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 postoperative client. Which of the following findings indicate the client may be actively bleeding?
Correct Answer: B
Rationale: Restlessness (
B) signals hypovolemia from bleeding, reducing tissue perfusion. Bounding pulses (
A), warm skin (
C), and brisk refill (
D) suggest adequate circulation, not bleeding.
Question 3 of 5
A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Waiting 5 minutes (
C) between drops prevents interactions and ensures absorption. 3 cm (
A) is too far (1 cm is ideal), massaging (
B) risks injury, and tight closure (
D) expels medication.
Question 4 of 5
A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Allowing the client to slide down an outstretched leg (
D) safely lowers them, minimizing injury to both. Arms around (
A) risks mutual injury, staying upright (
B) or moving in front (
C) increases fall risk.
Question 5 of 5
A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?
Correct Answer: A
Rationale: Tuberculosis (
A) spreads via airborne droplets, requiring precautions. Pneumonia (
B) and strep throat (
D) are droplet-based, and shigella (
C) is fecal-oral.