ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
During discharge planning,the nurse is responsible for teaching the client how to maintain comfort promote healing and restore wellness. However one of the actions listed below is not correct.
Correct Answer: A
Rationale: During discharge planning the nurse is responsible for teaching the client how to maintain comfort promote healing and restore wellness. This includes instructing the client to report promptly to the practitioner any increased redness swelling pain or discharge from the incision or drain sites as these symptoms may indicate an infection or other complication. Instructing to report decreased symptoms is incorrect because a reduction in these symptoms typically indicates healing not a need for immediate reporting.
Question 2 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 3 of 5
During an assessment,a client who is not very talkative appears pale diaphoretic,and restless in the bed and says "leave me alone." Which subjective data should the nurse document?
Correct Answer: C
Rationale: Subjective data is information reported by the client. The statement "leave me alone" is subjective reflecting the client's feelings and emotions and should be documented. Other options are objective observations or unrelated interventions.
Question 4 of 5
During a home visit
Correct Answer: A
Rationale: The nurse is performing the role of an educator by explaining procedures for preventing infection in a central venous access device and demonstrating the process to the spouse. This role focuses on teaching and providing information to promote proper care distinct from caregiving advocacy or coordination roles.
Question 5 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.