ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment, and Recommendation (ISBARR) communication tool. Which of the following information should the nurse include as part of the situation component of this communication tool?
Correct Answer: A
Rationale: The situation component of ISBARR describes the client’s current medical condition and reason for care. Medications, vital signs, and treatments belong to background, assessment, or recommendation sections.
Question 2 of 5
The client has been admitted and placed on fall precautions. The nurse explains to the patient that interventions for the precautions include:
Correct Answer: A,C,E
Rationale: A fall-risk armband alerts staff, a low bed reduces injury risk, and an accessible call light enables assistance requests. Checking once per shift is insufficient, and four side rails may cause entrapment.
Question 3 of 5
A nurse is preparing a teaching plan for a client who is learning to walk with a cane. The nurse should identify that which of the following actions is a evaluation step of the teaching plan?
Correct Answer: A
Rationale: Evaluation assesses skill mastery, achieved by observing the client demonstrate cane use. Showing a video or setting goals is teaching/planning, and readiness is an initial assessment.
Question 4 of 5
A nurse is teaching a newly licensed nurse about orthostatic hypotension. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Orthostatic hypotension causes dizziness upon standing, increasing fall risk. It’s defined by a systolic drop ≥20 mm Hg or diastolic ≥10 mm Hg, not 10 mm Hg systolic or 5 mm Hg diastolic. It’s unrelated to pulmonary emboli.
Question 5 of 5
A nurse is teaching a class about sources of stress. The nurse should include that which of the following is an example of a psychological stressor?
Correct Answer: A
Rationale: Financial difficulties cause mental and emotional stress, a psychological stressor. Hypothermia, burns, and fractures are physiological stressors affecting physical health.