ATI Fundamentals Final Exam
questions with correct 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 problems
c) Determine whether the client has met specific goals
d) Identify the client's specific health problem - ANSWER a) establish client
outcomes
The planning phase includes developing goals and outcomes that help the nurse
create the client's plan of care.
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
Step 3. Planning phase- establish client goals and outcomes and selects
interventions that will help to achieve them. Also involves setting care priorities.
Step 4. Implementation- provides client care and uses interpersonal/technical
skills when implementing nursing interventions
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 - ANSWER 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
c) Make eye contact with the interpreter when explaining the procedure
d) Stand in the background while the interpreter translates the message -
ANSWER b) pace speech to allow time for the interpreter to convey the words
a nurse manager is providing teaching to a group of newly licensed nurses about
the ways that 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
c) Infection acquired by inappropriate waste disposal
d) Infection acquired from diagnostic procedure - ANSWER d) infection acquired
from diagnostic procedure
Iatrogenic HAIs directly result from diagnostic or therapeutic procedures
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?
a) Wear gloves when changing the client’s gown
b) Use alcohol-based sanitizers to cleanse the hands
c) Wear a mask when assisting the client with his meal tray
d) Place the client on a complete bed rest - ANSWER a) wear gloves when
changing the client’s 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
, The situation could have been avoided if the right communication was given by
the nurse to the AP. The right communication entails providing clear, concise
instructions regarding the task, including the objective, limits, and expectations.
NOT ATI
A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a
client transfer from the bed to a wheelchair. Which action taken by the AP
indicates to the nurse an understanding of the proper technique to use for this
type of transfer?
a) Locks the brakes on the bed and the wheelchair before moving the client
b) Tells the client to reach for the side arms of the wheelchair while transferring
c) Lowers the bed so that it is lower than the wheelchair seat
d) Places the wheelchair on the client's weaker side prior to the transfer -
ANSWER a) Lock the brakes on the bed and the wheelchair before moving the
client
A nurse on a rehabilitation unit is preparing to transfer a client who is unable to
walk from bed to a wheelchair. Which of the following techniques should the
nurse use? - ANSWER Place the wheelchair at a 45° angle to the bed.
a nurse is assessing a client’s vascular system. Which of the following techniques
should the nurse use when evaluating the carotid artery? - ANSWER auscultation
of the arteries for bruits with the bell of the stethoscope
questions with correct 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 problems
c) Determine whether the client has met specific goals
d) Identify the client's specific health problem - ANSWER a) establish client
outcomes
The planning phase includes developing goals and outcomes that help the nurse
create the client's plan of care.
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
Step 3. Planning phase- establish client goals and outcomes and selects
interventions that will help to achieve them. Also involves setting care priorities.
Step 4. Implementation- provides client care and uses interpersonal/technical
skills when implementing nursing interventions
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 - ANSWER 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
c) Make eye contact with the interpreter when explaining the procedure
d) Stand in the background while the interpreter translates the message -
ANSWER b) pace speech to allow time for the interpreter to convey the words
a nurse manager is providing teaching to a group of newly licensed nurses about
the ways that 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
c) Infection acquired by inappropriate waste disposal
d) Infection acquired from diagnostic procedure - ANSWER d) infection acquired
from diagnostic procedure
Iatrogenic HAIs directly result from diagnostic or therapeutic procedures
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?
a) Wear gloves when changing the client’s gown
b) Use alcohol-based sanitizers to cleanse the hands
c) Wear a mask when assisting the client with his meal tray
d) Place the client on a complete bed rest - ANSWER a) wear gloves when
changing the client’s 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
, The situation could have been avoided if the right communication was given by
the nurse to the AP. The right communication entails providing clear, concise
instructions regarding the task, including the objective, limits, and expectations.
NOT ATI
A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a
client transfer from the bed to a wheelchair. Which action taken by the AP
indicates to the nurse an understanding of the proper technique to use for this
type of transfer?
a) Locks the brakes on the bed and the wheelchair before moving the client
b) Tells the client to reach for the side arms of the wheelchair while transferring
c) Lowers the bed so that it is lower than the wheelchair seat
d) Places the wheelchair on the client's weaker side prior to the transfer -
ANSWER a) Lock the brakes on the bed and the wheelchair before moving the
client
A nurse on a rehabilitation unit is preparing to transfer a client who is unable to
walk from bed to a wheelchair. Which of the following techniques should the
nurse use? - ANSWER Place the wheelchair at a 45° angle to the bed.
a nurse is assessing a client’s vascular system. Which of the following techniques
should the nurse use when evaluating the carotid artery? - ANSWER auscultation
of the arteries for bruits with the bell of the stethoscope
