ATI Fundamentals Final Ex
ms ms ms
am
1.a nurse is admitting a client who will undergo a craniotomy. During
ms ms ms ms ms ms ms ms ms ms ms ms
the planning phase of the nursing process, which of the following actio
ms ms ms ms ms ms ms ms ms ms ms
ns should the nurse take?
ms ms ms ms
a) establish client outcomes ms ms
b) collect information about past health problems
ms ms ms ms ms
c) determine whether the client has met specific goals
ms ms ms ms ms ms ms
d) identify the client's specific health problem: a) establish client out
ms ms ms ms ms ms ms ms ms
comes The planning phase includes developing goals and outcome
ms ms ms ms ms ms ms ms
s that help the nurse create the client's plan of care.
ms ms ms ms ms ms ms ms ms ms
The nursing process:
ms ms
step 1. assessment phase-
ms ms ms
mscollect information about past health problems (vitals, age, height
ms ms ms ms ms ms ms ms
)
step 2. analysis phase- identify the client's specific health problem
ms ms ms ms ms ms ms ms ms
step 3. planning phase-
ms ms ms
msestablish client goals and outcomes and selects interven-
ms ms ms ms ms ms ms
mstions that will help to achieve them. Also involves setting care pr
ms ms ms ms ms ms ms ms ms ms ms
iorities.
step 4. implementation-
ms ms
msprovides client care and uses interpersonal/
ms ms ms ms ms
technical skills when implementing nursing interventions
ms ms ms ms ms
step 5. evaluation phase-
ms ms ms
msuse critical thinking skills to determine whether the client has met
ms ms ms ms ms ms ms ms ms ms
msa specific goal. examines results, compares the data, identifies err
ms ms ms ms ms ms ms ms ms
ors, and considers pt's situation
ms ms ms ms
2.a client who reports shortness of breath requests the nurse's help in
ms ms ms ms ms ms ms ms ms ms ms ms
chang-
msing positions. After repositioning the client, which of the following act
ms ms ms ms ms ms ms ms ms ms
ions should the nurse take next?
ms ms ms ms ms
a) encourage the client to take deep breaths ms ms ms ms ms ms
b) observe the client's rate, depth, and character of respirations
ms ms ms ms ms ms ms ms
c) prepare to administer oxygen ms ms ms
d) give the client a backrub to promote relaxation: b) observe the cli
ms ms ms ms ms ms ms ms ms ms ms
ent's rate, depth, and character of respirations
ms ms ms ms ms ms
3.a nurse is collecting health history data from a client who is deaf a
ms ms ms ms ms ms ms ms ms ms ms ms ms
1ms/
ms64
, ATI Fundamentals Final Ex
ms ms ms
am
nd uses American sign language(ASL) to communicate. The nurse will b
ms ms ms ms ms ms ms ms ms ms
e working with an ASL interpreter. Which of the following actions shoul
ms ms ms ms ms ms ms ms ms ms ms
d the nurse take when working with the interpreter?
ms ms ms ms ms ms ms ms
a) face away from the client to avoid distractions
ms ms ms ms ms ms ms
b) pace speech to allow time for the interpreter to convey the words
ms ms ms ms ms ms ms ms ms ms ms
2ms/
ms64
, ATI Fundamentals Final Ex
ms ms ms
am
c) make eye contact with the interpreter when explaining the procedure
ms ms ms ms ms ms ms ms ms
d) stand in the background while the interpreter translates the messa
ms ms ms ms ms ms ms ms ms
ge: b) pace speech to allow time for the interpreter to convey th
ms ms ms ms ms ms ms ms ms ms ms ms
e words
ms
4.a nurse manager is providing teaching to a group of newly licensed
ms ms ms ms ms ms ms ms ms ms ms ms
nurses about the ways that clients acquire healthcare-associated-
ms ms ms ms ms ms ms
infections (HAI's). Which of the following routes of infection should the
ms ms ms ms ms ms ms ms ms ms
manager identify as an iatrogenic HAI?
