ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?
Correct Answer: D
Rationale: Conjunctivae (
D) are reliable for assessing cyanosis across skin tones as they are less affected by melanin. Other sites are less accurate in dark skin.
Question 2 of 5
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment.the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
Correct Answer: B
Rationale: Confusion (
B) explains wandering limited verbal response and flinching common in delirium or dementia.
Choices A,C,D and E/F do not fully account for all behaviors.
Question 3 of 5
A nurse is caring for a group of clients on a medical-surgical unit. Which of the following situations requires that the nurse wear gloves?
Correct Answer: A,B,E
Rationale: Oral care (
A) urine handling (
B) and ostomy care (E) involve potential exposure to infectious materials requiring gloves.
Choices C and D do not.
Question 4 of 5
A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying the ice bag for 30 minutes (
A) is appropriate to prevent tissue damage. Other choices risk injury or reduce effectiveness.
Question 5 of 5
A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Correct Answer: C
Rationale: The nurse’s role is to witness the client’s signature verifying voluntary consent after the provider explains the procedure.
Choices A B and D are the provider’s responsibility.