ATI Fundamentals Final Exam Questions And Answers
a nurse is admitting a client who will undergo a craniotomy. During the planning phase of the nursing process, which of the following actions should the nurse take?
a) establish client outcomes
b) collect information about past health problem...
a nurse is admitting a client who will undergo a craniotomy. During the planning phase of the
nursing process, which of the following actions should the nurse take?
a) establish client outcomes
K
b) collect information about past health problems
c) determine whether the client has met specific goals
C
d) identify the client's specific health problem
LO
a) establish client outcomes
The planning phase includes developing goals and outcomes that help the nurse create the
client's plan of care.
YC
The nursing process:
step 1. assessment phase- collect information about past health problems (vitals, age, height)
step 2. analysis phase- identify the client's specific health problem
D
step 3. planning phase- establish client goals and outcomes and selects interventions that will
help to achieve them. Also involves setting care priorities.
U
step 4. implementation- provides client care and uses interpersonal/technical skills when
implementing nursing interventions
ST
step 5. evaluation phase- use critical thinking skills to determine whether the client has met a
specific goal. examines results, compares the data, identifies errors, and considers pt's situation
a client who reports shortness of breath requests the nurse's help in changing positions. After
repositioning the client, which of the following actions should the nurse take next?
a) encourage the client to take deep breaths
b) observe the client's rate, depth, and character of respirations
c) prepare to administer oxygen
,d) give the client a backrub to promote relaxation
b) observe the client's rate, depth, and character of respirations
a nurse is collecting health history data from a client who is deaf and uses American sign
language(ASL) to communicate. The nurse will be working with an ASL interpreter. Which of the
following actions should the nurse take when working with the interpreter?
a) face away from the client to avoid distractions
b) pace speech to allow time for the interpreter to convey the words
K
c) make eye contact with the interpreter when explaining the procedure
d) stand in the background while the interpreter translates the message
b) pace speech to allow time for the interpreter to convey the words
C
a nurse manager is providing teaching to a group of newly licensed nurses about the ways that
LO
clients acquire healthcare-associated-infections (HAI's). Which of the following routes of
infection should the manager identify as an iatrogenic HAI?
a) infection required from improper hand hygiene
b) infection acquired by drug resistance
YC
c) infection acquired by inappropriate waste disposal
d) infection acquired from diagnostic procedure
d) infection acquired from diagnostic procedure
Iatrogenic HAIs directly result from diagnostic or therapeutic procedures
D
a nurse is caring for a client who has Clostridium difficile infection and is in contact isolation.
Which of the following actions should the nurse take?
U
a) wear gloves when changing the clients gown
b) use alcohol-based sanitizers to cleanse the hands
c) wear a mask when assisting the client with his meal tray
ST
d) place the client on a complete bed rest
a) wear gloves when changing the clients gown
-alcohol-based sanitizers are ineffective against the spores of C.difficile
-nurse should wear a mask when working within 3 ft of a patient with droplet precautions
-the nurse should not place the client on complete bed rest because this places him at risk for
the hazards of immobility, such as impaired skin integrity and retained respiratory secretions.
The nurse should instruct the patient to stay in his room but to move, cough, and deep breathe
at least every 2 hours
,a nurse is reviewing the use of side rails with an A.P. Which of the following statements by the
A.P indicates that further teaching is required?
a) "I should not leave all 4 side rails up unless there is a prescription for restraints"
b) "an alert client will be the safest if I raise the 2 upper side rails at the head of the bed"
c) "if the client seems confused, I'll raise all 4 side rails so that he doesn't hurt himself"
d) "if a client is sedated, I should raise all 4 side rails to prevent a fall out of bed"
c) "if the client seems confused, I'll raise all 4 side rails so that he doesn't hurt himself"
K
which diseases have airborne precautions?
Varicella, TB, and measles
C
which diseases have contact precautions?
C.diff, MRSA, scabies, vancomycin resistant enterococci
LO
which diseases have droplet precautions?
rubella, influenza, meningoccal, pneumonia, streptococcal pharyngitis
YC
A nurse in a provider's office is measuring a client & notes a loss in height from the previous
year. The nurse should identify this finding as a manifestation of which of the following
musculoskeletal system disorders?
a) osteoporosis
D
b) scoliosis
c) kyphosis
d) lordosis
U
a) osteoporosis
A loss of height is often an early indication of osteoporosis with occurs due to a loss of calcium
in the vertebrae which can cause them to fracture and collapse.
ST
- scoliosis does not precipitate a decrease in the height of the client. It is an abnormal lateral
curve of the sign
- kyphosis does not precipitate a decrease in the height of a client. It is an exaggerated posterior
curvature of the thoracic spine hunchback
- lordosis does not precipitate a decrease in the height of a client. It is an exaggerated lumbar
curvature way back
, Not on ATI:
The nurse is planning care for a pt with severe burns. Which of the following is this pt at risk for
developing?
1. intracellular fluid deficit
2. intracellular fluid overload
3. extracellular fluid deficit
4. interstitial fluid deficit
1. intracellular fluid deficit
K
Because this pt was severely burned, the fluid within the cells is diminished, leading to an
intracellular fluid deficit.
C
We have an expert-written solution to this problem!
LO
Not on ATI:
The nurse is to obtain a stool specimen from a client who reported that he is taking iron
supplements. The nurse would expect the stool to be which color?
a) Black
YC
b) Red
c) Dark brown
d) Green
Black
D
A nurse is obtaining a health history from the newly admitted client who has chronic pain in the
knee. What should the nurse include in the pain assessment? Select all that apply.
U
1) Pain history, including location, intensity, and quality of pain
2) Client's purposeful body movement in arranging the papers on the bedside table
3) Pain pattern, including precipitating and alleviating factors
ST
4) Vital signs such as increased blood pressure and heart rate
5) The client's family statement about increases in pain with ambulation
1) Pain history, including location, intensity, and quality of pain
3) Pain pattern, including precipitating and alleviating factors
We have an expert-written solution to this problem!
A nurse is obtaining a clients blood pressure in a client's lower extremity. Which of the following
actions should the nurse take?
a) auscultate the BP at the dorsalis pedis artery
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