ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a postpartum client who is receiving pain medication through an epidural catheter. Which assessment finding should the nurse report immediately to the physician?
Correct Answer: D
Rationale: The nurse should immediately report a respiratory rate of 8 to the physician. A normal adult respiratory rate is 12–20 breaths per minute and a rate of 8 indicates respiratory depression a potential side effect of epidural pain medication (e.g. opioids). This is a critical finding requiring prompt intervention to prevent respiratory failure. Blood pressure of 120/80 (
A) pain rating of 4 (
B) and pulse rate of 80 (
C) are within normal or acceptable ranges and do not require immediate reporting.
Question 2 of 5
A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Correct Answer: C
Rationale: The nurse’s role in the informed consent process is to witness the client’s signature on the consent form verifying that the client is signing voluntarily and has been informed about the procedure. Explaining the procedure (
A) and risks and benefits (
D) is the responsibility of the physician performing the procedure and obtaining consent (
B) is also the physician’s role. The nurse may clarify information if the client has questions but witnessing the signature is the primary action.
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
A client with an upper respiratory infection (common cold) tells the nurse,I am so angry because the nurse practitioner would not give me an antibiotic. What would be the most appropriate response by the nurse?
Correct Answer: B
Rationale: The most appropriate response is to explain that antibiotics have no effect on viruses as the common cold is viral in origin. This educates the client about appropriate antibiotic use and addresses their misconception reducing frustration and promoting understanding. Agreeing with the client (
A) reinforces the misconception asking why they think they need an antibiotic (
C) is less direct and offering to consult the physician (
D) may falsely suggest antibiotics are warranted.
Question 5 of 5
A client is experiencing hypoxia. The nursing diagnosis that would be appropriate is:
Correct Answer: B
Rationale: Anxiety is an appropriate nursing diagnosis for a client experiencing hypoxia as hypoxia can cause shortness of breath and difficulty breathing leading to feelings of anxiety. Hypothermia nausea and pain are not directly related to hypoxia which primarily affects oxygenation and can trigger psychological responses like anxiety.