Questions 55

ATI RN

ATI RN Test Bank

ATI RN Fundamentals Updated 2023 Exam Questions

Extract:


Question 1 of 5

A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)

Correct Answer: A,B,D

Rationale: A fire escape plan (
A), checking medication expiration (
B), and using grab bars (
D) indicate safety understanding, preventing fires, drug errors, and falls. Setting the heater to 140°F (
C) risks burns; 120°F is safer. Taping frayed cords (E) is unsafe; replacement is needed.

Question 2 of 5

A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?

Correct Answer: B

Rationale: Checking peripheral pulses (
B) is the priority to ensure restraints aren’t impairing circulation, which could cause ischemia or nerve damage. Skin integrity (
A), comfort (
C), and elimination needs (
D) are important but secondary; circulation must be confirmed first to prevent immediate harm.

Question 3 of 5

A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?

Correct Answer: C

Rationale: Visitors wearing protective gowns (
C) prevents infection transmission to the immunocompromised client post-transplant. A negative-airflow room (
A) is for airborne infections, not stem cell transplants; a positive-airflow room is used. A semi-private room (
B) increases infection risk; a private room is required. Wearing a mask outside the room (
D) is insufficient; clients should avoid leaving unless necessary.

Question 4 of 5

A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?

Correct Answer: C

Rationale: The 17-year-old mother (
C) can sign consent if emancipated (e.g., as a parent), as she’s legally responsible. The provider (
A) explains but doesn’t sign. Grandparents (
B) or siblings (
D) need legal guardianship or authorization, which isn’t indicated.

Question 5 of 5

A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Obtaining vital signs (
C) is the first action to assess for fluid overload complications like pulmonary edema. Documentation (
A) follows assessment. Incident reports (
B) are completed after ensuring safety. Reporting to the manager (
D) is later, after immediate actions.

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