ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a class about stress. The nurse should include that which of the following is a manifestation of prolonged stress?
Correct Answer: D
Rationale: Prolonged stress suppresses the immune system via chronic cortisol elevation, increasing infection risk. Anemia is unrelated, stress causes hyperglycemia, and blood pressure typically rises.
Question 2 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 3 of 5
A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Locking bed wheels ensures stability during transfer, enhancing safety. A 90° chair angle complicates movement, the chair should be on the strong side, and raising the bed excessively risks unsafe positioning.
Question 4 of 5
A nurse is caring for a client who is at the end of life. Vital Signs: Temperature 38.5°C (101.3°F), Blood pressure 76/46 mm Hg, Heart rate 112/min, Respiratory rate 34/min, irregular, Pulse oximetry 84% on 40% humidified face mask. Which of the following 3 actions should the nurse plan to take?
Correct Answer: B,C,D
Rationale: Turning the client on their side prevents aspiration, a fan eases breathing discomfort, and opioids manage pain and dyspnea. Informing the client about others in the room is irrelevant, and deep suctioning causes distress without benefit.
Question 5 of 5
A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: C. difficile spores resist alcohol sanitizers, requiring soap and water handwashing for at least 20 seconds. Negative pressure rooms are for airborne infections, 10-second washing is inadequate, and masks are unnecessary as C. difficile spreads via fecal-oral transmission.