ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is preparing to administer blood to a client. The unit of blood on hand is type $O$ negative, and the client has type A positive blood. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Type O negative blood is universally compatible and can be safely administered to a client with type A positive blood in emergencies. Administering the blood as ordered is appropriate, with no need for further orders, incident reports, or blood bank notification.
Question 2 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client on their side prevents aspiration of secretions during oral care, especially for immobile clients. Using fingers to hold the mouth open may cause discomfort, petroleum jelly is secondary, and a stiff toothbrush can damage oral tissues.
Question 3 of 5
Which activity should the nurse implement to decrease shearing force on a client's stage II pressure injury?
Correct Answer: D
Rationale: Preventing sliding in bed reduces shearing forces that worsen pressure injuries. Pulling up under arms increases shear, hydration aids skin health indirectly, and cream reduces friction, not shear.
Question 4 of 5
A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following components of the PQRST mnemonic?
Correct Answer: A
Rationale: Rating pain on a 0-10 scale assesses severity, the 'S' in PQRST, quantifying pain intensity for management. Precipitating cause, region, and quality involve triggers, location, and pain characteristics, respectively.
Question 5 of 5
A patient has been admitted for surgery for a colostomy. The patient states, 'I can’t believe this has happened to me.' What is the nurse’s best response?
Correct Answer: A
Rationale: Acknowledging the patient’s feelings and reassuring them while inviting concerns provides support and encourages dialogue. Other responses are dismissive, irrelevant, or confrontational.