ATI Fundamentals 2023 Retake

Extract:

Question 1 of 5

A nurse is obtaining a health history from a client. The nurse should recognize which of the following data as placing the client at higher risk for osteoporosis?

A. The client has a sedentary lifestyle.B. The client participates in 30 min of yoga 3 times per week.C. The client does not consume foods that contain vitamin A.D. The client consumes 1 to 2 alcoholic beverages per week.

Correct Answer: A

Rationale: A sedentary lifestyle (
A) increases osteoporosis risk by reducing bone density. Yoga (
B) helps, vitamin A (
C) isn’t key, and moderate alcohol (
D) isn’t a major factor.

Question 2 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?

A. A nurse begins a blood transfusion without obtaining consent from a client.B. An assistive personnel discusses client care in the facility cafeteria with visitors present.C. A nurse administers a medication without first identifying the client.D. An assistive personnel prevents a client from leaving the facility.

Correct Answer: C

Rationale: Administering medication without identification (
C) risks errors, constituting negligence. Consent breach (
A) is ethical, discussion (
B) is privacy, and prevention (
D) may be safety-driven.

Question 3 of 5

A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?

A. Allow space for three fingers under the ties when securing.B. Cut the old ties after the new ties are secured.C. Use a quick-release knot to secure the ties.D. Extend the client's neck while securing the ties.

Correct Answer: B

Rationale: Cutting old ties after securing new ones (
B) prevents tube dislodgement. Three fingers (
A) is too loose, quick-release (
C) is optional, and neck extension (
D) risks discomfort.

Question 4 of 5

A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?

A. I will hold my breath when rising from a sitting position.'B. I will have my partner help me change positions every 4 hours.'C. I will remove my antiembolic stockings while I am in bed.'D. I will perform ankle and knee exercises every hour!'

Correct Answer: D

Rationale: Hourly ankle/knee exercises (
D) improve circulation and mobility. Breath-holding (
A) increases pressure, 4-hour repositioning (
B) is too infrequent, and removing stockings (
C) risks clots.

Question 5 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?

A. Request that another nurse check the client's BP in 30 min.B. Ensure that the width of the BP cuff is 50% of the client's upper arm circumference.C. Recheck the client's BP in her other arm for comparison.D. Reposition the client supine and recheck her BP.

Correct Answer: C

Rationale: Rechecking in the other arm (
C) confirms accuracy of elevated BP. Waiting (
A) delays, 50% cuff width (
B) is incorrect (40% is standard), and supine recheck (
D) isn’t needed initially.

ATI Fundamentals 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN