ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: Left lower extremity tenderness (
B) may indicate DVT, a life-threatening risk of immobility, making it the priority. Appetite (
A), heart rate (
C), and weakness (
D) are less urgent.
Question 2 of 5
A nurse is observing a newly licensed nurse care for a client who is at increased risk for infection. Which of the following actions indicate the newly licensed nurse is following recommended medical asepsis practices?
Correct Answer: A
Rationale: Using a paper towel (
A) prevents recontamination post-handwashing, per asepsis. Wet hands (
B), cold water (
C), and rub on soiled hands (
D) reduce effectiveness.
Question 3 of 5
A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states, 'I cannot do this. I do not want this surgery.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Notifying the surgeon (
C) respects the client’s autonomy to refuse. Educating (
A) dismisses concerns, saying it’s too late (
B) is false, and reassurance (
D) minimizes their decision.
Question 4 of 5
The nurse is preparing the client for surgery. Select the 3 findings that require follow-up prior to surgery.
Correct Answer: A,C,E,F
Rationale: Dietary intake (
A) ensures fasting compliance, pain level (
C) needs management (increased to 8/10), allergies (E) prevent reactions (shellfish, latex, penicillin), and informed consent (F) confirms understanding—critical pre-surgery. Oxygen saturation (
B) at 96% and blood pressure (
D) are stable.
Question 5 of 5
A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?
Correct Answer: D
Rationale: Attempting less restrictive alternatives (
D) is the first step, per least-restrictive principles, before restraints. Prescription (
A), documentation (
B), and explanation (
C) follow if needed.