ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has COPD. The nurse should identify the client is at risk for which of the following acid-base imbalances?
Correct Answer: D
Rationale: COPD causes CO2 retention, leading to respiratory acidosis.
Question 2 of 5
When assessing the abdomen,which assessment technique is used last?
Correct Answer: C
Rationale: Percussion: Percussion is typically performed before palpation. It helps to detect differences in density of abdominal contents, fluid presence, and gas patterns. Auscultation: Auscultation is performed before any palpation or percussion to prevent altering bowel sounds. It is typically the second step after inspection. Palpation: Palpation is used last during an abdominal assessment to prevent altering the characteristics of bowel sounds and to ensure that any tenderness or abnormal masses are identified after a thorough initial assessment. Palpation can cause changes in bowel sounds and tenderness. Inspection: Inspection is always the first step in any physical examination. It allows for a visual assessment of the abdomen, looking for distension, asymmetry, and skin changes.
Question 3 of 5
A nurse is teaching a newly licensed nurse about a nonrebreather oxygen mask. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A snug fit ensures effective delivery of high-concentration oxygen with a nonrebreather mask.
Question 4 of 5
A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.
Correct Answer: B,C,E
Rationale: Construction work (occupation), furosemide, and naproxen are associated with hearing impairment due to noise exposure and ototoxicity, respectively.
Question 5 of 5
A nurse is receiving a change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Correct Answer: D
Rationale: Set client-centered, measurable and realistic goals: This occurs during the planning stage, after data collection and analysis. Critically analyze client data to determine priorities: This step happens after data collection during the diagnosis phase. Determine effectiveness of interventions: This is part of the evaluation stage, which comes after planning and implementation. Collect and organize client data: This is the first step in the nursing process, where the nurse gathers comprehensive information about the client's physical, psychological, sociocultural, developmental, and spiritual needs.