ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 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: D
Rationale: Leaving a bathroom light on reduces fall risk from nocturia (due to diuretic). Weekly weighing misses fluid retention (daily is needed), evening dosing disrupts sleep, and hot baths risk hypotension.
Question 2 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? (Select all that apply.)
Correct Answer: A,B,D
Rationale: A: Low bed prevents falls. B: Assessing skin ensures circulation. D: Padding prevents pressure injuries. C: Bed rails risk injury—use bed frame. E: Three fingers is too loose—two is standard.
Question 3 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin, which of the following actions by the client indicates prior to the start of the infusion?
Correct Answer: A
Rationale: Checking blood compatibility prevents transfusion reactions, a critical step before infusion. Priming, catheter size, and identity confirmation follow.
Question 4 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pouring liquids outside the sterile field prevents contamination. Hips are too low (waist level is ideal), labels face away from the palm, and the outermost flap opens away from the body.
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.