ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is reviewing data in a client's medical record. Which of the following information should the nurse expect to find in the discharge summary section?
Correct Answer: C
Rationale: The discharge summary includes a list of community resources to support post-discharge care such as follow-up services. Emergency contact and demographic data are in admission records and intake/output summaries are in daily nursing notes.
Question 2 of 5
A nurse is assessing an older adult client. Which of the following should the nurse identify as an expected physiological change associated with aging?
Correct Answer: B
Rationale: Decreased peripheral circulation is expected in aging due to less elastic narrowed blood vessels causing cold extremities and delayed healing. Sensitivity to touch and appetite decrease while airway resistance increases.
Question 3 of 5
A nurse is caring for a client who has a temperature of 40°C (104°F). Which of the following interventions should the nurse take?
Correct Answer: C
Rationale: Administering antipyretics reduces fever by acting on the hypothalamus lowering metabolic demands. Ambulation is inappropriate cold sponge baths risk vasoconstriction and shivering and fans are less effective than antipyretics for high fever.
Question 4 of 5
A nurse is teaching the family of a client who has a terminal illness about end-of-life care. Which of the following statements by a family member indicates an understanding of the teaching?
Correct Answer: B
Rationale: Understanding the family’s role in obtaining support services reflects a comprehensive grasp of end-of-life care’s multidisciplinary nature. Pain medication adjustments life prolongation misconceptions and doctor-only decision-making do not fully address holistic care responsibilities.
Question 5 of 5
A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?
Correct Answer: C
Rationale: Swabbing with chlorhexidine reduces bacterial growth lowering ventilator-associated pneumonia risk. Daily oral care is insufficient firm-bristle brushes risk tissue trauma and a 15° head elevation is inadequate compared to chlorhexidine’s direct antimicrobial effect.