ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?
Correct Answer: C
Rationale: Mask within 3 ft (
C) stops droplet spread. Metronidazole (
A) is irrelevant, eyewear (
B) is for splashes, negative airflow (
D) is for airborne diseases.
Question 2 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: A
Rationale: Checking compatibility (
A) prevents reactions. Small gauge (
B) is wrong (large needed), technician ID (
C) isn’t standard, lactated Ringer’s (
D) risks clotting.
Question 3 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: D
Rationale: Occupational therapist (
D) aids ADLs like feeding. Social worker (
A), PA (
B), and PT (
C) don’t specialize in this.
Question 4 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?
Correct Answer: C
Rationale: Coughing while eating (
C) risks aspiration, a priority per ABCs. BP (
A), intake (
B), and leaning (
D) are less urgent.
Extract:
Exibit 1
Medication Administration Record 0800:
Amoxicillin 500 mg PC every 8 hr
Exibit 2
Nurses' Notes
0800:
Antibiotic administered as prescribed.
Bilateral breath sounds clear and present throughout
0830
Client reports itching over the chest area and has urticaria over chest and trunk
Client states tongue feels swollen.
Bilateral breath sounds with scattered wheezing upon auscultation.
Exibit 3
Vital Signs
0800:
Temperature 37.6° C (99.7° F)
Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min
Pulse oximetry 97% on room air
0830
Temperature 37.5° C (99.5° F)
Blood pressure 88/56 mm Hg
Heart rate 104/min
Respiratory rate 24/min
Pulse oximetry 93% on room air
Question 5 of 5
A nurse is caring for a client. Select the 4 findings that require immediate follow-up.
Correct Answer: B,C,D,E
Rationale: Wheezing (
B), hypotension (
C), tachycardia (
D), and swollen tongue (E) indicate anaphylaxis, requiring urgent action per ABCs. Temperature (
A) and hives (F) are less immediate.