ms ms ms ms ms ms
a) infection required from improper hand hygiene
ms ms ms ms ms
b) infection acquired by drug resistancems ms ms ms
c) infection acquired by inappropriate waste disposal
ms ms ms ms ms
d) infection acquired from diagnostic procedure: d) infection acquir
ms ms ms ms ms ms ms
ed from diagnostic procedure
ms ms ms
Iatrogenic HAIs directly result from diagnostic or therapeutic procedu
ms ms ms ms ms ms ms ms
es
5.a nurse is caring for a client who has Clostridium difficile infection
ms ms ms ms ms ms ms ms ms ms ms m
sand is in contact isolation. Which of the following actions should the
ms ms ms ms ms ms ms ms ms ms ms
msnurse take? ms
a) wear gloves when changing the clients gown
ms ms ms ms ms ms
b) use alcohol-based sanitizers to cleanse the hands
ms ms ms ms ms ms
c) wear a mask when assisting the client with his meal tray
ms ms ms ms ms ms ms ms ms ms
d) place the client on a complete bed rest: a) wear gloves when ch
ms ms ms ms ms ms ms ms ms ms ms ms
anging the clients gown ms ms ms
-alcohol-
based sanitizers are ineffective against the spores of C.difficile
ms ms ms ms ms ms ms ms
-
nurse should wear a mask when working within 3 ft of a patient wi
ms ms ms ms ms ms ms ms ms ms ms ms ms
h droplet precautions
ms ms
-
the nurse should not place the client on complete bed rest because
ms ms ms ms ms ms ms ms ms ms ms m
sthis places him at risk for the hazards of immobility, such as impai
ms ms ms ms ms ms ms ms ms ms ms ms
red skin integrity and retained respiratory secretions. The nurse sho
ms ms ms ms ms ms ms ms ms
uld instruct the patient to stay in his room but to move, cough, an
ms ms ms ms ms ms ms ms ms ms ms ms ms
d deep breathe at least every 2 hours
ms ms ms ms ms ms ms
6.a nurse is reviewing the use of side rails with an A.P. Which of the f
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ollowing statements by the A.P indicates that further teaching is requir
ms ms ms ms ms ms ms ms ms ms
3ms/
ms64
, ATI Fundamentals Final Ex
ms ms ms
am
ed?
a) "I should not leave all 4 side rails up unless there is a prescrip
ms ms ms ms ms ms ms ms ms ms ms ms ms
tion for restraints"
ms ms
b) "an alert client will be the safest if I raise the 2 upper side rails at
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the head of the bed"
ms ms ms ms
c) "if the client seems confused, I'll raise all 4 side rails so that he doe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
sn't hurt himself"
ms ms
4ms/
ms64
ms ms ms
am
1.a nurse is admitting a client who will undergo a craniotomy. During
ms ms ms ms ms ms ms ms ms ms ms ms
the planning phase of the nursing process, which of the following actio
ms ms ms ms ms ms ms ms ms ms ms
ns should the nurse take?
ms ms ms ms
a) establish client outcomes ms ms
b) collect information about past health problems
ms ms ms ms ms
c) determine whether the client has met specific goals
ms ms ms ms ms ms ms
d) identify the client's specific health problem: a) establish client out
ms ms ms ms ms ms ms ms ms
comes The planning phase includes developing goals and outcome
ms ms ms ms ms ms ms ms
s that help the nurse create the client's plan of care.
ms ms ms ms ms ms ms ms ms ms
The nursing process:
ms ms
step 1. assessment phase-
ms ms ms
mscollect information about past health problems (vitals, age, height
ms ms ms ms ms ms ms ms
)
step 2. analysis phase- identify the client's specific health problem
ms ms ms ms ms ms ms ms ms
step 3. planning phase-
ms ms ms
msestablish client goals and outcomes and selects interven-
ms ms ms ms ms ms ms
mstions that will help to achieve them. Also involves setting care pr
ms ms ms ms ms ms ms ms ms ms ms
iorities.
step 4. implementation-
ms ms
msprovides client care and uses interpersonal/
ms ms ms ms ms
technical skills when implementing nursing interventions
ms ms ms ms ms
step 5. evaluation phase-
ms ms ms
msuse critical thinking skills to determine whether the client has met
ms ms ms ms ms ms ms ms ms ms
msa specific goal. examines results, compares the data, identifies err
ms ms ms ms ms ms ms ms ms
ors, and considers pt's situation
ms ms ms ms
2.a client who reports shortness of breath requests the nurse's help in
ms ms ms ms ms ms ms ms ms ms ms ms
chang-
msing positions. After repositioning the client, which of the following act
ms ms ms ms ms ms ms ms ms ms
ions should the nurse take next?
