ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?
Correct Answer: A
Rationale: Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing sneezing or exercising often caused by weakness of the pelvic floor muscles and/or the urethral sphincter. An appropriate outcome for a client with this condition would be to improve the strength of these muscles. Performing isometric squeezes also known as Kegel exercises can help strengthen the pelvic floor muscles and improve sphincter competence directly addressing the issue of sphincter incompetence and reducing episodes of incontinence.
Question 2 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 3 of 5
A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.
Correct Answer: B
Rationale: The statement "Outcome met. The client is able to state two positive aspects of therapy by week's end" demonstrates that the nurse appropriately evaluated the goal as it confirms the client achieved the specific goal of stating two positive aspects by the end of the week. Other statements indicate partial or no achievement of the goal.
Question 4 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 5 of 5
A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: Explaining the procedure and reassuring the client that it should not be painful helps alleviate anxiety by providing information and comfort. Other statements may dismiss the client’s feelings or cause unnecessary worry.