ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: D,E,C,B,A
Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.
Question 2 of 5
A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: Left lower extremity tenderness (
B) may indicate DVT, a life-threatening risk of immobility, making it the priority. Appetite (
A), heart rate (
C), and weakness (
D) are less urgent.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: B
Rationale: Occupational therapists (
B) specialize in ADLs like eating. Social workers (
A) handle psychosocial issues, speech therapists (
C) focus on swallowing, and physical therapists (
D) address mobility.
Question 4 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: D
Rationale: Antihypertensives (
D) can cause hypotension and dizziness, increasing fall risk. Secured wires (
A) and rubber soles (
B) reduce risk, and 20/40 vision (
C) is mildly impaired but less critical.
Question 5 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: Drinking thickened juice with a straw (
A) increases aspiration risk in dysphagia; a cup is safer. Breaks (
B), upright position (
C), and chin tuck (
D) reduce aspiration risk.