ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 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: Three fingers’ space is too loose. Quick-release knots aren’t standard. Extending the neck may cause discomfort. Cutting old ties after securing new ones prevents tube dislodgement.
Question 2 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to Include?
Correct Answer: B
Rationale: Bowel cleansing isn’t needed for IVP. Metal objects must be removed to avoid imaging interference. Oral contrast isn’t used; IV contrast is standard. Suprapubic pain monitoring is post-procedure.
Question 3 of 5
A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication?
Correct Answer: A
Rationale: A sharp drop in blood pressure is a hallmark of anaphylaxis, indicating systemic vasodilation and shock. Swelling in feet is less specific. Injection site pain is local, not systemic. Decreased heart rate isn’t typical; tachycardia is more common.
Question 4 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take?
Correct Answer: A,B,C
Rationale: High-Fowler’s improves lung expansion, oxygen addresses hypoxia, and stopping the transfusion halts potential circulatory overload. Diuretics may be needed later but aren’t immediate. Epinephrine is for anaphylaxis, not overload.
Question 5 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: D
Rationale: Catheter care, feeding, and wound irrigation are important but secondary to airway management. Endotracheal suctioning ensures a patent airway, critical for oxygenation.