ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain nausea and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Auscultating bowel sounds first assesses gastrointestinal function and helps diagnose conditions like appendicitis. Antiemetics (
A) and pain medication (
B) treat symptoms but don’t assess and palpation (
C) risks rupturing an inflamed appendix.
Question 2 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: Reviewing the artificial larynx is the priority as it directly addresses communication post-surgery. Support sessions (
A) esophageal speech (
B) and reading ability (
C) are important but secondary to ensuring communication.
Question 3 of 5
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?
Correct Answer: C
Rationale: An occupational therapist helps with ADLs through adaptive strategies. Physical therapists (
A) focus on mobility dietitians (
B) on nutrition and speech pathologists (
D) on communication/swallowing.
Question 4 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 first ensures restraints aren’t impairing circulation which could cause ischemia. Skin integrity (
A) comfort (
C) and elimination (
D) are important but secondary to circulation.
Question 5 of 5
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the percussion area with a towel reduces discomfort and bruising. Percussion should be over the chest (
A) drainage should be before meals (
C) and exhalation should be slow during vibration (
D).