ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 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: D
Rationale: Rechecking other arm (
D) confirms elevated BP accuracy. Waiting (
A) delays, 50% cuff (
B) is wrong (40% standard), supine check (
C) isn’t first step.
Question 2 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: D
Rationale: Threat of injection (
D) is assault. Privacy (
A), battery (B, requires contact), and defamation (
C) don’t apply.
Extract:
Exibit 1
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements. Client is a nonsmoker.
Client-does not drink alcohol
Exibit 2
Diagnostic Results
Initial visit:
Calcium 8.9 mg/dL (9 to 10.5 mg/dL)
Phosphorus 3.4 mg/dL (3 to 4.5 mg/dL)
Total 25-hydroxy D (vitamin D + D) 24 ng/dL. (25 to 80 ng/dL) 6-month follow-up:
Calcium 8.8 mg/dL (9 to 10.5 mg/dL)
Phosphorus 3.2 mg/dL (3 to 4.5 mg/dL)
Total 25-hydroxy D (vitamin D + D.) 15 ng/dL (25 to 80 ng/dL)
Exibit 3
Nurses' Notes
Initial visit:
Client instructed to take a calcium and vitamin D supplement and begin an exercise program, such as walking 3 times per week.
month follow-up:
Client states they frequently forget to take their calcium and vitamin D supplements and has been unable to exercise due to time constraints.
Question 3 of 5
A nurse in a provider's office is caring for a client. The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: B,D
Rationale: Low vitamin D (
B) and sedentary lifestyle (
D) increase osteoporosis risk. No alcohol (
A), lactose intolerance (
C) indirect, no smoking (E), normal phosphorus (F).
Extract:
Question 4 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: 1/8 in larger pouch (
D) fits safely. Rubbing (
A) irritates, damp skin (
B) prevents adhesion, daily change (
C) is excessive.
Question 5 of 5
A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?
Correct Answer: D
Rationale: Reflecting concern (
D) validates feelings. Why (
A), dismissal (
B), and conditional reassurance (
C) are non-therapeutic.