ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should telephone the interpreter designated for the facility to ensure accurate communication. This is essential to maintain confidentiality, accuracy, and professionalism. Using an official interpreter helps avoid misunderstandings, ensures cultural sensitivity, and maintains ethical standards.
Choice B is incorrect as it may lead to misinterpretations.
Choice C is inappropriate as the partner may not provide accurate translations.
Choice D, an electronic translating service, lacks the human touch and may not convey nuances accurately.
Question 2 of 5
A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: The correct answer is D: A client who has a new onset of atrial fibrillation and a heart rate of 152/min. This client should be seen first because atrial fibrillation can lead to serious complications such as stroke or heart failure. A heart rate of 152/min indicates tachycardia, which can be life-threatening. Urgent assessment and intervention are needed to stabilize the client's condition and prevent further complications.
Choices A, B, and C are concerning but do not pose an immediate life-threatening risk compared to a new onset of atrial fibrillation with a high heart rate. The nurse should prioritize the client with the most critical condition to ensure the best outcomes.
Question 3 of 5
A nurse is conducting an in-service for hospice nurses about interventions to reduce the risk for compassion fatigue. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Perform daily exercise. Daily exercise can help reduce stress, improve mood, and increase resilience, all of which are important in preventing compassion fatigue. Exercise releases endorphins, which are natural mood lifters, and helps in managing stress levels. It also promotes physical well-being, which is essential for overall health.
Explanation for why other choices are incorrect:
A: Working through lunch breaks can lead to burnout and increased stress levels, contributing to compassion fatigue.
B: Volunteering on days off may add extra stress and workload, potentially increasing the risk of compassion fatigue.
D: Working additional shifts can lead to exhaustion and lack of self-care, exacerbating the risk of compassion fatigue.
Question 4 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 5 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.