ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a new client. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome?
Correct Answer: B
Rationale: The correct answer is B: Planning. Planning is the step in the nursing process where the nurse formulates goals and establishes a plan of care to achieve positive outcomes for the client. During this stage, the nurse considers the assessment data gathered in the previous step to set specific, measurable, achievable, relevant, and time-bound goals. The nurse also determines interventions and strategies to help the client reach these goals. Assessment (choice
A) involves collecting data about the client's health status. Evaluation (choice
C) involves assessing the effectiveness of the interventions and determining if goals were met. Implementation (choice
D) involves carrying out the plan of care.
Choices E, F, and G are irrelevant as they are not part of the nursing process steps. In summary, Planning is the correct choice as it directly relates to formulating goals for a positive outcome in the nursing process.
Question 2 of 5
An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks. Which of the following resources should the nurse anticipate that the client will require upon discharge?
Correct Answer: A
Rationale: The correct answer is A: Skilled nursing. The client will require skilled nursing services postoperatively to monitor their recovery progress, manage any potential complications, provide wound care, and assist with physical therapy sessions. Skilled nursing care is typically provided in a short-term basis following surgery to help the client regain independence and transition back to their normal activities of daily living.
Summary of incorrect choices:
B: Assisted living - Typically for individuals who require minimal assistance with activities of daily living, not intensive postoperative care.
C: Long-term care - Provides ongoing care for individuals with chronic conditions or disabilities, not typically needed postoperatively for a short-term period.
D: Palliative care - Focuses on providing relief from symptoms and stress of a serious illness, not specific to postoperative care needs.
Question 3 of 5
A nurse is caring for a client who is at the end of life. Which of the following interventions is most effective in reducing the client's social isolation?
Correct Answer: B
Rationale: The correct answer is B: Schedule home visits with the client. This option is the most effective in reducing social isolation as it involves direct physical interaction and emotional support, which can provide comfort and connection to the client at the end of life. Family phone calls (
A) may offer emotional support but lack the physical presence. Joining an online support group (
C) may not provide the same level of personal connection as face-to-face interactions. Text messages from friends (
D) may be impersonal compared to in-person visits.
Question 4 of 5
A nurse is discussing a client's needs at an interdisciplinary team conference. The client had a stroke and requires inpatient rehabilitation incorporated into their plan of care. Which of the nursing competencies is the nurse demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Collaborator. The nurse is demonstrating the competency of a collaborator by engaging in interdisciplinary teamwork to coordinate the client's care, including inpatient rehabilitation. Collaboration involves working with other healthcare professionals to achieve optimal outcomes for the client. In this scenario, the nurse is actively participating in a team conference to address the client's needs, which aligns with the collaborator competency.
Summary of other choices:
B: Case manager - While case managers also play a role in coordinating care, the focus is more on managing the overall care process rather than collaborating with a team.
C: Nurse manager - Nurse managers are responsible for overseeing nursing staff and unit operations, not specifically coordinating interdisciplinary care.
D: Advocate - Advocacy involves speaking up for the client's rights and needs, but in this case, the nurse is primarily engaging in collaborative teamwork rather than advocacy.
Question 5 of 5
A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse. Which of the following examples should the nurse provide when discussing Level I evidence?
Correct Answer: A
Rationale: The correct answer is A: Systematic review. Systematic reviews are considered Level I evidence in the hierarchy of evidence for evidence-based practice. This is because they involve a comprehensive review and synthesis of multiple studies on a particular topic, providing the highest level of evidence for clinical decision-making. Systematic reviews minimize bias and offer a more reliable overview of the available research. Credible websites (
B), expert opinions (
C), and qualitative studies (
D) are not considered Level I evidence as they do not meet the same rigorous standards of evidence synthesis and critical appraisal as systematic reviews.