ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: B
Rationale: Airborne precautions (
B) are required for tuberculosis, which spreads via small respiratory particles that remain suspended in the air. Droplet precautions (
A) apply to infections like influenza, spread by larger droplets. Protective precautions (
C) are for immunocompromised clients, not TB. Contact precautions (
D) are for infections like MRSA, not airborne diseases.
Question 2 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Identifying the impact on body image (
A) is the first step to understand the client’s emotional needs and provide support. Encouraging dressing changes (
B) or using a mirror (
D) may overwhelm her if she’s not ready. Referrals (
C) are useful later, after assessing her needs.
Question 3 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting the time spent sitting in a chair (
C) promotes blood flow and prevents venous stasis, reducing the risk of thrombus formation, indicating the client understands the teaching. Keeping legs crossed (
A) impairs circulation, increasing thrombus risk. Massaging legs (
B) could dislodge a clot, leading to complications like pulmonary embolism. Performing leg exercises every 4 hours (
D) is insufficient; hourly exercises are typically recommended to prevent thrombus formation.
Question 4 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,D
Rationale: A fire escape plan (
A), checking medication expiration (
B), and using grab bars (
D) indicate safety understanding, preventing fires, drug errors, and falls. Setting the heater to 140°F (
C) risks burns; 120°F is safer. Taping frayed cords (E) is unsafe; replacement is needed.
Question 5 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 (
B) is the priority to ensure restraints aren’t impairing circulation, which could cause ischemia or nerve damage. Skin integrity (
A), comfort (
C), and elimination needs (
D) are important but secondary; circulation must be confirmed first to prevent immediate harm.