ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Logrolling is for spinal injuries. Trochanter rolls prevent hip rotation and maintain alignment. Arms at sides may restrict movement. Crossing ankles risks pressure injuries.
Question 2 of 5
A nurse is caring for a client who has a terminal illness. The client states, 'I am not giving up. I want as much treatment as possible.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Hospice may not align with the client’s wishes. Enjoying time dismisses their request. Contacting the provider respects their desire for treatment. Emphasizing limited time is unsupportive.
Question 3 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?
Correct Answer: A
Rationale: Regular ankle and knee exercises help prevent muscle atrophy due to immobility. Changing positions every 4 hours is helpful, but more frequent movement is recommended. Antiembolic stockings should be worn when immobile to prevent blood clots. Holding breath during movement doesn't contribute to reducing adverse effects of immobility.
Question 4 of 5
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A,C,D
Rationale: Assessing skin ensures circulation. Bed rails risk entrapment. Lowest bed position prevents falls. Padding protects skin. Two fingers, not three, ensure proper restraint fit.
Question 5 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: D
Rationale: Lactated Ringer’s isn’t used for RBCs. Confirming identity with the technician is done earlier. A small gauge catheter isn’t ideal for blood. Checking compatibility is critical to prevent reactions.