ATI RN
ATI Custom Fundamentals Final Exam Fall 2023 Questions
Extract:
Question 1 of 5
A public health nurse is preparing an educational session at a community health center about the social determinants of health (SDOH). Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: SDOH are conditions in an individual's environment that affect their well-being. This is accurate because social determinants of health refer to the social and economic conditions that influence individuals' health outcomes. These factors include income, education, housing, access to healthcare, and social support systems. By addressing these environmental conditions, public health interventions can improve overall health and well-being.
Choices A, C, and D are incorrect.
Choice A is incorrect as SDOH are not solely determined by an individual's ethnic background but by a broader range of social and economic factors.
Choice C is incorrect because identifying SDOH actually helps to reduce disparities in health care by targeting interventions to address underlying social inequalities.
Choice D is incorrect because while psychological factors can impact health, they are not considered social determinants of health.
Question 2 of 5
A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart-healthy diet. Which of the following concepts is the nurse demonstrating to the client?
Correct Answer: A
Rationale: The correct answer is A: Health promotion. Health promotion focuses on empowering individuals to take control of their health through education and behavior changes. In this scenario, the nurse is educating the client on improving their health by following a heart-healthy diet, which aligns with the principles of health promotion. This approach aims to prevent disease and enhance well-being.
Other choices are incorrect because:
B: Holistic health typically involves considering physical, mental, and spiritual aspects of health, which may not directly relate to the specific instruction given by the nurse.
C: Health education is a component of health promotion but doesn't encompass the broader concept of empowering individuals to take control of their health.
D: Primary prevention focuses on preventing disease before it occurs, such as immunizations or lifestyle modifications in individuals without the disease, which may not apply to this client with existing heart disease.
Question 3 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Turn the client on his side before starting oral care. This is important to prevent aspiration in immobile clients. Turning the client on the side helps to prevent choking and ensures proper drainage of fluids. Using a stiff toothbrush (
A) can cause injury to the client's gums. Using fingers to keep the client's mouth open (
C) is inappropriate and can cause discomfort. Applying petroleum jelly to the client's lips (
D) is not directly related to oral care and may not be necessary for all clients.
Question 4 of 5
A nurse is documenting in a client's health record using the subjective
Correct Answer: A
Rationale: The correct answer is A: objective. In the SOAP charting model, the subjective component includes information that is based on the client's own perceptions and feelings, such as symptoms they report. In this case, the client reporting chest pain after mowing the lawn is subjective as it is based on their experience and perception.
Choices B, C, D, and E are incorrect because they involve objective information such as assessment findings (
B), treatment administered (
C), vital signs (E), and physical observations (G). These choices are not part of the subjective component, which is focused on the client's own account of their symptoms.
Question 5 of 5
A nurse is teaching a class about the novice-to-expert model for nursing competence to a group of nurses. A nurse who has some experience but still requires clinical support is in which of the following stages of competence?
Correct Answer: B
Rationale: The correct answer is B: Advanced beginner. At this stage, the nurse has moved past the novice stage but still requires guidance and supervision. They are able to recognize patterns and have gained some experience, yet they lack the confidence and proficiency of a proficient or competent nurse.
Choice A, Novice, is incorrect as it refers to someone with minimal experience and little knowledge.
Choice C, Proficient, and D, Competent, are incorrect because they describe nurses who have developed higher levels of skills and independence, which do not align with the description of needing clinical support.