ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Keeping the drainage bag below the bladder (
A) prevents urine backflow and reduces infection risk, making it the correct action. Attaching the bag to side rails (
B) risks tension and trauma. Emptying when three-quarters full (
C) risks excessive weight pulling on the catheter; emptying every 8 hr or when half full is standard. Taping to the lower abdomen (
D) risks kinking; taping to the upper thigh is correct for females.
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 has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A sponge bath with alcohol-water solution (
C) promotes heat loss through evaporation, effectively reducing fever. A blanket with a cooling blanket (
A) reduces its effectiveness. Heavy blankets (
B) trap heat, worsening fever. Ice packs (
D) cause vasoconstriction, limiting heat loss and risking tissue damage.
Question 4 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing the extremity in a dependent position (
C) enhances vein visibility by increasing venous pressure.
Tourniquets go above the site (
A), not below. Cool compresses (
B) cause vasoconstriction, hindering access; warm compresses are better. Distal sites (
D), not proximal, are preferred to preserve veins.
Question 5 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: C
Rationale: The 17-year-old mother (
C) can sign consent if emancipated (e.g., as a parent), as she’s legally responsible. The provider (
A) explains but doesn’t sign. Grandparents (
B) or siblings (
D) need legal guardianship or authorization, which isn’t indicated.