ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 of 5
When planning interventions to promote a client's appetite,which of the following would be included in the client's plan?
Correct Answer: C,D
Rationale:
Correct
Answer: C, D
Rationale:
C: Providing a tidy, clean environment that is free of unpleasant sights or odors is essential in promoting a client's appetite. A pleasant environment can stimulate appetite and make mealtime more enjoyable.
D: Encouraging or providing oral hygiene after mealtime helps maintain oral health, which can contribute to a healthy appetite. Poor oral hygiene can lead to dental issues that may affect eating habits.
Summary:
A: Performing unpleasant or uncomfortable treatments before or after a meal can have a negative impact on the client's appetite and should be avoided.
B: Providing unfamiliar food to try may not necessarily promote appetite, as it may lead to hesitation or aversion towards eating.
E: Oral hygiene after mealtime is already mentioned as option D, so this choice is a repetition and not necessary for the client's plan.
Question 2 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: The correct answer is C: "Leave me alone." This is the most critical subjective data as it indicates the client's desire for solitude, potentially signaling emotional distress or a need for privacy.
Choices A, B, and D describe observable physical symptoms that should be documented but do not offer insight into the client's emotional state.
Choice E is an unrelated intervention and not relevant to the client's current condition.
Therefore, documenting the client's statement "leave me alone" is crucial for understanding their emotional well-being and providing appropriate care.
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:
Correct
Answer: D - It was the client's first time out of bed after surgery.
Rationale:
1. Safety is the top priority in client care, especially after surgery.
2. The initial transfer after surgery is critical to prevent complications.
3. The UAP's previous experience doesn't guarantee safety in this specific situation.
4. Lack of supervision increases the risk of injury to the client.
5. Proper assessment and monitoring are essential for the client's well-being.
Summary:
A: The client's age is not directly related to the safety of the transfer.
B: Having a new wheelchair doesn't impact the UAP's ability to transfer the client safely.
C: The UAP's absence doesn't necessarily affect their ability to perform the transfer.
E, F, G: No information provided, so they are irrelevant in this context.
Question 4 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: The correct answer is A: Illness prevention. The nurse is offering free occult blood screenings to detect early signs of colorectal cancer, aiming to prevent the progression of the disease. This falls under primary prevention, which focuses on preventing the occurrence of a disease. Screening tests are essential for early detection and intervention.
Choices B, C, and D are incorrect as they involve different levels of nursing practice – rehabilitation, promoting health and wellness, and restoring health, respectively. In this scenario, the nurse's focus is on preventing illness through early detection, aligning with the concept of illness prevention.
Question 5 of 5
Based on the comment made by the nurse manager during the staff meeting
Correct Answer: C
Rationale: The correct answer is C: Situational leader. This is because a situational leader adapts their leadership style based on the specific situation and needs of the team. In this case, the nurse manager's comment indicates flexibility and the ability to adjust leadership approaches as needed.
Choice A, B, D, and E are incorrect because they do not reflect the adaptive nature of situational leadership. A democratic leader involves team members in decision-making, a laissez-faire leader is hands-off, and a bureaucratic leader relies on rules and regulations.
Therefore, based on the nurse manager's comment, the most appropriate identification is a situational leader.