ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification?
Correct Answer: B
Rationale: The client can choose any competent adult as a health care proxy, not only a family member, indicating a misunderstanding. Other statements correctly describe proxy activation, decision-making, and flexibility.
Question 2 of 5
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
Correct Answer: C
Rationale: Elevating the head of the bed 30° to 45° is the priority to prevent aspiration by promoting drainage of stomach contents away from the airway, critical for a client with decreased consciousness. Other actions are important but secondary.
Question 3 of 5
A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning headaches are common in obstructive sleep apnea due to intermittent hypoxia and hypercapnia. Nausea, hypotension, and constipation are not typical findings.
Question 4 of 5
A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?
Correct Answer: B
Rationale: Placing clean linen that touched the floor in the soiled linen bag prevents cross-contamination and maintains cleanliness. It adheres to infection control standards by ensuring that only soiled items are disposed of appropriately. Placing soiled linen on the floor increases the risk of spreading pathogens. Holding soiled linen against the body risks transferring pathogens to the caregiver’s clothing. Shaking soiled linen disperses infectious particles, increasing contamination risk.
Question 5 of 5
A nurse is attempting to flush the IV saline lock for a client. The client reports pain above the catheter site. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Pain above the catheter site suggests infiltration or phlebitis. Removing the IV saline lock allows assessment and prevents further complications. Warm compresses, slow injection, or firm pressure could worsen the issue if infiltration is present.