ATI Fundamentals Final Exam Questions with Answers

ATI Fundamentals Final Exam Questions with 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 Correct 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 Correct 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