ATI RN
ATI Fundamentals Final Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is taking care of a client who just lost her husband to a terminal illness. The client is refusing to believe that the loss is happening. Which of Kubler-Ross's stages of grieving is the client experiencing?
Correct Answer: B
Rationale: According to Kubler-Ross's stages of grieving denial is the first stage. It is a defense mechanism that helps individuals cope with the overwhelming emotions associated with loss. The client’s refusal to believe her husband’s death is happening reflects denial as she is unable to accept the reality of the loss. Bargaining (
A) involves seeking ways to reverse the loss anger (
C) involves frustration and depression (
D) involves sadness none of which align with refusal to accept the loss.
Question 3 of 5
The nurse instructs the client on mind-body therapies. Which mind-body therapy is used when the client pictures themselves lying on a beach with the sounds of waves,the cries of seagulls and the warmth of the sun during periods of stress?
Correct Answer: B
Rationale: Guided imagery is a mind-body therapy that involves using mental images to promote relaxation and reduce stress. Picturing a calming scene such as lying on a beach with sensory details like waves seagulls and warmth is a classic example of guided imagery helping the client manage stress by focusing on positive calming visualizations. Music therapy (
A) involves auditory stimuli yoga (
C) focuses on physical poses and breathing and storytelling (
D) involves narrative engagement none of which match the described visualization technique.
Question 4 of 5
How would a nurse document the condition in which a client has a normal state of awareness?
Correct Answer: D
Rationale: A normal state of awareness is characterized by being aware of oneself and one’s surroundings. The nurse would document this as “aware of self and environment ” indicating the client is oriented and responsive to their surroundings. Options A B and C describe altered mental states: distractibility and mood swings (
A) disorientation and agitation (
B) and unresponsiveness (
C) none of which reflect a normal state of awareness.
Question 5 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.