ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is teaching a class about the general adaptive syndrome. The nurse should include that which of the following manifestations occurs during the exhaustion stage?
Correct Answer: C
Rationale: Depression occurs in the exhaustion stage due to depleted physical and psychological resources.
Question 2 of 5
At the end of the shift,the nurse documents that the client has voided $475 \mathrm{ml}$ during the shift via an indwelling urinary catheter. What type of data has the nurse documented?
Correct Answer: C
Rationale: Covert: Covert data refers to information that is hidden, subjective, or not immediately observable, such as symptoms reported by the client. Voided volume is measurable and observable, so it is not covert. Subjective: Subjective data is information reported by the client, such as feelings, perceptions, or symptoms. Since the urine output is a measurable and observable fact, it is not subjective. Objective: Objective data is factual, measurable, and observable. The voided volume of $475 \mathrm{ml}$ is a precise, quantifiable measurement, making it objective data. Symptomatic: Symptomatic data pertains to symptoms experienced by the client, which are typically subjective. The documented urine output is a specific, quantifiable measurement and not a symptom.
Question 3 of 5
A nurse is caring for an older adult client who states,"I am afraid that I may fall while walking to the bathroom during the night. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtain a bedside commode for the client's use: While helpful, this might not address the client's fear of walking in a dark room, and it requires transferring, which could still pose a fall risk. Limit the client's fluid intake in the evening: This can prevent nocturnal trips to the bathroom but doesn't directly address safety if the client needs to get up at night. Put the side rails up and tell the client to call the nurse before voiding: Side rails can sometimes increase fall risk if the client attempts to climb over them. It's more beneficial to ensure a safe environment. Leave a nightlight on in the client's room: This provides adequate lighting, reducing the risk of tripping or falling in the dark, which directly addresses the client's concern about safety while walking to the bathroom.
Question 4 of 5
A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Provide music as an environmental distraction: This might help in some contexts but is not typically necessary for preparing for a physical exam. Clear communication is more important. Make sure the room temperature is cool: Older adults often have reduced ability to regulate body temperature and may find cooler environments uncomfortable. A comfortable room temperature is preferable. Explain to the client what is about to happen: Clear explanations can reduce anxiety, increase cooperation, and ensure that the client understands the process, which is crucial for effective assessment and trust. Inform the client that the provider will examine sensitive areas first: Sensitive areas are usually examined last to maintain comfort and build trust.
Question 5 of 5
A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: A neobladder creates an internal pouch for urine storage, potentially allowing urination through the urethra.