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: Assuming parental roles (
C) shifts family dynamics. Relationships (
A), career focus (
B), and aging (
D) are typical, not systemic changes.
Question 2 of 5
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Padding (
B) prevents injury, lowest bed position (
D) reduces fall risk, and assessing skin (E) monitors circulation. Bed rails (
A) risk injury, and two fingers (not three,
C) ensure proper fit.
Question 3 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Frequent coughing while eating (
B) risks aspiration, a priority per ABCs. BP (
A), leaning (
C), and intake (
D) are less immediate.
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: B
Rationale: Holding bottles label-in-palm (
B) prevents drips contaminating the field. Flap toward body (
A) risks contamination, pouring outside (
C) breaks sterility, and hip level (
D) is too low (waist or above).
Question 5 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?
Correct Answer: D
Rationale: Keeping heels off the mattress (
D) prevents pressure injuries using relief devices. Repositioning every 2 hr (not 4,
A), 30° max elevation (not 60°,
B), and no massaging (
C) are correct practices.