ATI Fundamentals 2023 Retake

Extract:

Question 1 of 5

A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?

A. Encourage the client to use a straw to take the medications.B. Give the client's medications between meals.C. Administer the client's medications one at a time.D. Assist the client into semi-Fowler's position.

Correct Answer: C

Rationale: One at a time (
C) reduces aspiration risk in dysphagia. Straws (
A) increase risk, meals aid swallowing (B incorrect), and semi-Fowler’s (
D) isn’t optimal (upright is).

Question 2 of 5

A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should request a referral to which of the following members of the interdisciplinary team?

A. Occupational therapistB. Physical therapistC. Speech-language pathologistD. Social worker

Correct Answer: C

Rationale: Speech-language pathologists (
C) treat swallowing issues post-stroke. Occupational (
A) aids ADLs, physical (
B) mobility, and social workers (
D) psychosocial needs.

Question 3 of 5

A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

A. Obtain a prescription for a diuretic.B. Administer oxygen to the client.C. Administer epinephrine to the client.D. Stop the transfusion.E. Place the client in high-Fowler's position.

Correct Answer: A,B,D,E

Rationale: Stopping the transfusion (
D), giving oxygen (
B), using high-Fowler’s (E), and getting a diuretic (
A) address fluid overload (crackles, hypoxia, JV
D). Epinephrine (
C) is for allergic reactions, not overload.

Question 4 of 5

A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?

A. Provide the client with a night light.B. Elevate full-length side rails on both sides of the client's bed.C. Place the bedside table 0.9 m (3 feet) away from the bed.D. Keep the client's room temperature at 18°C (64.4°F).

Correct Answer: A

Rationale: A night light (
A) reduces fall risk by aiding navigation. Full rails (
B) are restraints, distant tables (
C) hinder access, and temperature (
D) isn’t fall-related.

Question 5 of 5

A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?

A. The client's blood pressure is 142/94 mm Hg.B. The client coughs frequently while eating.C. The client leans to the left side while sitting.D. The client is consuming 25% of their meals.

Correct Answer: B

Rationale: Frequent coughing while eating (
B) risks aspiration, a priority per ABCs. BP (
A), leaning (
C), and intake (
D) are less immediate.

ATI Fundamentals 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN