ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is newly diagnosed with cancer. Which of the following nursing interventions to maximize successful coping to the treatment plan should the nurse initiate at this time? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D
Rationale: Encouraging emotional expression assisting with time management and allowing treatment plan input promote coping by addressing emotional and practical needs. Prescribing coping skills or overwhelming with information may hinder coping.
Question 2 of 5
The physician has discussed the need for surgery with a client and has obtained informed consent. The nurse determines that the client does not understand the risks and benefits of the procedure. What is the nurse's best action?
Correct Answer: A
Rationale: Informed consent requires that the client fully understands the procedure including its risks benefits and alternatives. If the nurse determines that the client does not comprehend these aspects the best action is to notify the physician who is responsible for obtaining informed consent. The physician can then reassess the client's understanding and provide further clarification. Explaining the procedure in simple terms may be helpful but does not address the legal and ethical responsibility of ensuring informed consent which lies with the physician. Canceling the surgery is premature without first addressing the misunderstanding and witnessing the signature without resolving the comprehension issue would be unethical.
Question 3 of 5
The nurse promotes good quality sleep for their clients based on the knowledge that sleep: (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: Sleep helps cope with stress by regulating stress hormones restores the mind and body through repair and memory consolidation and conserves energy by reducing metabolic rate. It increases pain tolerance and typically lowers blood pressure.
Question 4 of 5
The nurse caring for clients recognizes that there are several areas of potential liability in nursing practice. These include: (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Transferring without a report documenting unverified vital signs and using faulty equipment (frayed cord) pose liability risks due to potential errors or harm. Routine tasks like assessments or physician calls are not inherently risky unless done improperly.
Question 5 of 5
Which of the following are physiologic manifestations which occur in the alarm stage of the General Adaptation Syndrome? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: The alarm stage involves sympathetic activation causing increased mental acuity urine retention and bronchial dilation. Blood glucose increases and pupils dilate not decrease.