ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nursing diagnosis of "Risk for Deficient Fluid Volume" related to excessive fluid loss,secondary to diarrhea and vomiting was implemented for a home health client who began with these symptoms 5 days ago. A goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days. What should the nurse do?
Correct Answer: B
Rationale: The nursing diagnosis was "Risk for Deficient Fluid Volume" related to excessive fluid loss secondary to diarrhea and vomiting. The goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days indicating that the problem has been resolved.
Therefore the nurse should document that the problem has been resolved and the goal has been met as the absence of symptoms for 5 days exceeds the 48-hour goal confirming the resolution of the risk.
Question 2 of 5
Based on the comment made by the nurse manager during the staff meeting
Correct Answer: C
Rationale: A laissez-faire leader takes a hands-off approach allowing group members to make their own decisions. The nurse manager’s comment allowing staff to decide on assignments reflects this leadership style unlike democratic situational or bureaucratic approaches.
Question 3 of 5
A nurse is taking care of an adult client who throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?
Correct Answer: D
Rationale: The adult client is displaying regression a defense mechanism where an individual reverts to an earlier stage of development in response to stress or conflict. Throwing a temper tantrum a behavior typical of young children indicates regression to a less mature coping mechanism when the client does not get his way. Repression (
A) involves suppressing memories rationalization (
B) justifies behavior and reaction formation (
C) involves acting opposite to true feelings none of which fit the scenario.
Question 4 of 5
A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is:
Correct Answer: B
Rationale: Anxiety is an appropriate nursing diagnosis for a client experiencing hypoxia as hypoxia can cause shortness of breath and difficulty breathing leading to feelings of anxiety. Hypothermia nausea and pain are not directly related to hypoxia which primarily affects oxygenation and can trigger psychological responses like anxiety.
Question 5 of 5
The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. Members of which cultural group might request an alternative meal choice?
Correct Answer: B
Rationale: Muslims may request an alternative meal choice when pork is specified