ATI RN
ATI RN Fundamentals 2023 II 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: B
Rationale: Hypotension (
B) signals anaphylaxis. Bradycardia (
A) isn’t typical, foot swelling (
C) is less urgent, pain (
D) is local.
Question 2 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: D
Rationale: Three-point gait (
D) suits one-leg weight-bearing. Four-point (
A) and two-point (
B) need bilateral weight, swing-through (
C) is for non-weight-bearing.
Question 3 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: Night light (
C) reduces fall risk. Temperature (
A) isn’t fall-related, distant table (
B) hinders access, full rails (
D) are restraints.
Question 4 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Holding label in palm (
C) prevents contamination. Pouring outside (
A), hip level (
B), flap toward body (
D), and Fowler’s (E) break sterility.
Question 5 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Repeating 3-5 times (
D) enhances mobility safely. Quick moves (
A), once daily (
B), and pain (
C) are incorrect.