ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevating full-length side rails on both sides of the client's bed is not recommended, as it can increase the risk of injury if the client tries to climb over them or gets trapped between them. Placing the bedside table 0.9 m away is unrelated to fall prevention. A night light can help the client see better in the dark and avoid tripping or falling over objects. Maintaining the room temperature is important for comfort but doesn't directly prevent falls.
Question 2 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Sterile gloves are required for inner cannula cleaning. Gauze under flanges isn’t standard. Full-strength peroxide is too harsh. A hook-and-loop collar ensures secure, adjustable fixation.
Question 3 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Loosening linens doesn’t address pain. Massaging a pressure injury worsens it. Bright lights don’t help pain. Music therapy reduces pain perception through distraction and relaxation.
Question 4 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: Catheter care, feeding, and wound irrigation are important but secondary to airway management. Endotracheal suctioning ensures a patent airway, critical for oxygenation.
Question 5 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Outward-curling eyelashes are normal. A blink rate of 30–35 is high. Pupils of 8–9 mm suggest dilation, not normal. Opaque corneas indicate pathology.