ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is auscultating a client's carotid artery while performing a focused cardiac assessment and hears a bruit. The nurse should identify this finding as a manifestation of which of the following conditions?
Correct Answer: D
Rationale: A bruit indicates turbulent blood flow from a narrowed arterial lumen often due to atherosclerosis. Dysrhythmias affect heart rhythm murmurs involve heart valves and hypotension does not directly cause bruits.
Question 2 of 5
A nurse is using a Doppler ultrasound stethoscope to assess the pedal pulses of a client who has peripheral vascular disease. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Moving the probe until a whooshing sound (Doppler sound) is heard confirms blood flow accurately assessing pedal pulses. Firm pressure risks compressing vessels the exterior ankle is not ideal and a 30° angle is not standard for Doppler use.
Question 3 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following actions should the nurse take when demonstrating how to change the ostomy appliance?
Correct Answer: D
Rationale: Tracing the size of the stoma onto the skin barrier ensures a precise fit which is crucial for preventing leaks and maintaining the integrity of the ostomy. A proper fit also helps in preventing skin irritation and discomfort. Applying skin sealant on damp skin compromises adhesion and can lead to skin irritation. Removing the appliance before emptying the pouch is unnecessary and disrupts the seal. Ensuring the skin is slightly damp is incorrect as the skin should be completely dry for proper adhesion.
Question 4 of 5
A nurse is caring for a client who has a central venous access device. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Using chlorhexidine solution to clean the catheter prevents infection with its antimicrobial properties. A 5-mL syringe risks excessive pressure daily dressing changes are unnecessary and blood in the lumen indicates complications not normal function.
Question 5 of 5
A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the 'background' portion of the Situation,Background,Assessment,Recommendation (SBAR) Communication tool?
Correct Answer: A
Rationale: In the 'background' portion of the SBAR tool the nurse should include the client's present condition to provide context and a baseline for the provider. Suggestions and physical findings belong in the 'assessment' or 'recommendation' sections. Previous treatments may be relevant but are secondary to the current condition in the 'background' section.