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ATI RN Fundamentals 2023 Exam 3 Questions

Extract:


Question 1 of 5

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

Correct Answer: D

Rationale: Attempting less restrictive alternatives (
D) is the first step, per least-restrictive principles, before restraints. Prescription (
A), documentation (
B), and explanation (
C) follow if needed.

Question 2 of 5

A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply)

Correct Answer: A,B,D

Rationale: The nurse’s signature verifies witnessing the signing (
A), legal capacity (
B), and no coercion (
D). Mental health (
C) isn’t confirmed, and language (E) isn’t required.

Question 3 of 5

A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?

Correct Answer: B

Rationale: Left lower extremity tenderness (
B) may indicate DVT, a life-threatening risk of immobility, making it the priority. Appetite (
A), heart rate (
C), and weakness (
D) are less urgent.

Question 4 of 5

A nurse is assessing an older adult client's perception of sexuality. Which of the following statements made by the client indicates a need for intervention?

Correct Answer: A

Rationale: Not using protection post-menopause (
A) reflects a misconception; STIs remain a risk. Lubricants (
B), self-consciousness (
C), and interest in sex (
D) are normal.

Question 5 of 5

A nurse is preparing to collect a sputum specimen from a client. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Morning collection (
C) captures overnight sputum accumulation for better yield. Sterile gloves (
A) aren’t needed (clean suffice), sterile containers (
B) are required (not clean), and mouthwash (
D) interferes.

Similar Questions

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?
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A nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect?
A nurse is reviewing the medical record of a client who has a paralytic ileus.Exhibits :Select words from the choices below to fill in each blank in the following sentence The findings in the client's medical record indicate ___ and ___.
A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

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