ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Bright lights may be discomforting for the family. Inviting the family to assist in washing can aid grieving. Removing dentures isn’t standard practice. Leaving eyes open may be distressing and isn’t typical.
Question 2 of 5
A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Cooked vegetables and bananas are solids. Pudding is smooth and suitable for a full liquid diet. Yogurt with fruit may contain solids, which aren’t allowed.
Question 3 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?
Correct Answer: A,C,D
Rationale: Assessing skin ensures circulation. Bed rails risk entrapment. Lowest bed position prevents falls. Padding protects skin. Two fingers, not three, ensure proper restraint fit.
Question 4 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: B
Rationale: Respiratory rate, orientation, and pain aren’t anthropometric. Weight is a key anthropometric measure, assessing body mass.
Extract:
Nurses' Notes
Day 1, 1100:
• Temperature 39.1° C (102.4° F)
• Pulse rate 102/min
• Respiratory rate 26/min
• Blood pressure 122/80 mm Hg
• Oxygen saturation 86% on room air
• Weight 90.7 kg (200 lb)
Day 2, 1200:
• Temperature 38° C (100.4" F)
• Pulse rate 100/min
• Respiratory rate 22/min
• Blood pressure 120/74 mm Hg
• Oxygen saturation 88% on nasal cannula at 2 L/min
Day 3, 1200:
• Temperature 37.2° C (98.9" F)
• Pulse rate 90/min
• Respiratory rate 20/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 91% on nasal cannula at 3 L/min
Day 4, 1500:
• Temperature 37.2° C (98.9° F)
• Pulse rate 92/min
• Respiratory rate 22/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 93% on nasal cannula at 3 L/min: 88% on room air
Vital Signs
Day 1, 1100:
• Temperature 39.1° C (102.4° F)
• Pulse rate 102/min
• Respiratory rate 26/min
• Blood pressure 122/80 mm Hg
• Oxygen saturation 86% on room air
• Weight 90.7 kg (200 lb)
Day 2, 1200:
• Temperature 38° C (100.4" F)
• Pulse rate 100/min
• Respiratory rate 22/min
• Blood pressure 120/74 mm Hg
• Oxygen saturation 88% on nasal cannula at 2 L/min
Day 3, 1200:
• Temperature 37.2° C (98.9" F)
• Pulse rate 90/min
• Respiratory rate 20/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 91% on nasal cannula at 3 L/min
Day 4, 1500:
• Temperature 37.2° C (98.9° F)
• Pulse rate 92/min
• Respiratory rate 22/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 93% on nasal cannula at 3 L/min: 88% on room air
Medication Administration Record
Day 1, 1500:
• Cefazolin 500 mg every 12 hr IV Dexamethasone 15 mg every 6 hr IV
Day 3, 1200:
• Discontinue dexamethasone 15 mg every 6 hr IV Prednisone 40 mg PO daily
Day 4, 1500:
• Discontinue cefazolin 500 mg every 12 hr IV
Question 5 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include?
Correct Answer: A,C
Rationale: Adjusting oxygen flow maintains oxygenation. Antibiotics were discontinued, so 10 days is incorrect. Storing the wrench ensures access. Keeping oxygen from heat prevents fires. Steroid timing and tapering lack specifics in the scenario.