ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: The client coughs frequently while eating. This is the priority finding because it indicates a risk of aspiration, which is a life-threatening complication post-stroke. Aspiration can lead to pneumonia and respiratory distress. Addressing this issue promptly is crucial to prevent further complications. The other choices are not as critical. A high blood pressure (option
A) can be managed with medication adjustments. Leaning to the left side (option
C) may be due to the weakness and can be addressed with positioning. Consuming only 25% of meals (option
D) is concerning but not as immediately life-threatening as the risk of aspiration.
Question 2 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: A
Rationale: The correct answer is A: Client advocate. In this scenario, the nurse manager is advocating for the safety and well-being of the client by ensuring that the newly licensed nurse performs the straight catheterization correctly. The role of a client advocate involves protecting the client's rights and interests. This includes ensuring that proper procedures are followed to prevent harm or errors. The other choices are incorrect because: B: Client care provider - The nurse manager is not directly providing care to the client in this situation. C: Case manager - The nurse manager is not managing the client's case or coordinating care. D: Client educator - The nurse manager is not educating the client in this scenario. The key focus here is on observing and ensuring the correct procedure is followed for the client's safety.
Question 3 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the client's medications one at a time. This is important for a client with dysphagia to prevent aspiration. By giving medications one at a time, the nurse ensures the client can safely swallow and digest each pill without any complications. Encouraging the client to use a straw (
A) can increase the risk of aspiration. Giving medications between meals (
B) may not provide adequate supervision and support during medication administration. Assisting the client into semi-Fowler's position (
D) can help with swallowing, but administering medications one at a time is more specific to addressing the issue of dysphagia.
Question 4 of 5
A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Uses a syringe with a catheter for wound irrigation. This action indicates an understanding of the procedure because using a syringe with a catheter allows for controlled and precise irrigation of the wound, ensuring thorough cleaning and removal of debris. It also helps prevent cross-contamination and promotes wound healing.
Incorrect choices:
A: Using one pair of gloves for dressing removal and irrigation increases the risk of contamination and infection.
C: Administering an analgesic medication before irrigation is not a standard practice and does not demonstrate understanding of the procedure.
D: Refrigerating the solution before irrigation is unnecessary and may cause discomfort to the client.
Question 5 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?
Correct Answer: B
Rationale: The correct answer is B: Help the client lie on the floor. This is the first action the nurse should take during a seizure to prevent injury. Lying on the floor reduces the risk of falling and hitting objects. Moving items away (
A) is important but only after ensuring client safety. Turning the client onto their side (
C) is done after the seizure to maintain an open airway. Loosening clothing (
D) can be done after ensuring the client is safe on the floor.