ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A sponge bath with alcohol-water solution (
C) promotes heat loss through evaporation, effectively reducing fever. A blanket with a cooling blanket (
A) reduces its effectiveness. Heavy blankets (
B) trap heat, worsening fever. Ice packs (
D) cause vasoconstriction, limiting heat loss and risking tissue damage.
Question 2 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting the time spent sitting in a chair (
C) promotes blood flow and prevents venous stasis, reducing the risk of thrombus formation, indicating the client understands the teaching. Keeping legs crossed (
A) impairs circulation, increasing thrombus risk. Massaging legs (
B) could dislodge a clot, leading to complications like pulmonary embolism. Performing leg exercises every 4 hours (
D) is insufficient; hourly exercises are typically recommended to prevent thrombus formation.
Question 3 of 5
A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Oral suction equipment (
B), supplemental oxygen supplies (
C), and an oral airway (E) are essential for seizure precautions to manage airway clearance, oxygenation, and prevent tongue biting post-seizure. Limb restraints (
A) risk injury and are only used with orders if the client is a danger. A blood glucose monitor (
D) is not directly related to seizure management unless hypoglycemia is a known trigger.
Question 4 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: A
Rationale: Dilated pupils (
A) occur in the alarm stage due to sympathetic activation, preparing for fight or flight. Exhaustion (
B) and depression (
D) occur in the exhaustion stage when resources are depleted. Bradycardia (
C) may occur in the resistance stage, not alarm.
Question 5 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: D
Rationale: Assisting with ambulation (
D) is a basic task within the assistive personnel’s scope, requiring no advanced skills. Inserting a suppository (
A) involves assessment and sterile technique, a nursing task. Teaching spirometer use (
B) requires education and evaluation, a nursing responsibility. Irrigating a wound (
C) needs sterile technique and assessment, unsuitable for delegation.