ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Correct Answer: C
Rationale: The nurse’s role in the informed consent process is to witness the client’s signature on the consent form verifying that the client is signing voluntarily and has been informed about the procedure. Explaining the procedure (
A) and risks and benefits (
D) is the responsibility of the physician performing the procedure and obtaining consent (
B) is also the physician’s role. The nurse may clarify information if the client has questions but witnessing the signature is the primary action.
Question 4 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 5 of 5
A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis. How can the nurse best increase the client's motivation to learn?
Correct Answer: A
Rationale: Encouraging the client's participation each time the procedure is performed can increase motivation by involving the client actively in their care fostering confidence and ownership. Other options such as performing the procedure for the client or teaching others may reduce the client's engagement and sense of responsibility.