ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is administering an intramuscular injection to a client using the Z-track method. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pulling skin laterally (
D) in Z-track seals medication in muscle, preventing leakage. Releasing early (
A) negates this, 45° (
B) is too shallow (90° typical), and quick withdrawal (
C) risks leakage.
Question 2 of 5
A nurse is caring for a client who has recently retired from their job. The client states they feel like they no longer have a purpose. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Asking for clarification (
A) shows empathy and explores feelings, aiding therapeutic communication. Volunteering (
B) and hobbies (
C) assume solutions, and health (
D) dismisses concerns.
Question 3 of 5
A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Assessing for changes (
B) is the priority to manage potential allergic reactions, per ABCs. Notifying (
A), reporting (
C), and antidote (
D) follow assessment.
Question 4 of 5
A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?
Correct Answer: B
Rationale: Durable power of attorney (
B) activates when the client can’t communicate healthcare decisions, not just self-care (
A), terminal illness (
C), or refusal (
D).
Question 5 of 5
A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states, 'I cannot do this. I do not want this surgery.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Notifying the surgeon (
C) respects the client’s autonomy to refuse. Educating (
A) dismisses concerns, saying it’s too late (
B) is false, and reassurance (
D) minimizes their decision.