ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?
Correct Answer: A
Rationale: During a lung assessment on a client suspected of having pneumonia the nurse should report asymmetrical chest expansion to the physician immediately. Asymmetrical chest expansion can be a sign of a serious lung condition such as pneumonia where lung consolidation or pleural effusion may impair one lung's ability to expand fully. This finding suggests a potential obstruction or infection affecting lung function requiring prompt medical evaluation. The other options—breath sounds equal bilaterally bilateral symmetric vocal fremitus and chest symmetrical—are normal findings and do not indicate an immediate need for reporting as they suggest balanced lung function and chest structure.
Question 2 of 5
A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.
Correct Answer: B
Rationale: The statement "Outcome met. The client is able to state two positive aspects of therapy by week's end" demonstrates that the nurse appropriately evaluated the goal as it confirms the client achieved the specific goal of stating two positive aspects by the end of the week. Other statements indicate partial or no achievement of the goal.
Question 3 of 5
The nurse manager has determined that a new staff nurse is demonstrating characteristics of a critical thinker. Which of the following did the manager observe the nurse perform?
Correct Answer: A,C,E
Rationale: The manager observed the nurse questioning a medication order (
A) exhibiting a willingness to try alternate methods (
C) and listening with empathy (E) all of which demonstrate critical thinking. Critical thinking involves analyzing situations (
A) being open to innovative solutions (
C) and considering the client’s emotional needs (E) to make informed decisions. Cultural competence (
B) is important but not specific to critical thinking and waiting passively (
D) contradicts proactive critical thinking.
Question 4 of 5
An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?
Correct Answer: D
Rationale: It would be inappropriate to delegate an unsupervised transfer to a UAP if it is the client's first time out of bed after surgery as the client may have specific needs or limitations requiring a licensed nurse's assessment and supervision to ensure safety.
Question 5 of 5
The client who has sleep apnoea reports falling asleep while driving,almost being involved in an accident and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?
Correct Answer: C
Rationale: The priority nursing diagnosis for this client is Risk for injury related to somnambulism. Sleepwalking (somnambulism) and falling asleep while driving pose immediate safety risks as the client could harm themselves or others during these episodes. Prioritizing safety aligns with Maslow’s hierarchy where physiological and safety needs take precedence. While impaired gas exchange (
D) is relevant to sleep apnea the immediate risk of injury from sleepwalking and daytime sleepiness is more urgent. Disturbed sleep pattern (
A) and thought processes (
B) are less immediate concerns.