ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
During evaluation, nurse must gather info about the client to...
Correct Answer: A
Rationale: The correct answer is A because during evaluation, nurses must gather information about the client to identify whether client outcomes have been met. This step helps assess the effectiveness of interventions and the progress towards achieving the desired goals. Gathering this information allows nurses to make informed decisions about the next steps in the client's care.
Choice B is incorrect because organizing resources to implement interventions is part of the planning phase, not evaluation.
Choice C is incorrect as establishing client-centered outcomes is part of the planning phase as well.
Choice D is incorrect because determining the priority of care and appropriate interventions is part of the assessment phase, not evaluation.
Question 2 of 5
A Client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse providing pre-op care regarding informed consent? (Select all that apply.)
Correct Answer: A, B
Rationale:
Correct Answer: A, B
Rationale:
A: Making sure the surgeon obtained the client's consent is crucial to ensure the client is fully aware and has given permission for the procedure.
B: Witnessing the client's signature on the consent form verifies that the client voluntarily and knowingly consented to the surgery.
Summary:
C: Explaining risks/benefits and D: Describing consequences are important but typically the responsibility of the healthcare provider, not the nurse. E: Discussing alternatives is also typically done by the healthcare provider.
Question 3 of 5
Nursing instructor is reviewing steps of nursing process with group of students. Students should identify which of following data as objective? (Select all that apply.)
Correct Answer: A, D, E, F
Rationale: The correct answers are A, D, E, and F because they all represent objective data in the nursing process. Objective data are observable and measurable information that can be verified by multiple people.
A: Respiratory rate of 22/min with even, unlabored respirations is measurable and observable.
D: Skin pink, warm, dry - skin condition can be visually assessed and documented.
E: Urine output 300 mL/8 hr is quantifiable and measurable.
F: Dressing clean, dry, intact - the condition of the dressing is observable.
The incorrect choices are B and C because they represent subjective data, which are based on the patient's feelings or experiences and cannot be objectively measured or observed by others.
Question 4 of 5
Nurse uses head-to-toe approach to conduct physical assessment of a client who will undergo surgery in 1 week. Which of following attitudes did nurse demonstrate?
Correct Answer: D
Rationale: The correct answer is D: discipline. In this scenario, the nurse using a head-to-toe approach demonstrates discipline by following a systematic method to ensure no area is overlooked. This approach helps in gathering comprehensive data for the surgery. Confidence (
A) is important but not directly related to the method used. Perseverance (
B) and integrity (
C) are valuable traits but not specifically demonstrated in this context.
Question 5 of 5
Nurse collecting history & physical exam data from middle adult. Nurse should expect to find decreases in which physiologic functions?
Correct Answer: A, C, E
Rationale: The correct answer is A, C, and E. As people age, metabolism decreases due to changes in hormone levels and muscle mass. Gastric secretion also decreases, leading to slower digestion. Glomerular filtration rate decreases, affecting kidney function. The other choices are incorrect. The ability to hear low-pitched sounds typically declines with age, but this is not specific to middle adulthood. Far vision may decline with age, but it is not a consistent finding in middle adulthood.