ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
If a visitor in the dining room at the hospital has a forceful cough,the nurse should first:
Correct Answer: C,D
Rationale: If a visitor has a forceful cough the nurse should first allow the visitor to continue coughing as coughing is a natural reflex to clear the airway. The nurse should also assess the effectiveness of the cough. If the cough is weak or ineffective further intervention may be needed. CPR or the Heimlich maneuver would only be appropriate if the visitor is choking and assisting to a sitting position on the floor may not be necessary.
Question 2 of 5
Based on the comment made by the nurse manager during the staff meeting
Correct Answer: C
Rationale: A laissez-faire leader takes a hands-off approach allowing group members to make their own decisions. The nurse manager’s comment allowing staff to decide on assignments reflects this leadership style unlike democratic situational or bureaucratic approaches.
Question 3 of 5
The nurse manager has determined that a new staff nurse is demonstrating characteristics of a critical thinker. Which of the following did the manager observe the nurse perform?
Correct Answer: A,C,E
Rationale: The manager observed the nurse questioning a medication order (
A) exhibiting a willingness to try alternate methods (
C) and listening with empathy (E) all of which demonstrate critical thinking. Critical thinking involves analyzing situations (
A) being open to innovative solutions (
C) and considering the client’s emotional needs (E) to make informed decisions. Cultural competence (
B) is important but not specific to critical thinking and waiting passively (
D) contradicts proactive critical thinking.
Question 4 of 5
Which of the following is marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnoea?
Correct Answer: B
Rationale: Cheyne-Stokes respiration is an abnormal breathing pattern characterized by progressively deeper and sometimes faster breathing followed by a gradual decrease that results in temporary apnea. This cyclic pattern repeating every 30 seconds to 2 minutes is marked by rhythmic waxing and waning of respirations. Orthopnoea (
A) is difficulty breathing when lying flat Biot’s respiration (
C) involves irregular bursts of breathing and dyspnoea (
D) is shortness of breath none of which match the described pattern.
Question 5 of 5
While performing a bed bath,the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?
Correct Answer: A
Rationale: A stage II pressure ulcer is a wound that presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of the dermis caused by unrelieved pressure on the skin. Stage I involves non-blanchable erythema Stage III involves full-thickness skin loss and Stage IV involves full-thickness tissue loss with exposed muscle or bone making Stage II the correct classification for the described wound.