ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?

A. Leave a transfer belt in place until the client returns from radiology.B. Lower the footplates before transferring the client from the bed.C. Back the wheelchair into the elevator.D. Position the client so their weight is shifted forward

Correct Answer: B

Rationale: Lowering footplates (
B) prevents leg injury during transfer. Leaving a belt (
A) risks pressure ulcers, backing into elevators (
C) isn’t necessary, and forward weight (
D) increases fall risk.

Question 2 of 5

A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?

A. Refrigerates the solution before irrigationB. Uses a syringe with a catheter for wound irrigationC. Uses one pair of gloves for dressing removal and irrigationD. Administers an analgesic medication 5 min before starting irrigation

Correct Answer: B

Rationale: A syringe with a catheter (
B) ensures controlled irrigation, removing debris safely. Cold solution (
A) causes discomfort, one glove pair (
C) risks contamination, and 5-minute analgesia (
D) is too late for effect.

Question 3 of 5

A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

A. Allow the client to hear running water while attempting to void.B. Provide the client a bedpan while lying supine.C. Encourage fluid intake up to 1,000 mL daily.D. Insert an indwelling urinary catheter and connect it to gravity drainage.

Correct Answer: C

Rationale: Encouraging fluids (
C) promotes urine output, addressing retention non-invasively first. Running water (
A) helps some, supine (
B) hinders voiding, and catheterization (
D) is a last resort.

Question 4 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?

A. The client drinks their thickened juice with a straw.B. The client takes frequent breaks while eating.C. The client adjusts the head of their bed to 90 degrees.D. The client tucks their chin when they swallow.

Correct Answer: A

Rationale: Drinking thickened juice with a straw (
A) increases aspiration risk in dysphagia; a cup is safer. Breaks (
B), upright position (
C), and chin tuck (
D) reduce aspiration risk.

Question 5 of 5

A nurse is observing a newly licensed nurse care for a client who is at increased risk for infection. Which of the following actions indicate the newly licensed nurse is following recommended medical asepsis practices?

A. The newly licensed nurse uses a paper towel to turn off the faucet after washing their hands.B. The newly licensed nurse uses an alcohol-based hand rub and begins patient care before their hands dry.C. The newly licensed nurse uses soap and cold water to wash their hands.D. The newly licensed nurse uses an alcohol-based hand rub to clean visibly soiled hands.

Correct Answer: A

Rationale: Using a paper towel (
A) prevents recontamination post-handwashing, per asepsis. Wet hands (
B), cold water (
C), and rub on soiled hands (
D) reduce effectiveness.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

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ATI RN

ATI RN