ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: A syringe with a catheter (
B) ensures controlled irrigation, removing debris safely. Cold solution (
A) causes discomfort, one glove pair (
C) risks contamination, and 5-minute analgesia (
D) is too late for effect.
Question 2 of 5
A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: Left lower extremity tenderness (
B) may indicate DVT, a life-threatening risk of immobility, making it the priority. Appetite (
A), heart rate (
C), and weakness (
D) are less urgent.
Question 3 of 5
A nurse is administering an intramuscular injection to a client using the Z-track method. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pulling skin laterally (
D) in Z-track seals medication in muscle, preventing leakage. Releasing early (
A) negates this, 45° (
B) is too shallow (90° typical), and quick withdrawal (
C) risks leakage.
Question 4 of 5
A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Morning collection (
C) captures overnight sputum accumulation for better yield. Sterile gloves (
A) aren’t needed (clean suffice), sterile containers (
B) are required (not clean), and mouthwash (
D) interferes.
Question 5 of 5
A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lowering footplates (
B) prevents leg injury during transfer. Leaving a belt (
A) risks pressure ulcers, backing into elevators (
C) isn’t necessary, and forward weight (
D) increases fall risk.