ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: A
Rationale: Enjoying help (
A) shows adaptation. Uncertainty (
B), independence desire (
C), and reluctance (
D) suggest ongoing adjustment.
Question 2 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: Using a straw (
A) increases aspiration risk in dysphagia. Chin tuck (
B), breaks (
C), and upright position (
D) are safe practices.
Question 3 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Rechecking in the other arm (
C) confirms accuracy of elevated BP. Waiting (
A) delays, 50% cuff width (
B) is incorrect (40% is standard), and supine recheck (
D) isn’t needed initially.
Question 4 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: A
Rationale: Enjoying help (
A) shows adaptation. Uncertainty (
B), independence desire (
C), and reluctance (
D) suggest ongoing adjustment.
Question 5 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Securing with a hook-and-loop collar (
D) ensures stability safely. Clean gloves (
A) risk infection (sterile needed), hydrogen peroxide (
B) irritates, and cutting gauze (
C) risks fiber inhalation.