ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication?
Correct Answer: A
Rationale: A sharp drop in blood pressure is a hallmark of anaphylaxis, indicating systemic vasodilation and shock. Swelling in feet is less specific. Injection site pain is local, not systemic. Decreased heart rate isn’t typical; tachycardia is more common.
Question 2 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: B
Rationale: While it's important for the nurse to explain the need for education, the client's belief in personal benefits is more motivating. The belief that their needs will be met through education fosters motivation. Empathy from the nurse can enhance the learning experience but might not solely motivate the client. Seeking family approval is an external motivator, but personal belief in the benefits of education is more intrinsic.
Question 3 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Rather than rubbing dry, patting the peristomal skin dry after cleaning is recommended. The frequency of changing the pouch depends on various factors, not a fixed 24-hour schedule. Ensuring the pouch is slightly larger than the stoma prevents irritation and damage. Applying the pouch when the skin barrier is dry ensures better adhesion.
Question 4 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevating full-length side rails on both sides of the client's bed is not recommended, as it can increase the risk of injury if the client tries to climb over them or gets trapped between them. Placing the bedside table 0.9 m away is unrelated to fall prevention. A night light can help the client see better in the dark and avoid tripping or falling over objects. Maintaining the room temperature is important for comfort but doesn't directly prevent falls.
Extract:
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements. Client is a nonsmoker.
Client does not drink alcohol.
Diagnostic Results
Initial visit:
• Calcium 8.9 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.4 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+ D3) 24 ng/dL (25 to 80 ng/dL)
6-month follow-up:
• Calcium 8.8 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.2 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+D) 15 ng/dL (25 to 80 ng/dL)
Nurses' Notes
Initial visit:
Client instructed to take a calcium and vitamin D supplement and begin an exercise program, such as walking 3 times per week.
6-month follow-up:
Client states they frequently forget to take their calcium and vitamin D supplements and has been unable to exercise due to time constraints.
Question 5 of 5
A nurse in a provider's office is caring for a client. Exhibits:The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: C,F
Rationale: Lactose intolerance doesn’t directly cause osteoporosis. No smoking or alcohol use reported. Low vitamin D and sedentary lifestyle increase osteoporosis risk by reducing bone density.