation refers to extreme weight loss and physical wasting, not directly related to loss of appetite.
C: Cachexia is a syndrome involving weight loss, muscle atrophy, fatigue, weakness, and loss of appetite, but it is more severe and specific than just loss of appetite.
D: Nausea is a sensation of wanting to vomit and is not related to appetite loss in this case.
Choosing A: Anorexia is the most appropriate and specific term to document the client's condition accurately.
Question 4 of 5
A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on affective learning with this client,the nurse should use which of the following interventions?
Correct Answer: C
Rationale: The correct answer is C. When a client is newly diagnosed with type 1 diabetes mellitus, focusing on affective learning involves exploring their feelings about dietary modifications. This intervention helps the nurse understand the client's emotional response to the diagnosis and changes in their lifestyle, which is crucial for effective education and support. Reviewing insulin therapy (
A) is important for cognitive learning, not affective learning. Asking for a return demonstration of insulin injection (
B) focuses on psychomotor skills, not affective learning. Having the client practice blood-glucose monitoring (
D) is related to procedural skills and not specifically addressing the emotional aspects of the client's learning.
Question 5 of 5
A nurse is assessing a client who has a fever,an infection of a flank incision and is in severe pain. Which type of pulse rate would the client most likely exhibit?
Correct Answer: D
Rationale: The correct answer is D: Tachycardia. When a client is experiencing fever, infection, and severe pain, the body responds by increasing the heart rate to meet the increased demand for oxygen and nutrients. This results in tachycardia, which is an elevated heart rate above the normal range. Bradycardia (
A) is a slow heart rate, not expected in this scenario. Bigeminal (
B) refers to a specific type of heart rhythm where every other heartbeat is premature and can occur in certain conditions, but it is not directly related to the client's symptoms. Dysrhythmia (
C) is an abnormal heart rhythm, which may occur but is not the most likely pulse rate in this situation.