ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: A
Rationale: Metabolic syndrome (high BP, glucose, lipids) increases cardiovascular risk via atherosclerosis. Alcohol history, sports (if moderate), and hypotension don’t directly elevate risk.
Question 2 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Implied consent applies in emergencies, allowing surgery to save life or prevent harm. Ethics consultation delays action, waiting risks deterioration, and surgeons can’t consent.
Question 3 of 5
A nurse is planning to change a client’s tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Securing new ties before cutting old ones prevents tube dislodgement. Extending the neck risks airway compromise, quick-release knots aren’t standard, and three fingers’ space is excessive—one to two fingers is typical.
Question 4 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Injecting 2 inches from the umbilicus avoids vascular areas, reducing bleeding risk. An 18-gauge needle is too large (25-27 gauge is standard), air bubbles in prefilled syringes ensure full dosing, and massaging increases bruising risk due to heparin’s anticoagulant effect.
Question 5 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: A
Rationale: Administering medication without identifying the client is negligence, failing standard care and risking harm. Lack of consent is ethical, restraint may be rights-related, and discussion breaches confidentiality—not negligence.