ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has chosen a neighbor as their designee in their durable power of attorney for health care. The client is incapacitated and is scheduled for an endoscopy. The nurse should request that which of the following individuals provide consent for the procedure?
Correct Answer: C
Rationale: The provider obtains informed consent ensuring the client or designee understands the procedure’s risks and benefits. The neighbor’s role as power of attorney does not extend to consent the spouse is secondary and ethics committees guide not consent.
Question 2 of 5
A nurse is caring for a client who has coronary artery disease and has a BMI of 30. Which of the following strategies should the nurse implement first to develop teaching that promotes lifestyle changes?
Correct Answer: C
Rationale: Establishing mutual learning goals fosters partnership and aligns teaching with client needs increasing lifestyle change success. Assessing knowledge identifying resources and scheduling sessions follow goal-setting.
Question 3 of 5
A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Scheduling exercise 3 hours before bedtime promotes sleep by regulating the sleep-wake cycle without stimulating effects close to bedtime. Hot chocolate contains caffeine music may disrupt sleep and mealtime adjustment is less impactful.
Question 4 of 5
A nurse is caring for a group of clients. Which of the following client-care situations requires the nurse to complete an incident report?
Correct Answer: A
Rationale: Administering enoxaparin in the deltoid is incorrect (should be abdomen or thigh) requiring an incident report for protocol deviation. Catheter advancement wound cleansing and tube flushing are standard practices.
Question 5 of 5
A nurse is teaching pursed-lip breathing to a client who has COPD. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Exhaling slowly through pursed lips creates backpressure keeping airways open and improving oxygen exchange in COPD. Lying down restricts lung expansion inhaling through pursed lips is incorrect and puffing cheeks is ineffective.