ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Talking to the client as if awake provides comfort, as hearing may persist. Limiting visitors, avoiding touch, or whispering may not support the client’s emotional needs.
Question 2 of 5
A nurse is assessing a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Correct Answer: B
Rationale: Elevated blood pressure is a common response to acute pain due to sympathetic nervous system activation. Pain typically increases respiratory and heart rates and dilates pupils, not the opposite.
Question 3 of 5
A patient has been admitted for surgery for a colostomy. The patient states, 'I can’t believe this has happened to me.' What is the nurse’s best response?
Correct Answer: A
Rationale: Acknowledging the patient’s feelings and reassuring them while inviting concerns provides support and encourages dialogue. Other responses are dismissive, irrelevant, or confrontational.
Question 4 of 5
A nurse is preparing to administer blood to a client. The unit of blood on hand is type $O$ negative, and the client has type A positive blood. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Type O negative blood is universally compatible and can be safely administered to a client with type A positive blood in emergencies. Administering the blood as ordered is appropriate, with no need for further orders, incident reports, or blood bank notification.
Question 5 of 5
A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?
Correct Answer: B
Rationale: Decreased breath sounds in the lower lobes suggest atelectasis, a collapse of lung tissue common in immobile clients due to reduced lung expansion. Gastric emptying, infections, and pulmonary edema have different symptoms.