ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?
Correct Answer: D
Rationale: I will begin $48 \mathrm{hr}$ before the client's discharge.' Waiting until 48 hours before discharge does not provide enough time for thorough planning, education, or addressing potential needs after discharge. 'I will begin once the client's insurance company approves discharge coverage.' Discharge planning should not depend solely on insurance approval. It needs to be proactive and begin earlier to ensure comprehensive planning and education. 'I will begin once the client's discharge order is written.' Starting discharge planning only after the discharge order is written does not allow adequate time for preparation and may result in rushed or incomplete planning. 'I will begin upon the client's admission to the facility.' Discharge planning should start at admission. Early planning ensures that all aspects of post-discharge care are considered and allows ample time for education, coordination, and addressing potential barriers to successful discharge.
Question 2 of 5
To what is a person referring when during an interview the person says,"I am a member of the sandwich generation?
Correct Answer: B
Rationale: Has both older and younger siblings: This does not specifically relate to the 'sandwich generation' concept. Cares for children and aging parents at the same time: The term 'sandwich generation' refers to individuals who are simultaneously caring for their own children and their aging parents. There is a role reversal between parents and self: While this may occur in caregiving situations, it doesn't define the 'sandwich generation.' Assists own parents and spouse's parents: This is similar to option B but specifically refers to assisting one's own parents and the spouse's parents, not necessarily at the same time.
Question 3 of 5
The adult child of an older adult calls the nurse practitioner to report that the parent is becoming very confused after dark. What is this type of confusion named?
Correct Answer: C
Rationale: Cognitive dysfunction: This is a broad term that includes various types of cognitive impairment. Alzheimer's disease: This is a specific type of dementia, but it doesn't specifically describe the timing of confusion. Sundowning syndrome: This term describes increased confusion and agitation in the late afternoon and evening. It's commonly seen in individuals with dementia. Night-time confusion: This is a general term and doesn't specifically relate to the characteristic pattern of sundowning.
Question 4 of 5
Upon entering the client's room at the beginning of a shift and throughout the shift,the nurse assesses the client. The nurse considers the client's plan of care and response to nursing interventions during the assessments. What type of assessment is the nurse performing?
Correct Answer: A
Rationale: Ongoing assessment: Ongoing assessments are continuous evaluations performed throughout the nurse's shift to monitor the client's status, response to interventions, and to adjust the care plan as needed. Focused assessment: A focused assessment is targeted on a specific problem or area of concern, rather than a general or comprehensive evaluation. Emergency assessment: An emergency assessment is rapid and focuses on identifying life-threatening conditions or urgent needs. It is not a routine, ongoing assessment. Comprehensive assessment: A comprehensive assessment is an in-depth evaluation of the client's overall health status, usually performed upon admission or during initial evaluation. It is not typically repeated throughout the shift.
Question 5 of 5
A nurse is conducting an interview with a client. Which example best demonstrates use of open-ended questions in an interview?
Correct Answer: B
Rationale: Do you smoke?' This is a closed-ended question that can be answered with a simple 'yes' or 'no.' It doesn't encourage elaboration or detailed responses. 'How are you feeling?' This is an open-ended question that encourages the client to provide more detailed and descriptive responses about their current state or feelings. It allows the client to share more information and gives the nurse a better understanding of their condition. 'Are you feeling well?' Similar to option A, this is a closed-ended question. It prompts a 'yes' or 'no' answer without inviting further discussion or detailed explanation. 'Do you use any illicit drugs?' This is another closed-ended question that requires a 'yes' or 'no' answer. It does not provide the opportunity for the client to discuss their drug use in detail.