ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: A
Rationale: The client’s name (
A) is a unique, reliable identifier, verified against the medication record. Age (
B) isn’t unique. Photographs (
C) may be outdated or unclear. Room (
D) or bed number (E) can change, risking errors.
Question 2 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 3 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exposing the abdomen (
D) is the first step to visually assess for complications like wound dehiscence or infection, which could explain severe pain. Listening for bowel sounds (
A) and percussion (
C) are part of a full assessment but not urgent. Palpation (
B) risks worsening pain or disrupting the wound and should be avoided initially.
Question 4 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: C
Rationale: The entry 'New dressing applied as prescribed: no drainage on old dressing' (
C) is clear, objective, and specific, meeting documentation standards. Option A is incorrect due to vague medication details (dose/route missing). Option B uses subjective terms ('seems,' 'appear'), which are inappropriate. Option D is too vague and fails to provide a current wound assessment.
Question 5 of 5
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: B
Rationale: Checking peripheral pulses (
B) is the priority to ensure restraints aren’t impairing circulation, which could cause ischemia or nerve damage. Skin integrity (
A), comfort (
C), and elimination needs (
D) are important but secondary; circulation must be confirmed first to prevent immediate harm.