ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?
Correct Answer: C
Rationale: Placing an activated tuning fork on the forehead (
C) is the correct Weber’s test action, assessing sound lateralization. High-pitched sounds (
A) are for other tests, like Rinne. The mastoid process (
B) is used in the Rinne test. Whispering words (
D) is for the whisper test, not Weber’s.
Question 2 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time (
B) allows safe assessment and care while maintaining control. Tying to side rails (
A) risks injury if rails move. Square knots (
C) are hard to release; quick-release knots are standard. Removing every 3 hr (
D) is too infrequent; every 1–2 hr is needed to prevent complications.
Question 3 of 5
A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?
Correct Answer: B
Rationale: Plain yogurt (
B) is a full liquid, suitable for a full liquid diet, providing protein and calcium. Oatmeal (
A) is a solid requiring chewing, inappropriate for full liquids. Scrambled eggs (
C) are solid, part of a regular diet. Applesauce (
D) is semi-solid, suitable for a soft diet, not full liquid.
Question 4 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Thirst (
B) indicates hyperglycemia due to dehydration from increased urination. Confusion (
A), cold skin (
C), and shakiness (
D) are signs of hypoglycemia, caused by low glucose affecting the brain and triggering adrenaline.
Question 5 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting the time spent sitting in a chair (
C) promotes blood flow and prevents venous stasis, reducing the risk of thrombus formation, indicating the client understands the teaching. Keeping legs crossed (
A) impairs circulation, increasing thrombus risk. Massaging legs (
B) could dislodge a clot, leading to complications like pulmonary embolism. Performing leg exercises every 4 hours (
D) is insufficient; hourly exercises are typically recommended to prevent thrombus formation.