ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is educating a postoperative client on essential nutrition for healing. Which statement by the client would indicate a need for information?
Correct Answer: A
Rationale: Restricting the diet to only fats and carbohydrates indicates a need for further education as a balanced diet with protein vitamins and minerals is essential for postoperative healing. The other statements reflect appropriate nutritional choices for healing.
Question 2 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.
Question 3 of 5
The nurse is using the PED model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately? Select all that apply.
Correct Answer: A,C,D
Rationale: The PED model includes Problem Etiology and Defining Characteristics. Diagnoses with a problem cause and observable signs/symptoms (e.g. Ineffective Breathing Pattern as evidenced by cyanotic lips) correctly use this model. Option B lacks defining characteristics and E is unrelated. Writing Diagnostic Statements (PES Format)
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
If a visitor in the dining room at the hospital has a forceful cough,the nurse should first:
Correct Answer: C,D
Rationale: If a visitor has a forceful cough the nurse should first allow the visitor to continue coughing as coughing is a natural reflex to clear the airway. The nurse should also assess the effectiveness of the cough. If the cough is weak or ineffective further intervention may be needed. CPR or the Heimlich maneuver would only be appropriate if the visitor is choking and assisting to a sitting position on the floor may not be necessary.