ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
The client who has sleep apnoea reports falling asleep while driving,almost being involved in an accident and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?
Correct Answer: C
Rationale: The priority nursing diagnosis for this client is Risk for injury related to somnambulism. Sleepwalking (somnambulism) and falling asleep while driving pose immediate safety risks as the client could harm themselves or others during these episodes. Prioritizing safety aligns with Maslow’s hierarchy where physiological and safety needs take precedence. While impaired gas exchange (
D) is relevant to sleep apnea the immediate risk of injury from sleepwalking and daytime sleepiness is more urgent. Disturbed sleep pattern (
A) and thought processes (
B) are less immediate concerns.
Question 2 of 5
While conducting a dressing change,the nurse notes a new area of skin breakdown that was caused by the tape used to secure the dressing. In which phase of the nursing process is the nurse working?
Correct Answer: A
Rationale: The nursing process consists of five phases: assessment diagnosis planning implementation and evaluation. During the assessment phase the nurse gathers information about the client's health status and needs. Noting a new area of skin breakdown during a dressing change is part of the assessment phase as the nurse is observing and collecting data about the client's condition.
Question 3 of 5
Which of the following nursing pioneers established the Red Cross in the United States in 1882?
Correct Answer: B
Rationale: Clara Barton was a pioneering nurse who is best known for founding the American Red Cross in 1881. She was a hospital nurse during the American Civil War and later worked to provide aid to soldiers and civilians affected by war and natural disasters. In 1881 she established the American Red Cross to provide humanitarian assistance during times of crisis which continues to provide disaster relief and support.
Question 4 of 5
An unlicensed assistant (UAP) has previously performed client transfers safely (bed to chair) on many occasions. It would be inappropriate to delegate this unsupervised task to the UAP under which condition?
Correct Answer: D
Rationale: It would be inappropriate to delegate an unsupervised transfer to a UAP if it is the client's first time out of bed after surgery as the client may have specific needs or limitations requiring a licensed nurse's assessment and supervision to ensure safety.
Question 5 of 5
When planning interventions to promote a client's appetite,which of the following would be included in the client's plan?
Correct Answer: C,D
Rationale:
To promote a client's appetite interventions should include providing a tidy clean environment free of unpleasant sights or odors and encouraging oral hygiene after mealtime. These create a pleasant dining experience and improve food taste unlike unfamiliar foods or poorly timed treatments.