Questions 71

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ATI Fundamentals Final Exam Questions

Extract:


Question 1 of 5

An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?

Correct Answer: D

Rationale: It would be inappropriate to delegate an unsupervised transfer to a UAP if it is the client's first time out of bed after surgery as the client may have specific needs or limitations requiring a licensed nurse's assessment and supervision to ensure safety.

Question 2 of 5

A nurse is caring for a client in the introductory (orientation) phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase?

Correct Answer: C

Rationale: During the introductory (orientation) phase of the nurse-client relationship the nurse should focus on establishing trust and rapport with the client. Eliciting information through active listening and open-ended questioning allows the nurse to gather important information about the client's health status needs and concerns laying the foundation for a therapeutic relationship. Other options are more appropriate for later phases of the relationship.

Question 3 of 5

The nurse has been caring for a client for several days and has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?

Correct Answer: A

Rationale: The nurse should encourage the client’s daughter to prepare food at home and bring it to the client. Familiar home-cooked meals may be more appetizing and culturally appropriate increasing the likelihood of the client eating. Bland meals (
B) may not stimulate appetite distractions (
C) may reduce focus on eating and large meals (
D) may overwhelm the client especially if appetite is already poor.

Question 4 of 5

An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?

Correct Answer: D

Rationale: It would be inappropriate to delegate an unsupervised transfer to a UAP if it is the client's first time out of bed after surgery as the client may have specific needs or limitations requiring a licensed nurse's assessment and supervision to ensure safety.

Question 5 of 5

A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)?

Correct Answer: A,D

Rationale: A test to determine the amount of residual urine measures the urine remaining in the bladder after voiding. This assessment helps determine the need for medications to improve bladder emptying and evaluates the amount of retained urine which can increase the risk of urinary tract infections. It is not typically used to assess fluid volume status glomerular filtration rate or the extent of renal failure.

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