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ATI Fundamentals Final 501 Exam - Questions & Answers
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ATI Fundamentals Final 501 Exam - Questions & Answers
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ATI Fundamentals Final 501 Exam -Questions & Answers
1. A client who reports shortness of breath requests her nurse's help in
changing positions. After repositioning the client, which of the following
actions should the nurse take next? ✔️Ans - Observe the rate, depth,
and character of the client's respirations.
Rationale:
The nurse should apply the nursing process priority-setting framework
when caring for this client. The nurse can use the nursing process to plan
client care and prioritize nursing actions. Each step of the nursing process
builds on the previous step, beginning with assessment or data collection.
Before the nurse can formulate a plan of action, implement a nursing
intervention, or notify a provider of a change in the client's status, the
nurse must first collect adequate data from the client. Assessing or
collecting additional data will provide the nurse with knowledge to make
an appropriate decision; therefore, the first action the nurse should take is
to assess the client's respiratory status.
2. A nurse is caring for a client who, while sitting in a chair, starts to
experience a seizure. Which of the following actions should the nurse take?
✔️Ans - Lower the client to the floor and place a pad under the client's
head.
Rationale:
To reduce the risk of injury to the client, the nurse should lower the client
to the floor and place a pillow or other soft object under the client's head.
3. A home health nurse is planning to provide health promotion activities
for a group of clients in the community. Which of the following activities is
an example of the nurse promoting primary prevention? ✔️Ans -
Educating clients about the recommended immunization schedule for
adults
Rationale:
Primary prevention includes health education about disease prevention.
, 4. A nurse is using the I-SBAR communication tool to provide the client's
provider with information about the client. The nurse should convey the
client's pain status in which portion of the report? ✔️Ans -
Assessment
Rationale:
The nurse provides information about assessment findings in this portion
of the report. This includes vital signs, pain assessment, and changes in
assessment findings.
5. A nurse is caring for a client who is receiving IV therapy via a peripheral
catheter. The nurse should identify that which of the following findings is
an indication of infiltration? ✔️Ans - Edema at the infusion site
Rationale:
Edema due to fluid entering subcutaneous tissue is an indication of
infiltration.
6. A nurse is providing discharge teaching to a client who is recovering
from lung cancer. The provider instructed the client that he could resume
lower-intensity activities of daily living. Which of the following activities
should the nurse recommend to the client? ✔️Ans - Washing dishes
Rationale:
Washing dishes requires a low level of activity and is appropriate for this
client.
7. A nurse is caring for a client who has acute renal failure. Which of the
following assessments provides the most accurate measure of the client's
fluid status? ✔️Ans - Daily weight
Rationale:
According to the evidence-based priority-setting framework, daily weight
provides important information about the client's fluid status. A gain or
loss of 1 kg (2.2 lb) indicates a gain or loss of 1 liter of fluid; therefore,
weighing the client daily will provide the nurse with the most accurate
fluid status measurement.
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