ATI Fundamentals 2023 Retake

Extract:

Question 1 of 5

A nurse is assessing a client who has cirrhosis. Which of the following findings indicates the client is experiencing a fluid volume excess?

A. Dependent edemaB. Increased serum sodiumC. Thready pulseD. Increased thirst

Correct Answer: A

Rationale: Dependent edema (
A) signals fluid excess in cirrhosis. High sodium (
B) and thirst (
D) suggest deficit, and thready pulse (
C) isn’t specific.

Question 2 of 5

A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?

A. Reposition the client every 4 hr.B. Raise the head of the client's bed to a 60° angle.C. Massage the client's bony prominences.D. Ensure the client's heels are not touching the mattress.

Correct Answer: D

Rationale: Keeping heels off the mattress (
D) prevents pressure injuries using relief devices. Repositioning every 2 hr (not 4,
A), 30° max elevation (not 60°,
B), and no massaging (
C) are correct practices.

Question 3 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?

A. Contact the facility's ethics committee for guidance.B. Keep the client stable until a family member arrives to give consent.C. Obtain consent from the surgeon.D. Prepare the client for surgery.

Correct Answer: D

Rationale: Preparing for surgery (
D) is correct under implied consent for emergencies to save life. Ethics (
A) delays, waiting (
B) risks harm, and surgeon consent (
C) isn’t valid.

Question 4 of 5

A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?

A. Move items in the room away from the client.B. Help the client lie on the floor.C. Turn the client onto their side.D. Loosen the client's clothing

Correct Answer: B

Rationale: Helping the client to the floor (
B) prevents fall injury, the first priority. Moving items (
A), turning (
C), and loosening (
D) follow once safe.

Question 5 of 5

A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?

A. I will hold my breath when rising from a sitting position.'B. I will have my partner help me change positions every 4 hours.'C. I will remove my antiembolic stockings while I am in bed.'D. I will perform ankle and knee exercises every hour!'

Correct Answer: D

Rationale: Hourly ankle/knee exercises (
D) improve circulation and mobility. Breath-holding (
A) increases pressure, 4-hour repositioning (
B) is too infrequent, and removing stockings (
C) risks clots.

ATI Fundamentals 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN