ATI RN
ATI RN Fundamentals 2023 I 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: C
Rationale: Rechecking BP in the other arm confirms accuracy and checks for discrepancies (e.g., arterial issues). Cuff width should be 40%, supine repositioning isn’t needed, and waiting 30 min delays assessment.
Question 2 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A night light improves visibility, reducing fall risk. A distant table limits access, full side rails risk entrapment, and 18°C isn’t a fall prevention standard.
Question 3 of 5
A nurse is assessing a client who has risk factors for developing heart disease. Which of the following factors does the nurse recognize as a modifiable risk factor?
Correct Answer: D
Rationale: Physical inactivity is modifiable through lifestyle changes, reducing heart disease risk by improving cardiovascular health. Parental hypertension is genetic, cultural beliefs and air quality are less directly controllable.
Question 4 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client’s risk of developing a pressure injury?
Correct Answer: C
Rationale: Elevating heels off the mattress prevents pressure injuries on this vulnerable area. Four-hour repositioning is too infrequent (2 hours is standard), a 60° angle risks sacral pressure, and massaging increases tissue damage risk.
Question 5 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Correct Answer: B,C,F,G
Rationale: B: Tapering prednisone prevents adrenal insufficiency. C: Adjusting oxygen aids breathing (with guidance). F: Morning dosing aligns with cortisol rhythm. G: Keeping oxygen 8 feet from heat prevents fire hazards. A, D, E lack specific support from the MAR.