ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C
Rationale: High-Fowler’s improves lung expansion, oxygen addresses hypoxia, and stopping the transfusion halts potential circulatory overload. Diuretics may be needed later but aren’t immediate. Epinephrine is for anaphylaxis, not overload.
Question 2 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Weekly weighing isn’t frequent enough for heart failure. Evening dosing increases nocturia risk. A bathroom light prevents falls, enhancing safety. Hot baths may cause dehydration or temperature issues.
Question 3 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: C
Rationale: Desiring independence or reluctance to ask for help suggests incomplete adaptation. Enjoying others’ cooking indicates acceptance of support. Uncertainty about daily activities shows adjustment challenges.
Question 4 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: The Braden scale does evaluate six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. The client's age isn't directly part of the Braden scale; it assesses various risk factors, but age isn't one of them. In contrast, the lower the Braden scale score, the higher the risk of pressure injuries. Each element in the Braden scale is rated on a scale from one to four or one to three, depending on the element, not from one to five points.
Question 5 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A,B,C
Rationale: Using grab bars enhances safety while bathing. Having a fire escape plan contributes to home safety. Checking medication expiration dates ensures safe and effective use. Setting the water heater to 140 degrees Fahrenheit may pose a scalding risk. Applying tape to electrical cords is not a safe practice and does not indicate an understanding of safety precautions.