ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: B
Rationale: Checking peripheral pulses first ensures restraints arenβt impairing circulation which could cause ischemia. Skin integrity (
A) comfort (
C) and elimination (
D) are important but secondary to circulation.
Question 2 of 5
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: Discarding the needle in a puncture-proof container prevents needlestick injuries. Placing on the table (
B) recapping (
C) or removing the needle (
D) risks injury or contamination.
Question 3 of 5
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: A
Rationale: Name is a unique reliable identifier verified against the medication record. Age (
B) photos (
C) room (
D) and bed (E) numbers are not specific or reliable.
Question 4 of 5
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?
Correct Answer: D
Rationale: In the contemplation stage providing information about quitting smoking benefits helps the client weigh pros and cons increasing motivation. Small changes (
A) and goal-setting (
B) are for the preparation stage and lifestyle integration (
C) is for the action stage.
Question 5 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exposing the abdomen first allows visual inspection for complications like wound dehiscence or infection which could explain severe pain. Auscultation (
A) and percussion (
C) are secondary and palpation (
B) risks worsening pain or disrupting the wound.