ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

A. A family whose head of household lost their job.B. A family whose house was destroyed in a fire.C. A family whose only child recently died due to cancer.D. A family whose oldest child is moving away for college.

Correct Answer: D

Rationale: Maturational loss (
D) is a normal life transition, like a child leaving for college. Job loss (
A), fire (
B), and death (
C) are situational losses.

Question 2 of 5

A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?

A. I will take 250 milligrams of calcium once per day.'B. I will decrease my intake of dairy products.'C. I will walk three times per week.'D. I will avoid exposure to the sun.'

Correct Answer: C

Rationale: Walking three times weekly (
C) is a weight-bearing exercise that strengthens bones, reducing osteoporosis risk. Low calcium (A, 1200 mg needed), less dairy (B, a calcium source), and no sun (D, needed for vitamin
D) increase risk.

Question 3 of 5

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

A. When documenting the medication administrationB. Before selecting the medication containerC. While removing medication from the containerD. When providing client education about the medicationE. At the client's bedside before administering the medication

Correct Answer: B,C,E

Rationale: Comparing the MAR with the container before selecting (
B), while removing (
C), and at bedside (E) ensures accuracy (right drug, dose, patient). Documentation (
A) follows, and education (
D) doesn’t require this step.

Question 4 of 5

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Use povidone-iodine to clean around the stoma.'B. Cut the opening of the pouch 1/8 of an inch larger than the stoma.'C. Empty the ostomy pouch when it becomes one-third full of contents.'D. Place a piece of gauze over the stoma while changing the pouch.'E. Expect the stoma to turn a purple-blue color as it heals.'

Correct Answer: B,C,D

Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.

Question 5 of 5

A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?

A. Use sterile gloves when removing the old dressingB. Change the dressing four times per day.C. Clean from the incision to the surrounding skin.D. Apply tincture of benzoin prior to removing the dressing

Correct Answer: C

Rationale: Cleaning from incision outward (
C) prevents contamination. Sterile gloves (
A) aren’t needed (clean suffice), frequent changes (
B) disrupt healing, and benzoin (
D) isn’t routine.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN