ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?
Correct Answer: C
Rationale: The correct answer is C: A middle adult assumes their parent's responsibilities. This indicates a change in the family system as it suggests a shift in roles and dynamics within the family. The middle adult taking on their parent's responsibilities signifies a significant change in the family structure and functioning.
A: A young adult developing a close, personal relationship is a normal developmental milestone and does not necessarily indicate a change in the family system.
B: A young adult focusing on their career is also a typical developmental stage and does not directly relate to a change in the family system.
D: A middle adult experiencing physical changes is a part of the aging process and may not necessarily signify a change in the family system.
Therefore, choice C is the most relevant in the context of assessing the impact of stressors on a family system.
Question 2 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: A
Rationale: The correct answer is A: Provide the client with a night light. This is important for fall prevention as it helps the client see clearly at night, reducing the risk of tripping or falling in the dark. Night lights can improve visibility and safety without disrupting sleep.
Choice B could potentially restrict the client's movement and increase the risk of entrapment.
Choice C does not directly address fall prevention.
Choice D focuses on room temperature, which is not directly related to fall risk.
Question 3 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: D
Rationale: The correct answer is D: Right lateral in Trendelenburg position. This position allows gravity to assist in draining secretions from the left lower lobe of the lung. Trendelenburg position promotes drainage by utilizing gravity to help move secretions towards the larger airways for removal. Side-lying with the right side elevated (
Choice
A) does not provide optimal drainage for the left lower lobe. Supine in low-Fowler's position (
Choice
B) and prone with pillows under the lower extremities (
Choice
C) do not specifically target the left lower lobe for drainage. Right lateral in Trendelenburg position (
Choice
D) is the most effective position for postural drainage in this scenario.
Question 4 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the threat of harmful or offensive contact without consent, creating fear in the victim. In this scenario, the nurse's statement of administering medication by injection if pills are not swallowed constitutes a threat of harm, inducing fear in the client. The other choices are incorrect because: B: Defamation involves making false statements that harm one's reputation, C: Invasion of privacy is the intrusion into someone's private affairs without consent, and D: Battery is the actual harmful or offensive contact without consent.
Question 5 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are A, D, and E.
A: When removing the medication from the drawer, the nurse ensures the correct medication is being administered.
D: When preparing the dosage, the nurse verifies the medication details before administering it to the patient.
E: Directly before administering the medication, the nurse confirms the medication matches the prescription.
B and C are incorrect because comparing the records and labels should occur before medication is given.