ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: C
Rationale: Reviewing artificial larynx (
C) prepares for post-op communication, a priority. Support (
A), reading (
B), and esophageal speech (
D) are secondary.
Question 2 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: D
Rationale: Central line (
D) is needed for 20% dextrose. Separate admin (
A) varies, 24 hr change (not 48,
B), and frequent glucose (not daily,
C) are standard.
Question 3 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Night light (
C) reduces fall risk. Temperature (
A) isn’t fall-related, distant table (
B) hinders access, full rails (
D) are restraints.
Question 4 of 5
A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication?
Correct Answer: B
Rationale: Hypotension (
B) signals anaphylaxis. Bradycardia (
A) isn’t typical, foot swelling (
C) is less urgent, pain (
D) is local.
Question 5 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Preparing for surgery (
A) uses implied consent for emergencies. Surgeon consent (
B) isn’t valid, ethics (
C) delays, waiting (
D) risks harm.