ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse in a rehabilitation unit is assessing a group of clients who have a traumatic brain injury. The nurse should identify that which of the following clients requires a priority referral?
Correct Answer: C
Rationale: Expressive aphasia hinders communication impacting therapy and safety requiring priority referral. Ambulation assistance utensil difficulty and coughing are manageable within the unit and less urgent.
Question 2 of 5
A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: A respiratory rate of 40/min in an asthma client indicates severe distress risking respiratory failure requiring immediate assessment. Dehydration mild pain and normal glucose levels are less urgent.
Question 3 of 5
A nurse is admitting a client who reports having diarrhea for the past 72 hr. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Providing oral replacement solution is the priority to address dehydration and electrolyte imbalances from prolonged diarrhea. Antidiarrheal medication sitz baths and stool collection are secondary to stabilizing hydration status.
Question 4 of 5
A nurse is assessing an older adult client. Which of the following should the nurse identify as an expected physiological change associated with aging?
Correct Answer: B
Rationale: Decreased peripheral circulation is expected in aging due to less elastic narrowed blood vessels causing cold extremities and delayed healing. Sensitivity to touch and appetite decrease while airway resistance increases.
Question 5 of 5
A nurse is planning teaching for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse take prior to performing the teaching?
Correct Answer: A
Rationale: Establishing the client’s learning needs identifies knowledge gaps and tailors education effectively. Literacy readiness computer access and learning style are secondary steps after determining what the client needs to learn.