ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is teaching a client to manage stress by using progressive relaxation techniques. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Progressive muscle relaxation involves tensing and relaxing muscle groups to recognize tension versus relaxation sensations aiding stress management. Normal breathing is secondary imagining a peaceful setting is unrelated and stretches are not part of this technique.
Question 2 of 5
A nurse is reviewing the ABG results for a client. The client's results are pH 7.47,PaCO2 30 mm Hg HCO3 25 mEq/L,and SaO2 90%. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
Correct Answer: C
Rationale: Metabolic alkalosis is indicated by elevated pH (7.47) and normal-to-elevated HCO3 (25 mEq/L) with PaCO2 (30 mm Hg) slightly low as compensation. Metabolic acidosis has low pH and HCO3 respiratory acidosis has high PaCO2 and respiratory alkalosis has low PaCO2 with high pH.
Question 3 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following actions should the nurse take when demonstrating how to change the ostomy appliance?
Correct Answer: D
Rationale: Tracing the size of the stoma onto the skin barrier ensures a precise fit which is crucial for preventing leaks and maintaining the integrity of the ostomy. A proper fit also helps in preventing skin irritation and discomfort. Applying skin sealant on damp skin compromises adhesion and can lead to skin irritation. Removing the appliance before emptying the pouch is unnecessary and disrupts the seal. Ensuring the skin is slightly damp is incorrect as the skin should be completely dry for proper adhesion.
Question 4 of 5
A nurse is planning care for a client who has a fever due to an infection. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake helps prevent dehydration which is a common concern when a client has a fever. Adequate hydration supports the body's ability to regulate temperature and maintain overall health. Maintaining the environmental temperature at 16°C to 18°C is too cold and can cause discomfort or shivering which may increase the client's metabolic rate and worsen the fever. Immersing the client in cold water is not recommended as it can cause shock and is not an effective or safe method for reducing fever. Assisting the client to ambulate is not a priority intervention for managing fever; the focus should be on hydration and comfort.
Question 5 of 5
A nurse receives a telephone call from a client's family member,who asks the nurse for an update on the client's condition. Which of the following actions should the nurse take to maintain the client's confidentiality?
Correct Answer: C
Rationale: Referring the family member to the client's provider ensures that accurate and appropriate information is shared by the authorized source maintaining confidentiality and adhering to privacy regulations. Requesting the caller's relationship does not fully address confidentiality concerns. Providing a general update over the phone risks disclosing sensitive information. Encouraging direct contact with the client may compromise privacy if the client does not wish to share details.