ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
An elderly resident of a long-term care facility has developed diarrhea and dehydration as a result of exposure to clostridium difficile during a recent outbreak. The resident's primary care provider has consequently prescribed the antibiotic metronidazole (Flagyl). Which model of health promotion and illness prevention is most clearly evident in these events?
Correct Answer: C
Rationale: The Agent-Host-Environment Model is a model of health promotion and illness prevention that focuses on the interaction between an infectious agent (Clostridium difficile) the host (the elderly resident) and the environment (the long-term care facility). The prescription of metronidazole targets the infectious agent to treat the infection and prevent further complications aligning with this model. The Health Belief Model (
A) focuses on individual perceptions the Health-Illness Continuum (
B) describes health states and the Health Promotion Model (
D) emphasizes lifestyle changes none of which directly address infectious disease dynamics.
Question 3 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 4 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 5 of 5
While conducting a dressing change,the nurse notes a new area of skin breakdown that was caused by the tape used to secure the dressing. In which phase of the nursing process is the nurse working?
Correct Answer: A
Rationale: The nursing process consists of five phases: assessment diagnosis planning implementation and evaluation. During the assessment phase the nurse gathers information about the client's health status and needs. Noting a new area of skin breakdown during a dressing change is part of the assessment phase as the nurse is observing and collecting data about the client's condition.