ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include?
Correct Answer: C
Rationale: Weight is a key anthropometric measure reflecting nutritional status. Orientation, respiratory rate, and pain are unrelated to body measurement.
Question 2 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: B
Rationale: Drinking thickened juice with a straw increases aspiration risk in dysphagia clients, bypassing natural swallowing mechanisms. A 90° bed position aids swallowing, chin tucking directs food to the esophagus, and breaks enhance safety—all appropriate.
Question 3 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A pouch 1/8 inch larger than the stoma prevents irritation and ensures a secure fit. Damp skin barriers reduce adhesion, daily changes may irritate skin, and rubbing can damage peristomal skin—patting dry is preferred.
Question 4 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client’s room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: B
Rationale: Gloves are removed first as they contact contaminated surfaces, preventing pathogen spread to other PPE or skin. Eyewear, mask, and gown follow in sequence.
Question 5 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client’s risk of developing a pressure injury?
Correct Answer: C
Rationale: Elevating heels off the mattress prevents pressure injuries on this vulnerable area. Four-hour repositioning is too infrequent (2 hours is standard), a 60° angle risks sacral pressure, and massaging increases tissue damage risk.