ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs first assesses for fluid overload complications like pulmonary edema. Documentation (
A) incident reports (
B) and reporting (
D) follow after ensuring client safety.
Question 2 of 5
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
Correct Answer: B
Rationale: Performing a simple dressing change is a routine non-invasive task suitable for assistive personnel with clear instructions. Inserting an NG tube (
A) and changing IV tubing (
D) are complex invasive procedures requiring nursing judgment. Evaluating incision healing (
C) requires professional assessment skills.
Question 3 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting pelvic muscles strengthens the pelvic floor improving bladder control. Holding breath (
A) worsens incontinence 2 weeks (
C) is unrealistic and tightening buttocks (
D) interferes with pelvic isolation.
Question 4 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The client’s belief in meeting needs through education reflects self-efficacy driving motivation. Explaining need (
B) and empathy (
D) support learning but are less impactful and family approval (
C) is extrinsic not intrinsic motivation.
Question 5 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: B
Rationale: Determining affordability ensures adherence to the insulin regimen critical for health. Reconciliation forms (
A) specialist contacts (
C) and printed info (
D) are important but secondary to access.