ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is prioritizing care for a client. Which of the following procedures should the nurse perform first?
Correct Answer: B
Rationale: The correct answer is B: Endotracheal suctioning. This is the priority procedure as it helps maintain airway patency and oxygenation, which are crucial for the client's survival. Without proper airway clearance, the client may experience respiratory distress or failure. Enteral feeding (
A) can wait as it is not immediately life-threatening. Wound irrigation (
C) and urinary catheter care (
D) are important but not as critical as ensuring a patent airway.
Question 2 of 5
A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?
Correct Answer: C
Rationale: The correct answer is C: A middle adult assumes their parent's responsibilities. This indicates a change in the family system as it suggests a shift in roles and dynamics within the family. The middle adult taking on their parent's responsibilities signifies a significant change in the family structure and functioning.
A: A young adult developing a close, personal relationship is a normal developmental milestone and does not necessarily indicate a change in the family system.
B: A young adult focusing on their career is also a typical developmental stage and does not directly relate to a change in the family system.
D: A middle adult experiencing physical changes is a part of the aging process and may not necessarily signify a change in the family system.
Therefore, choice C is the most relevant in the context of assessing the impact of stressors on a family system.
Question 3 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are A, D, and E.
A: When removing the medication from the drawer, the nurse ensures the correct medication is being administered.
D: When preparing the dosage, the nurse verifies the medication details before administering it to the patient.
E: Directly before administering the medication, the nurse confirms the medication matches the prescription.
B and C are incorrect because comparing the records and labels should occur before medication is given.
Question 4 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I will repeat these movements 3 to 5 times." This statement is appropriate because it emphasizes the importance of repetition in passive range-of-motion exercises to prevent contractures and maintain joint flexibility. Moving joints quickly (
A) can cause injury. Performing movements once a day (
B) may not be sufficient for maintaining joint mobility. Moving joints to the point of mild pain (
D) can be harmful. The other choices are not relevant to the safe and effective performance of passive range-of-motion exercises.
Question 5 of 5
A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will leave a light on in my bathroom at night." This statement indicates an understanding of the teaching because older adults with heart failure who take hydrochlorothiazide are at risk for nocturia (nighttime urination) due to the medication's diuretic effect. Leaving a light on in the bathroom at night can prevent falls and accidents during nighttime bathroom visits.
Choice A: "I will take a hot bath before going to bed." - Incorrect, as hot baths before bed can potentially worsen heart failure symptoms by increasing heart rate and blood pressure.
Choice C: "I will weigh myself once weekly." - Incorrect, as monitoring weight daily is crucial for individuals with heart failure and taking diuretics to manage fluid retention.
Choice D: "I will take my new medication in the evening." - Partially correct, but the priority in this scenario is safety considerations, not medication timing.