ATI RN
ATI RN Fundamentals 2019 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. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: E,C,D,B,A
Rationale: The sequence follows inspection auscultation percussion and palpation to avoid altering bowel sounds or causing discomfort. Lighting enables inspection auscultation precedes percussion/palpation and light palpation precedes deep palpation for organ borders.
Question 2 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing one restraint at a time ensures safety by maintaining control while assessing the client’s behavior. Tying to side rails using square knots or removing on a fixed schedule risks injury or delays.
Question 3 of 5
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after Injection?
Correct Answer: C
Rationale: Discarding the needle in a puncture-proof container immediately after injection prevents needlestick injuries and ensures safe disposal. Removing the needle placing it on a table or recapping increases injury risk.
Question 4 of 5
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the actions should the nurse take?
Correct Answer: A
Rationale: Scheduling postural drainage after meals minimizes vomiting risk enhancing safety and effectiveness. Quick exhalation covering with a towel or percussing the lower back are not standard for mobilizing lung secretions.
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: C
Rationale: Assessing peripheral pulses first ensures circulation is not compromised by restraints which could lead to serious complications like tissue ischemia. Skin integrity comfort and elimination needs are assessed subsequently to ensure overall safety and comfort.