ATI RN
ATI RN Fundamentals 2023 I 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? (Select all that apply.)
Correct Answer: A,C,E
Rationale: A: High-Fowler’s aids breathing. C: Oxygen treats hypoxia. E: Stopping transfusion prevents further overload (possible TRALI). B: Epinephrine is for anaphylaxis, not overload. D: Diuretic needs provider order post-assessment.
Question 2 of 5
A nurse is planning to administer insulin to a client who has type 1 diabetes mellitus, what action should the nurse perform first?
Correct Answer: C
Rationale: Verifying the dose with another nurse ensures accuracy, preventing errors in this high-risk medication. Administering, using a filter needle, or mixing come after confirmation.
Question 3 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client’s room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: B
Rationale: Gloves are removed first as they contact contaminated surfaces, preventing pathogen spread to other PPE or skin. Eyewear, mask, and gown follow in sequence.
Question 4 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Directly asking about self-harm assesses suicide risk, a priority given the client’s statement. Exploring partner loss, deferring to the provider, or focusing on medication non-adherence delays immediate safety assessment.
Question 5 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?
Correct Answer: C
Rationale: Elevating heels off the mattress prevents pressure injuries on this vulnerable area. Four-hour repositioning is too infrequent (2 hours is standard), a 60° angle risks sacral pressure, and massaging increases tissue damage risk.