ATI RN
ATI Ns 117 Fundamentals Exam Questions
Extract:
Nurses’ Notes
Day 1:
Abdomen soft, nondistended.
Ileostomy present. Stoma is red.
Stoma draining brown liquid stool.
Client will not look at stoma
Client states they are not interested in learning about stoma care.
Day 2:
Ileostomy pouch changed. Skin surrounding stoma is reddened and has small open areas.
Question 1 of 5
A nurse is assisting in the care of a light-skinned client who has an ileostomy Exhibits:The nurse is reviewing the client's medical record.Select all the findings that require intervention by the nurse.
Correct Answer: A,B,C
Rationale: Client’s avoidance and disinterest suggest emotional distress or denial, requiring emotional support and education. Reddened skin with open areas indicates irritation, needing pouch assessment and possible wound care consultation.
Extract:
Question 2 of 5
A nurse is assisting with preparing a presentation on heart health at a community center for a group of clients. Which of the following actions should the nurse recommend to facilitate learning? A. Articulate wording at a slow pace B. Allow soft back-ground music to play while presenting. C. Turn down the lighting prior to presenting the information. D. Use medical terminology Which of the following actions should the nurse recommend to facilitate learning?
Correct Answer: A
Rationale: Speaking slowly aids comprehension. Music and low lighting distract, and medical terminology may confuse the audience.
Question 3 of 5
A nurse is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report to the oncoming nurse? A. Conference area B. Client's bedside C. Nurse's lounge D. Outside client's room In which of the following areas should the nurse provide report to the oncoming nurse?
Correct Answer: B
Rationale: Bedside handoff ensures accurate information transfer and client engagement. Other locations lack direct client context or privacy.
Question 4 of 5
A nurse is assisting with reviewing the Health Nurse, Healthy Nation program developed by the American Nurses Association (ANA) for a presentation for a group of staff nurses. Which of the following is one of the five initiatives for this program? A. Limit physical activity to once a week. B. Consume a low calorie diet. C. Incorporate tasting in their diet. D. Get adequate sleep Which of the following is one of the five initiatives for this program?
Correct Answer: D
Rationale: Adequate sleep is a key initiative for nurse health. Limiting activity, low-calorie diets, and tasting are not part of the program.
Question 5 of 5
A nurse is preparing a presentation about hospice care services. Which of the following statements should the nurse plan to make during the presentation? A. 'During hospice care services, the client can receive their IV chemotherapy medications.' B. 'Hospice care services keep the family updated on the client's condition.' C. 'During hospice care services, the caregiver receives a break from caring for the client for personal time.' D. 'Hospice care services are initiated when the client has less than 2 years to live.' Which of the following statements should the nurse plan to make during the presentation?
Correct Answer: B
Rationale: Hospice care focuses on palliative care and family support, including keeping families updated. Chemotherapy is curative, not typical in hospice; respite care is secondary; and hospice is for a 6-month prognosis, not 2 years.