ms ms ms ms ms
a) encourage the client to take deep breaths ms ms ms ms ms ms
b) observe the client's rate, depth, and character of respirations
ms ms ms ms ms ms ms ms
c) prepare to administer oxygen ms ms ms
d) give the client a backrub to promote relaxation: b) observe the cli
ms ms ms ms ms ms ms ms ms ms ms
ent's rate, depth, and character of respirations
ms ms ms ms ms ms
3.a nurse is collecting health history data from a client who is deaf a
ms ms ms ms ms ms ms ms ms ms ms ms ms
1ms/
ms64
, ATI Fundamentals Final Ex
ms ms ms
am
nd uses American sign language(ASL) to communicate. The nurse will b
ms ms ms ms ms ms ms ms ms ms
e working with an ASL interpreter. Which of the following actions shoul
ms ms ms ms ms ms ms ms ms ms ms
d the nurse take when working with the interpreter?
ms ms ms ms ms ms ms ms
a) face away from the client to avoid distractions
ms ms ms ms ms ms ms
b) pace speech to allow time for the interpreter to convey the words
ms ms ms ms ms ms ms ms ms ms ms
2ms/
ms64
, ATI Fundamentals Final Ex
ms ms ms
am
c) make eye contact with the interpreter when explaining the procedure
ms ms ms ms ms ms ms ms ms
d) stand in the background while the interpreter translates the messa
ms ms ms ms ms ms ms ms ms
ge: b) pace speech to allow time for the interpreter to convey th
ms ms ms ms ms ms ms ms ms ms ms ms
e words
ms
4.a nurse manager is providing teaching to a group of newly licensed
ms ms ms ms ms ms ms ms ms ms ms ms
nurses about the ways that clients acquire healthcare-associated-
ms ms ms ms ms ms ms
infections (HAI's). Which of the following routes of infection should the
ms ms ms ms ms ms ms ms ms ms
manager identify as an iatrogenic HAI?
ms ms ms ms ms ms
a) infection required from improper hand hygiene
ms ms ms ms ms
b) infection acquired by drug resistancems ms ms ms
c) infection acquired by inappropriate waste disposal
ms ms ms ms ms
d) infection acquired from diagnostic procedure: d) infection acquir
ms ms ms ms ms ms ms
ed from diagnostic procedure
ms ms ms
Iatrogenic HAIs directly result from diagnostic or therapeutic procedu
ms ms ms ms ms ms ms ms
es
5.a nurse is caring for a client who has Clostridium difficile infection
ms ms ms ms ms ms ms ms ms ms ms m
sand is in contact isolation. Which of the following actions should the
ms ms ms ms ms ms ms ms ms ms ms
msnurse take? ms
a) wear gloves when changing the clients gown
ms ms ms ms ms ms
b) use alcohol-based sanitizers to cleanse the hands
ms ms ms ms ms ms
c) wear a mask when assisting the client with his meal tray
ms ms ms ms ms ms ms ms ms ms
d) place the client on a complete bed rest: a) wear gloves when ch
ms ms ms ms ms ms ms ms ms ms ms ms
anging the clients gown ms ms ms
-alcohol-
based sanitizers are ineffective against the spores of C.difficile
ms ms ms ms ms ms ms ms
-
nurse should wear a mask when working within 3 ft of a patient wi
ms ms ms ms ms ms ms ms ms ms ms ms ms
h droplet precautions
ms ms
-
the nurse should not place the client on complete bed rest because
ms ms ms ms ms ms ms ms ms ms ms m
sthis places him at risk for the hazards of immobility, such as impai
ms ms ms ms ms ms ms ms ms ms ms ms
red skin integrity and retained respiratory secretions. The nurse sho
ms ms ms ms ms ms ms ms ms
uld instruct the patient to stay in his room but to move, cough, an
ms ms ms ms ms ms ms ms ms ms ms ms ms
d deep breathe at least every 2 hours
ms ms ms ms ms ms ms
6.a nurse is reviewing the use of side rails with an A.P. Which of the f
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ollowing statements by the A.P indicates that further teaching is requir
ms ms ms ms ms ms ms ms ms ms
3ms/
ms64
, ATI Fundamentals Final Ex
ms ms ms
am
ed?
a) "I should not leave all 4 side rails up unless there is a prescrip
ms ms ms ms ms ms ms ms ms ms ms ms ms
tion for restraints"
ms ms
b) "an alert client will be the safest if I raise the 2 upper side rails at
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the head of the bed"
ms ms ms ms
c) "if the client seems confused, I'll raise all 4 side rails so that he doe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
sn't hurt himself"
ms ms
4ms/
ms64
