ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Helping to the floor (
D) prevents falls, the first priority. Loosening (
A), turning (
B), and moving items (
C) follow.
Extract:
Exibit 1
Medication Administration Record 0800:
Amoxicillin 500 mg PC every 8 hr
Exibit 2
Nurses' Notes
0800:
Antibiotic administered as prescribed.
Bilateral breath sounds clear and present throughout
0830
Client reports itching over the chest area and has urticaria over chest and trunk
Client states tongue feels swollen.
Bilateral breath sounds with scattered wheezing upon auscultation.
Exibit 3
Vital Signs
0800:
Temperature 37.6° C (99.7° F)
Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min
Pulse oximetry 97% on room air
0830
Temperature 37.5° C (99.5° F)
Blood pressure 88/56 mm Hg
Heart rate 104/min
Respiratory rate 24/min
Pulse oximetry 93% on room air
Question 2 of 5
A nurse is caring for a client. Select the 4 findings that require immediate follow-up.
Correct Answer: B,C,D,E
Rationale: Wheezing (
B), hypotension (
C), tachycardia (
D), and swollen tongue (E) indicate anaphylaxis, requiring urgent action per ABCs. Temperature (
A) and hives (F) are less immediate.
Extract:
Question 3 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Placing the tuning fork on the forehead (
C) tests sound conduction for the Weber’s test. A and B are unrelated, D is for Rinne’s test.
Question 4 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: D
Rationale: Rechecking other arm (
D) confirms elevated BP accuracy. Waiting (
A) delays, 50% cuff (
B) is wrong (40% standard), supine check (
C) isn’t first step.
Question 5 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Holding label in palm (
C) prevents contamination. Pouring outside (
A), hip level (
B), flap toward body (
D), and Fowler’s (E) break sterility.