ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: D
Rationale: Two- and four-point gaits require partial weight-bearing on both legs. Swing-through is for non-weight-bearing. Three-point gait suits one-leg weight-bearing, advancing the non-weight-bearing leg with crutches.
Question 3 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 4 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label?
Correct Answer: B,C,E
Rationale: At the end of the shift is incorrect; medication verification is done before administration. When removing the medication from the drawer is correct as it ensures the correct medication is selected. Directly before administering is correct as it’s the final check for accuracy. Reconciling controlled substances is separate from medication checks. When preparing the dosage is correct to ensure accuracy before administration.
Question 5 of 5
A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Three fingers’ space is too loose. Quick-release knots aren’t standard. Extending the neck may cause discomfort. Cutting old ties after securing new ones prevents tube dislodgement.