ATI RN
ATI RN Fundamentals 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing one restraint at a time ensures safety by maintaining control while assessing the client’s behavior. Tying to side rails using square knots or removing on a fixed schedule risks injury or delays.
Question 2 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: C
Rationale: Dilated pupils occur during the alarm reaction stage due to sympathetic nervous system activation preparing the body for fight-or-flight. Bradycardia depression and physical exhaustion are associated with later stages or other conditions.
Question 3 of 5
A nurse is reviewing the medical record for a newly admitted client. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: A potassium level of 5.8 mEq/L indicates hyperkalemia which can cause cardiac complications and requires urgent reporting. Magnesium calcium and sodium levels listed are within normal ranges.
Question 4 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when with the client?
Correct Answer: D
Rationale: Tuberculosis is transmitted via airborne droplets requiring airborne precautions (e.g. negative pressure room N95 mask). Protective droplet and contact precautions are insufficient for TB.
Question 5 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: C
Rationale: Identifying the impact on body image addresses the client’s emotional response first establishing trust and guiding further interventions. Encouraging dressing changes providing a mirror or referring to a support group are secondary steps.