ATI RN
ATI RN Fundamentals 2023 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: 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 2 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Rather than rubbing dry, patting the peristomal skin dry after cleaning is recommended. The frequency of changing the pouch depends on various factors, not a fixed 24-hour schedule. Ensuring the pouch is slightly larger than the stoma prevents irritation and damage. Applying the pouch when the skin barrier is dry ensures better adhesion.
Question 3 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 4 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Logrolling is for spinal injuries. Trochanter rolls prevent hip rotation and maintain alignment. Arms at sides may restrict movement. Crossing ankles risks pressure injuries.
Question 5 of 5
A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Involving the supervisor may not be necessary when password recovery options exist. Having another nurse document risks accountability issues. Providing contact information for password recovery is appropriate and maintains security. Sharing passwords violates policy and compromises security.