ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is conducting an assessment on a client diagnosed with narcolepsy. The nurse should anticipate which of the following findings?
Correct Answer: A,B,E
Rationale: Narcolepsy is characterized by symptoms such as hallucinations at the onset of sleep sleep apnea and sudden attacks of sleep. These are common findings in clients with narcolepsy unlike a lack of REM sleep or the urge to move legs which are not typically associated with this condition.
Question 2 of 5
The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?
Correct Answer: A
Rationale: Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing sneezing or exercising often caused by weakness of the pelvic floor muscles and/or the urethral sphincter. An appropriate outcome for a client with this condition would be to improve the strength of these muscles. Performing isometric squeezes also known as Kegel exercises can help strengthen the pelvic floor muscles and improve sphincter competence directly addressing the issue of sphincter incompetence and reducing episodes of incontinence.
Question 3 of 5
A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?
Correct Answer: C
Rationale: Respecting the client's wish not to look at the wound shows empathy and supports the client's autonomy allowing them to process the trauma at their own pace. Other responses may pressure or dismiss the client's feelings which could hinder emotional recovery. Above-Knee Amputation
Question 4 of 5
A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular,3+ and equal in radial,popliteal,and dorsalis pedis. What does the number "+3" represent?
Correct Answer: D
Rationale: The "+3" represents pulse amplitude which indicates the strength or force of the pulse on a scale of 0 to 4+. A "+3" pulse is full or strong suggesting good blood flow to the area being palpated. Pulse 4-Point Scale
Question 5 of 5
The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?
Correct Answer: D
Rationale: A stage II pressure ulcer is a wound that involves partial-thickness loss of skin. The most appropriate NANDA nursing diagnosis problem statement for a client with this condition would be Impaired Skin Integrity as it specifically reflects the damage to the skin's surface. Impaired Tissue Integrity is less specific as it could apply to deeper tissue damage while the other options are not directly relevant to the condition described.