ATI RN
ATI Fundamentals 2023 Retake 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: B
Rationale: A 1/8 in larger pouch (
B) fits without irritating the stoma. Damp skin (
A) prevents adhesion, rubbing (
C) irritates, and daily changes (
D) are excessive (3-7 days typical).
Question 2 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 3 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Music (
C) distracts and relaxes, reducing pain perception. Loose linens (
A) don’t target pain, massaging (
B) worsens injury, and bright lights (
D) increase discomfort.
Question 4 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: C
Rationale: Checking blood compatibility (
C) prevents transfusion reactions, a critical safety step. Small gauge (
A) is incorrect (large needed), lactated Ringer’s (
B) risks clotting, and technician confirmation (
D) isn’t standard.
Question 5 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).