Questions 71

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ATI Fundamentals Final Exam Questions

Extract:


Question 1 of 5

The nurse is offering free occult blood screenings at a community health fair. Which level of practice is the nurse providing?

Correct Answer: A

Rationale: Offering free occult blood screenings at a community health fair is an illness prevention service aimed at detecting early signs of colorectal cancer to prevent disease onset through early intervention and treatment. Types of Fecal Occult Blood Tests

Question 2 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 3 of 5

A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?

Correct Answer: B

Rationale: An appropriate outcome statement for a client with a discharge goal of improved mobility should be specific measurable achievable relevant and time-bound. The statement "Client will ambulate without a walker by 6 weeks" meets these criteria specifying the desired outcome providing a measurable goal and including a time frame. Other statements are either too vague or not measurable enough to be considered appropriate.

Question 4 of 5

During an assessment,a client who is not very talkative appears pale diaphoretic,and restless in the bed and says "leave me alone." Which subjective data should the nurse document?

Correct Answer: C

Rationale: Subjective data is information reported by the client. The statement "leave me alone" is subjective reflecting the client's feelings and emotions and should be documented. Other options are objective observations or unrelated interventions.

Question 5 of 5

While performing a bed bath,the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

Correct Answer: A

Rationale: A stage II pressure ulcer is a wound that presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of the dermis caused by unrelieved pressure on the skin. Stage I involves non-blanchable erythema Stage III involves full-thickness skin loss and Stage IV involves full-thickness tissue loss with exposed muscle or bone making Stage II the correct classification for the described wound.

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