ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 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: B
Rationale: Drinking thickened juice with a straw increases aspiration risk in dysphagia clients, bypassing natural swallowing mechanisms. A 90° bed position aids swallowing, chin tucking directs food to the esophagus, and breaks enhance safety—all appropriate.
Question 2 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: C
Rationale: Elevating heels off the mattress prevents pressure injuries on this vulnerable area. Four-hour repositioning is too infrequent (2 hours is standard), a 60° angle risks sacral pressure, and massaging increases tissue damage risk.
Question 3 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: A: Grab bars prevent falls. B: Fire plans ensure safety. E: Checking expiration dates ensures medication efficacy. C: 140°F risks scalding (120-130°F is safer). D: Taping cords is unsafe—replace them.
Question 4 of 5
A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?
Correct Answer: A
Rationale: Reading the label twice confirms the right medication and dose, a key safety step. One identifier is insufficient (two are standard), online formularies supplement knowledge, and client history isn’t enough for verification.
Question 5 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Eyelashes curling outward are normal, protecting the eye. Opaque corneas, dilated pupils (8-9 mm), and excessive blinking (30-35/min vs. 15-20) are abnormal.