ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is educating a preoperative client on how to effectively deep breathe. Which instruction would be included?
Correct Answer: B
Rationale: When educating a preoperative client on how to effectively deep breathe the nurse should instruct the client to make each breath deep enough to move the bottom ribs. This ensures diaphragmatic breathing which fully expands the lungs improves oxygenation and helps prevent postoperative complications like atelectasis or pneumonia. Breathing in through the mouth and out through the nose (
A) is not specific to deep breathing weekly practice (
C) is insufficient for preoperative preparation and breathing only through the mouth (
D) is not optimal for effective lung expansion.
Question 2 of 5
While performing a bed bath,the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?
Correct Answer: A
Rationale: A stage II pressure ulcer is a wound that presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of the dermis caused by unrelieved pressure on the skin. Stage I involves non-blanchable erythema Stage III involves full-thickness skin loss and Stage IV involves full-thickness tissue loss with exposed muscle or bone making Stage II the correct classification for the described wound.
Question 3 of 5
A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?
Correct Answer: A
Rationale: The nurse should document the client’s condition as anorexia which refers to a loss of appetite or desire to eat. This accurately describes the client’s reported symptom following a prolonged illness. Emaciation (
B) refers to extreme weight loss cachexia (
C) is a wasting syndrome often associated with chronic illness and nausea (
D) involves a feeling of sickness none of which specifically address loss of appetite without additional symptoms.
Question 4 of 5
When planning interventions to promote a client's appetite,which of the following would be included in the client's plan?
Correct Answer: C,D
Rationale:
To promote a client's appetite interventions should include providing a tidy clean environment free of unpleasant sights or odors and encouraging oral hygiene after mealtime. These create a pleasant dining experience and improve food taste unlike unfamiliar foods or poorly timed treatments.
Question 5 of 5
A nurse is evaluating a nursing student's understanding of positioning clients. Which of the following statements indicates a need for further teaching?
Correct Answer: A
Rationale: This statement indicates a need for further teaching because it is not accurate. Positioning a client in good body alignment and changing the position regularly are essential aspects of nursing practice but the position should be changed more frequently than every 3 hours. Evidence-based practice recommends repositioning clients at least every 2 hours to prevent pressure ulcers muscle discomfort and other complications especially in immobile clients. The other statements are accurate: frequent position changes prevent complications prolonged positioning is detrimental and skin assessment and care are critical during repositioning.