ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.
Question 2 of 5
A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, 'I am looking forward to seeing my grandchildren grow up.' The nurse should identify that the client is experiencing which of the following stages of grief?
Correct Answer: A
Rationale: Denial (
A) involves rejecting reality; expecting to see grandchildren grow up denies the terminal prognosis. Bargaining (
B) seeks deals, acceptance (
C) embraces reality, and anger (
D) shows frustration.
Question 3 of 5
The nurse is preparing the client for surgery. Select the 3 findings that require follow-up prior to surgery.
Correct Answer: A,C,E,F
Rationale: Dietary intake (
A) ensures fasting compliance, pain level (
C) needs management (increased to 8/10), allergies (E) prevent reactions (shellfish, latex, penicillin), and informed consent (F) confirms understanding—critical pre-surgery. Oxygen saturation (
B) at 96% and blood pressure (
D) are stable.
Question 4 of 5
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
Correct Answer: D
Rationale: Antihypertensives (
D) can cause hypotension and dizziness, increasing fall risk. Secured wires (
A) and rubber soles (
B) reduce risk, and 20/40 vision (
C) is mildly impaired but less critical.
Question 5 of 5
A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?
Correct Answer: D
Rationale: Maturational loss (
D) is a normal life transition, like a child leaving for college. Job loss (
A), fire (
B), and death (
C) are situational losses.