ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and asks the nurse, 'When will I get to go home? I'm not sure what happens next.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inform the provider that the client is requesting information about his treatment plan. This is the best course of action as it ensures the client's concerns are communicated directly to the provider, who can then address the client's questions and provide necessary information.
Choice A is incorrect because it delays the client's access to important information by relying on the provider's availability.
Choice B is incorrect as it does not address the client's immediate need for information.
Choice D is incorrect because it assumes the provider's decision-making without involving the client or providing clarity.
Question 2 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: The correct assessment the nurse should perform first is B: Peripheral pulses. Monitoring peripheral pulses is crucial when a client is restrained to detect any signs of compromised circulation. This assessment takes priority over the other options because impaired circulation can lead to serious complications such as tissue damage or even limb loss. Assessing skin integrity, comfort level, and elimination needs are important tasks but can wait until after ensuring adequate circulation. Checking peripheral pulses is the initial step to ensure the client's safety and prevent potential harm.
Question 3 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: The correct answer is D: Expose the client's abdomen to look for changes in appearance. This action should be taken first because sudden, severe abdominal pain postoperatively can indicate a serious complication like internal bleeding or bowel perforation. By exposing the abdomen, the nurse can visually assess for signs of distention, discoloration, or any other abnormality that may indicate a surgical complication. This visual assessment can provide crucial information to guide further interventions.
Choices A, B, and C involve assessment techniques that may be important in evaluating the client's condition, but they should be secondary to visually inspecting the abdomen in this urgent situation.
Choice A focuses on bowel sounds, which may not be reliable in a postoperative client experiencing sudden severe pain.
Choice B involves palpation, which could potentially exacerbate any existing complications.
Choice C refers to assessing areas of resonance, which is less urgent compared to visually inspecting for immediate changes in the abdomen.
In summary, visually inspecting the client's
Question 4 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Auscultate bowel sounds. This is the first action the nurse should take as it can provide crucial information about the client's condition, particularly in suspected appendicitis. Absence of bowel sounds in the right lower quadrant may indicate an inflamed appendix, requiring immediate medical attention. Administering an antiemetic (choice
A) or pain medication (choice
B) without assessing the bowel sounds first could mask important symptoms. Palpating the abdomen (choice
C) can potentially worsen the client's condition if appendicitis is present.
Therefore, auscultating bowel sounds is the priority to guide further assessment and intervention.
Question 5 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Review the use of an artificial larynx with the client. This is the priority as it directly addresses the client's immediate need for communication after a total laryngectomy. Using an artificial larynx can help the client communicate effectively post-surgery.
Choice A (Schedule a support session for the client) is important but not the priority.
Choices B (Explain the techniques of esophageal speech) and C (Determine the client's reading ability) are not as essential as ensuring immediate communication post-surgery.