ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: C
Rationale: Transfusion without consent is battery. Preventing leaving is false imprisonment. Administering medication without identification breaches duty of care, constituting negligence. Discussing care publicly is a confidentiality breach.
Question 2 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Outward-curling eyelashes are normal. A blink rate of 30–35 is high. Pupils of 8–9 mm suggest dilation, not normal. Opaque corneas indicate pathology.
Question 3 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C
Rationale: High-Fowler’s improves lung expansion, oxygen addresses hypoxia, and stopping the transfusion halts potential circulatory overload. Diuretics may be needed later but aren’t immediate. Epinephrine is for anaphylaxis, not overload.
Question 4 of 5
A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A cuff width of 40–50% is correct but assumed here. Rechecking in the other arm confirms accuracy. Waiting 30 minutes delays action. Supine repositioning isn’t necessary unless indicated.
Question 5 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: C
Rationale: Daily glucose checks are important but not specific to PN initiation. Bag changes vary by policy. High-dextrose PN requires a central line to prevent vein damage. Separate administration isn’t standard.