Questions 55

ATI RN

ATI RN Test Bank

ATI RN Fundamentals Updated 2023 Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps.

Correct Answer: A,B,C,E,D

Rationale: The sequence A,B,C,E,D follows the standard abdominal assessment: inspection (
A) first, then auscultation (
B) to avoid altering sounds, percussion (
C) to assess organ size, light palpation (E) for tenderness, and deep palpation (
D) last to avoid pain.

Question 2 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 3 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 4 of 5

A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: Holding the bottle with the label in the palm (
C) prevents drips from obscuring it, maintaining readability. Sterile gloves (
A) are applied after opening the bottle. The lid goes face up (
B) to avoid contamination. Pouring from 20 cm (
D) risks splashing; 2.5–5 cm is correct.

Question 5 of 5

A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Auscultating bowel sounds (
D) is the first action to assess gastrointestinal function, helping differentiate causes like appendicitis or obstruction without exacerbating symptoms. Antiemetics (
A) and pain medication (
B) address symptoms but don’t diagnose. Palpation (
C) risks rupturing an inflamed appendix and should follow auscultation.

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