ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Rather than rubbing dry, patting the peristomal skin dry after cleaning is recommended. The frequency of changing the pouch depends on various factors, not a fixed 24-hour schedule. Ensuring the pouch is slightly larger than the stoma prevents irritation and damage. Applying the pouch when the skin barrier is dry ensures better adhesion.
Question 2 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale: Using a straw increases aspiration risk in dysphagia by bypassing oral control. A 90° bed position, frequent breaks, and chin tucking are appropriate for safe swallowing.
Question 3 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Advising to discuss with the provider doesn't address the immediate concern of potential harm. Asking about thoughts of self-harm assesses the client's immediate safety. Inquiring about medication discontinuation is important but not as urgent as addressing suicidal ideation. While understanding the relationship is important, it's not the priority when a client expresses suicidal thoughts.
Question 4 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: Catheter care, feeding, and wound irrigation are important but secondary to airway management. Endotracheal suctioning ensures a patent airway, critical for oxygenation.
Question 5 of 5
A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Dismissing worry invalidates feelings. Generalizing fear doesn’t address concerns. Asking why may seem confrontational. Discussing expectations reduces anxiety by providing control and clarity.