ATI Fundamentals 2023 Retake

Extract:

Question 1 of 5

A nurse is caring for a postoperative client who has an IV PCA delivering opioids. The client rates their pain as 2 on a scale of 0 to 10 and has not pressed the button to deliver a bolus dose in over 2 hr. Which of the following actions should the nurse take?

A. Inform the provider that the PCA is not providing adequate pain relief.B. Ask the provider for a prescription to decrease the continuous rate.C. Instruct the client to push the button more frequently.D. Instruct the client's caregiver to push the PCA button when the client is resting.

Correct Answer: B

Rationale: Decreasing the continuous rate (
B) adjusts for low pain (2/10) and no bolus use, preventing over-medication. Pain relief is adequate (
A), frequent pushing (
C) is unnecessary, and caregiver control (
D) risks overdose.

Question 2 of 5

A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?

A. Physician assistantB. Physical therapistC. Occupational therapistD. Social worker

Correct Answer: C

Rationale: Occupational therapists (
C) specialize in ADLs like feeding, ideal for this client. Physician assistants (
A) focus on medical care, physical therapists (
B) on mobility, and social workers (
D) on psychosocial support.

Question 3 of 5

A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?

A. We can discuss what you can expect during your stay.'B. Why are you feeling scared about being in this facility?'C. Most people are scared their first time in a health care facility.'D. You have nothing to worry about. Everything will be fine.'

Correct Answer: A

Rationale: Discussing expectations (
A) reduces anxiety with information. Why (
B) pressures, most people (
C) generalizes, and reassurance (
D) dismisses concerns.

Question 4 of 5

A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)

A. When removing the medication from the medication drawerB. At the end of the shiftC. When reconciling counts of controlled substancesD. When preparing the medication dosageE. Directly before administering the medication

Correct Answer: A,D,E

Rationale: Comparing at removal (
A), preparation (
D), and administration (E) ensures accuracy per rights of medication. Shift end (
B) and counts (
C) aren’t administration checks.

Question 5 of 5

A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?

A. HypotensionB. Participation in competitive sportsC. Metabolic syndromeD. Family history of alcohol use disorder

Correct Answer: C

Rationale: Metabolic syndrome (
C) (e.g., hypertension, high sugar) directly increases cardiovascular risk. Hypotension (
A) doesn’t, sports (
B) reduce risk, and alcohol history (
D) isn’t a primary factor.

ATI Fundamentals 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN