ATI RN
ATI RN Fundamentals 2023 I 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: Implied consent applies in emergencies, allowing surgery to save life or prevent harm. Ethics consultation delays action, waiting risks deterioration, and surgeons can’t consent.
Question 2 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client’s BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Rechecking BP in the other arm confirms accuracy and checks for discrepancies (e.g., arterial issues). Cuff width should be 40%, supine repositioning isn’t needed, and waiting 30 min delays assessment.
Question 3 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 statements nurse plan to instruct the client to use?
Correct Answer: B
Rationale: Three-point gait supports non-weight-bearing on one leg, advancing crutches then the affected leg. Swing-through is for paralysis, four-point and two-point require bilateral weight-bearing.
Question 4 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: Implied consent applies in emergencies, allowing surgery to save life or prevent harm. Ethics consultation delays action, waiting risks deterioration, and surgeons can’t consent.
Question 5 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Correct Answer: B,C,F,G
Rationale: B: Tapering prednisone prevents adrenal insufficiency. C: Adjusting oxygen aids breathing (with guidance). F: Morning dosing aligns with cortisol rhythm. G: Keeping oxygen 8 feet from heat prevents fire hazards. A, D, E lack specific support from the MAR.