ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In emergencies where immediate surgery is life-saving and no consent is available, implied consent allows preparation for surgery. Ethics committee consultation or waiting for family delays critical care. Surgeons cannot consent for patients.
Question 2 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.
Extract:
A nurse is caring for a client.
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 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
Question 3 of 5
Bilateral breath sounds with scattered wheezing upon auscultation, Select the 4 findings that require immediate follow-up.
Correct Answer: B,D,E,F
Rationale: Elevated heart rate is concerning but less urgent. Dropping blood pressure, urticaria, swollen tongue, and wheezing indicate anaphylaxis, requiring immediate intervention.
Extract:
Question 4 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A semi-Fowler’s position may help but isn’t specific to medication administration. Timing between meals doesn’t address swallowing issues. Using a straw increases aspiration risk. Administering medications one at a time allows better swallowing control and reduces aspiration risk.
Question 5 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: C
Rationale: Desiring independence or reluctance to ask for help suggests incomplete adaptation. Enjoying others’ cooking indicates acceptance of support. Uncertainty about daily activities shows adjustment challenges.