ATI RN
ATI Fundamentals 2023 Retake 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,B,D,E
Rationale: Stopping the transfusion (
D), giving oxygen (
B), using high-Fowler’s (E), and getting a diuretic (
A) address fluid overload (crackles, hypoxia, JV
D). Epinephrine (
C) is for allergic reactions, not overload.
Question 2 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Injecting 2 in from the umbilicus (
C) ensures safe subcutaneous administration. 18-gauge (
A) is too large, massaging (
B) risks bleeding, and air bubble (
D) stays in prefilled syringes.
Question 3 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Asking the family to assist (
C) supports grieving and cultural preferences. Dentures stay in (
A), soft lighting is preferred (
B), and eyes are closed (
D) for peacefulness.
Question 4 of 5
A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Discussing expectations (
A) reduces anxiety with information. Why (
B) pressures, most people (
C) generalizes, and reassurance (
D) dismisses concerns.
Question 5 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: A
Rationale: Three-point gait (
A) suits one-leg weight-bearing, advancing crutches with the affected leg. Two-point (
B) and four-point (
C) need bilateral weight, swing-through (
D) is for non-weight-bearing.