ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 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: C
Rationale: Checking blood compatibility (
C) prevents transfusion reactions, a critical safety step. Small gauge (
A) is incorrect (large needed), lactated Ringer’s (
B) risks clotting, and technician confirmation (
D) isn’t standard.
Question 2 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: A
Rationale: Enjoying help (
A) shows adaptation. Uncertainty (
B), independence desire (
C), and reluctance (
D) suggest ongoing adjustment.
Question 3 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: A
Rationale: Trochanter rolls (
A) prevent hip rotation and injury. Arms cross the chest (B incorrect), logrolling (
C) is for spinal issues, and crossing ankles (
D) risks pressure.
Question 4 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: D
Rationale: Hourly ankle/knee exercises (
D) improve circulation and mobility. Breath-holding (
A) increases pressure, 4-hour repositioning (
B) is too infrequent, and removing stockings (
C) risks clots.
Question 5 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? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Padding (
B) prevents injury, lowest bed position (
D) reduces fall risk, and assessing skin (E) monitors circulation. Bed rails (
A) risk injury, and two fingers (not three,
C) ensure proper fit.