Questions 71

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ATI Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

Correct Answer: B

Rationale: Explaining the procedure and reassuring the client that it should not be painful helps alleviate anxiety by providing information and comfort. Other statements may dismiss the client’s feelings or cause unnecessary worry.

Question 2 of 5

The nurse is offering free occult blood screenings at a community health fair. Which level of practice is the nurse providing?

Correct Answer: A

Rationale: Offering free occult blood screenings at a community health fair is an illness prevention service aimed at detecting early signs of colorectal cancer to prevent disease onset through early intervention and treatment. Types of Fecal Occult Blood Tests

Question 3 of 5

A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)?

Correct Answer: A,D

Rationale: A test to determine the amount of residual urine measures the urine remaining in the bladder after voiding. This assessment helps determine the need for medications to improve bladder emptying and evaluates the amount of retained urine which can increase the risk of urinary tract infections. It is not typically used to assess fluid volume status glomerular filtration rate or the extent of renal failure.

Question 4 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 5 of 5

During a home visit

Correct Answer: A

Rationale: The nurse is performing the role of an educator by explaining procedures for preventing infection in a central venous access device and demonstrating the process to the spouse. This role focuses on teaching and providing information to promote proper care distinct from caregiving advocacy or coordination roles.

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