ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
An unlicensed assistive person (UAP) is working in a rehabilitation unit. Which task would be appropriate for this person to delegate?
Correct Answer: A
Rationale: An unlicensed assistive person may not delegate tasks to others as they are not licensed to do so. UAPs work under the supervision of licensed nurses and are responsible for performing assigned tasks not delegating them. Tasks such as making a bed assisting with bathing and taking and recording vital signs can be appropriately delegated to a UAP by a licensed nurse but the UAP cannot delegate these tasks to others.
Question 2 of 5
The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?
Correct Answer: A
Rationale: Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing sneezing or exercising often caused by weakness of the pelvic floor muscles and/or the urethral sphincter. An appropriate outcome for a client with this condition would be to improve the strength of these muscles. Performing isometric squeezes also known as Kegel exercises can help strengthen the pelvic floor muscles and improve sphincter competence directly addressing the issue of sphincter incompetence and reducing episodes of incontinence.
Question 3 of 5
A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on affective learning with this client,the nurse should use which of the following interventions?
Correct Answer: C
Rationale:
To focus on affective learning the nurse should explore the client’s feelings about dietary modifications. Affective learning involves developing attitudes values and emotions and addressing the client’s feelings about lifestyle changes like dietary modifications helps them accept and adapt to managing type 1 diabetes. Reviewing insulin action (
A) is cognitive learning and performing insulin injections (
B) or glucose monitoring (
D) are psychomotor skills not affective learning.
Question 4 of 5
A nurse is evaluating a nursing student's understanding of positioning clients. Which of the following statements indicates a need for further teaching?
Correct Answer: A
Rationale: This statement indicates a need for further teaching because it is not accurate. Positioning a client in good body alignment and changing the position regularly are essential aspects of nursing practice but the position should be changed more frequently than every 3 hours. Evidence-based practice recommends repositioning clients at least every 2 hours to prevent pressure ulcers muscle discomfort and other complications especially in immobile clients. The other statements are accurate: frequent position changes prevent complications prolonged positioning is detrimental and skin assessment and care are critical during repositioning.
Question 5 of 5
A client has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital. Which one of the following stages of illness is this client experiencing?
Correct Answer: C
Rationale: The client is experiencing Stage 2 of illness known as the assumption of the sick role. In this stage the client acknowledges the illness accepts the need for medical intervention (such as bypass surgery) and seeks care by being admitted to the hospital. Stage 1 involves symptom experience Stage 3 is medical care contact (consulting professionals) Stage 4 is the dependent patient role (undergoing treatment) and Stage 5 is recovery. The client’s acceptance and hospital admission align with Stage 2 as they have recognized the illness and are taking action to address it.