ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?
Correct Answer: B
Rationale: The nurse would question the discharge of a client to be cared for by the family if the client and family lack knowledge of the treatment regimen. Adequate understanding of the treatment regimen including medication administration wound care or device management is essential for safe and effective care at home. Without this knowledge the family may inadvertently cause harm necessitating further education or support before discharge. The other situations—sterile dressing changes feeding tube and IV medications by home health nurses—are manageable with proper training or professional support and do not inherently prevent discharge.
Question 2 of 5
A nurse is providing care for a client who has recently been diagnosed with type 1 diabetes mellitus. To focus on affective learning with this client,the nurse should use which of the following interventions?
Correct Answer: C
Rationale:
To focus on affective learning the nurse should explore the client’s feelings about dietary modifications. Affective learning involves developing attitudes values and emotions and addressing the client’s feelings about lifestyle changes like dietary modifications helps them accept and adapt to managing type 1 diabetes. Reviewing insulin action (
A) is cognitive learning and performing insulin injections (
B) or glucose monitoring (
D) are psychomotor skills not affective learning.
Question 3 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 4 of 5
The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?
Correct Answer: D
Rationale: A stage II pressure ulcer is a wound that involves partial-thickness loss of skin. The most appropriate NANDA nursing diagnosis problem statement for a client with this condition would be Impaired Skin Integrity as it specifically reflects the damage to the skin's surface. Impaired Tissue Integrity is less specific as it could apply to deeper tissue damage while the other options are not directly relevant to the condition described.
Question 5 of 5
The nurse is using the PED model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately? Select all that apply.
Correct Answer: A,C,D
Rationale: The PED model includes Problem Etiology and Defining Characteristics. Diagnoses with a problem cause and observable signs/symptoms (e.g. Ineffective Breathing Pattern as evidenced by cyanotic lips) correctly use this model. Option B lacks defining characteristics and E is unrelated. Writing Diagnostic Statements (PES Format)