ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
How would a nurse document the condition in which a client has a normal state of awareness?
Correct Answer: D
Rationale: A normal state of awareness is characterized by being aware of oneself and one’s surroundings. The nurse would document this as “aware of self and environment ” indicating the client is oriented and responsive to their surroundings. Options A B and C describe altered mental states: distractibility and mood swings (
A) disorientation and agitation (
B) and unresponsiveness (
C) none of which reflect a normal state of awareness.
Question 2 of 5
A nurse is caring for a client who is scheduled for an elective surgical procedure. In order to ensure informed consent,the nurse should take which of the following actions?
Correct Answer: C
Rationale: The nurse should witness the client’s signature on the consent form to ensure informed consent verifying that the client is signing voluntarily and understands the procedure risks benefits and alternatives. This is the nurse’s primary role in the informed consent process. Explaining the procedure (
A) and risks and benefits (
D) are the physician’s responsibilities and obtaining consent (
B) is not within the nurse’s scope.
Question 3 of 5
A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?
Correct Answer: C
Rationale: Respecting the client's wish not to look at the wound shows empathy and supports the client's autonomy allowing them to process the trauma at their own pace. Other responses may pressure or dismiss the client's feelings which could hinder emotional recovery. Above-Knee Amputation
Question 4 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 5 of 5
A client is hospitalized with numerous acute health problems. According to Maslow's hierarchy of needs model,which nursing diagnosis should the nurse identify as being the highest priority for this client?
Correct Answer: C
Rationale: According to Maslow's hierarchy of needs physiological needs such as food water and shelter are the most basic and must be met before higher-level needs. The nursing diagnosis of Altered Nutrition Less Than Body Requirements related to the inability to absorb nutrients addresses a fundamental physiological need and is the highest priority. Other diagnoses address safety and psychological needs which are secondary to physiological needs.