ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 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)
Question 2 of 5
A client has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital. Which one of the following stages of illness is this client experiencing?
Correct Answer: C
Rationale: The client is experiencing Stage 2 of illness known as the assumption of the sick role. In this stage the client acknowledges the illness accepts the need for medical intervention (such as bypass surgery) and seeks care by being admitted to the hospital. Stage 1 involves symptom experience Stage 3 is medical care contact (consulting professionals) Stage 4 is the dependent patient role (undergoing treatment) and Stage 5 is recovery. The client’s acceptance and hospital admission align with Stage 2 as they have recognized the illness and are taking action to address it.
Question 3 of 5
During discharge planning,the nurse is responsible for teaching the client how to maintain comfort promote healing and restore wellness. However one of the actions listed below is not correct.
Correct Answer: A
Rationale: During discharge planning the nurse is responsible for teaching the client how to maintain comfort promote healing and restore wellness. This includes instructing the client to report promptly to the practitioner any increased redness swelling pain or discharge from the incision or drain sites as these symptoms may indicate an infection or other complication. Instructing to report decreased symptoms is incorrect because a reduction in these symptoms typically indicates healing not a need for immediate reporting.
Question 4 of 5
The client who has sleep apnoea reports falling asleep while driving,almost being involved in an accident and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?
Correct Answer: C
Rationale: The priority nursing diagnosis for this client is Risk for injury related to somnambulism. Sleepwalking (somnambulism) and falling asleep while driving pose immediate safety risks as the client could harm themselves or others during these episodes. Prioritizing safety aligns with Maslow’s hierarchy where physiological and safety needs take precedence. While impaired gas exchange (
D) is relevant to sleep apnea the immediate risk of injury from sleepwalking and daytime sleepiness is more urgent. Disturbed sleep pattern (
A) and thought processes (
B) are less immediate concerns.
Question 5 of 5
Which of the following nursing pioneers established the Red Cross in the United States in 1882?
Correct Answer: B
Rationale: Clara Barton was a pioneering nurse who is best known for founding the American Red Cross in 1881. She was a hospital nurse during the American Civil War and later worked to provide aid to soldiers and civilians affected by war and natural disasters. In 1881 she established the American Red Cross to provide humanitarian assistance during times of crisis which continues to provide disaster relief and support.