ATI RN
ATI RN Fundamentals 2023 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: B
Rationale: Turning the client onto their side helps prevent aspiration but since the client is seated, the priority is to prevent falls by helping them lie on the floor. Loosening clothing and moving items are important but secondary to ensuring the client is in a safe position.
Question 2 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: A
Rationale: Area rugs on tile floors can be a tripping hazard and should be secured or removed. Grab bars promote safety. A medication organizer is beneficial. A hot water heater at 47°C poses a scalding risk, but the area rug is a more immediate fall risk for osteoporosis.
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: B
Rationale: Weber’s test uses a tuning fork on the forehead to assess hearing symmetry. High-pitched sounds, mastoid placement, or whispering are for other tests.
Question 4 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Advising to discuss with the provider doesn't address the immediate concern of potential harm. Asking about thoughts of self-harm assesses the client's immediate safety. Inquiring about medication discontinuation is important but not as urgent as addressing suicidal ideation. While understanding the relationship is important, it's not the priority when a client expresses suicidal thoughts.
Question 5 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don't swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: Assault is threatening harm, as here. Defamation is false reputation harm. Battery is unauthorized touching. Privacy invasion involves confidentiality breaches.