ATI RN
ATI RN Fundamentals 2023 II 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: A
Rationale: Asking about self-harm (
A) assesses suicide risk, a priority. Partner talk (
B), referral (
C), and medication (
D) are secondary.
Question 2 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Music (
D) distracts and reduces pain perception. Massaging (
A) worsens injury, bright lights (
B) discomfort, loose linens (
C) don’t target pain.
Question 3 of 5
A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication?
Correct Answer: B
Rationale: Hypotension (
B) signals anaphylaxis. Bradycardia (
A) isn’t typical, foot swelling (
C) is less urgent, pain (
D) is local.
Question 4 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: C
Rationale: Gloves (
C) are removed first as most contaminated. Sequence: gloves, gown (
A), eyewear (
B), mask (
D).
Question 5 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: B
Rationale: Metabolic syndrome (
B) increases cardiovascular risk. Sports (
A) reduce risk, alcohol history (
C) isn’t direct, hypotension (
D) isn’t typical.