ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 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.
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
An unlicensed assistive person (UAP) is working in a rehabilitation unit. Which task would be appropriate for this person to delegate?
Correct Answer: A
Rationale: An unlicensed assistive person may not delegate tasks to others as they are not licensed to do so. UAPs work under the supervision of licensed nurses and are responsible for performing assigned tasks not delegating them. Tasks such as making a bed assisting with bathing and taking and recording vital signs can be appropriately delegated to a UAP by a licensed nurse but the UAP cannot delegate these tasks to others.
Question 4 of 5
A nurse mistakenly gave a client who was NPO a morning breakfast tray. After realizing the mistake
Correct Answer: D
Rationale: In this situation the nurse demonstrated integrity. After realizing the mistake of giving a client who was NPO a morning breakfast tray the nurse took responsibility for the error by notifying the physician and the client explaining the consequences (such as a delay in the scheduled procedure) and documenting the situation in the client's medical record. Integrity involves honesty accountability and adherence to ethical standards which the nurse exemplified through these actions. Altruism refers to selfless concern for others human dignity involves respecting the client's worth and social justice pertains to fairness in care distribution none of which are as directly related to this scenario as integrity.
Question 5 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.