ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who is at risk for skin breakdown. The nurse should use which of the following interventions to help maintain the integrity of the client's skin?
Correct Answer: C
Rationale: A diet high in protein supports tissue repair and wound healing helping maintain skin integrity in older adults. Repositioning every 3 hours may be insufficient cornstarch can irritate skin and massaging bony prominences may damage fragile skin.
Question 2 of 5
Based on the comment made by the nurse manager during the staff meeting
Correct Answer: C
Rationale: A laissez-faire leader takes a hands-off approach allowing group members to make their own decisions. The nurse manager’s comment allowing staff to decide on assignments reflects this leadership style unlike democratic situational or bureaucratic approaches.
Question 3 of 5
How would a nurse document the condition in which a client has a normal state of awareness?
Correct Answer: D
Rationale: A normal state of awareness is characterized by being aware of oneself and one’s surroundings. The nurse would document this as “aware of self and environment ” indicating the client is oriented and responsive to their surroundings. Options A B and C describe altered mental states: distractibility and mood swings (
A) disorientation and agitation (
B) and unresponsiveness (
C) none of which reflect a normal state of awareness.
Question 4 of 5
A nurse is assessing a client who has a fever,an infection of a flank incision and is in severe pain. Which type of pulse rate would the client most likely exhibit?
Correct Answer: D
Rationale: The client would most likely exhibit tachycardia an abnormally fast heart rate (typically over 100 beats per minute). Fever increases metabolic demand infection triggers an inflammatory response and severe pain activates the sympathetic nervous system,bigeminal (
B) refers to a specific irregular pulse pattern and dysrhythmia (
C) is a general term for irregular rhythms none of which are as likely given the client’s symptoms.
Question 5 of 5
An unlicensed assistive person (UAP) is working in a rehabilitation unit. Which task would be appropriate for this person to delegate?
Correct Answer: A
Rationale: An unlicensed assistive person may not delegate tasks to others as they are not licensed to do so. UAPs work under the supervision of licensed nurses and are responsible for performing assigned tasks not delegating them. Tasks such as making a bed assisting with bathing and taking and recording vital signs can be appropriately delegated to a UAP by a licensed nurse but the UAP cannot delegate these tasks to others.