ATI RN
ATI RN Fundamentals 2023 II 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: Bathroom light (
D) prevents falls with diuretic nocturia. Hot baths (
A) risk dehydration, weekly weighing (
B) is infrequent, evening dosing (
C) 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?
Correct Answer: D
Rationale: Analgesic 30-60 min prior (D, adjusted timing) reduces pain. Syringe alone (not catheter,
A), room-temp solution (not cold,
B), and new gloves (not one pair,
C) are correct.
Question 3 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Stopping transfusion (
D), oxygen (
B), high-Fowler’s (E), and diuretic (
A) address TACO. Epinephrine (
C) is for anaphylaxis, not overload.
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: C
Rationale: Holding label in palm (
C) prevents contamination. Pouring outside (
A), hip level (
B), flap toward body (
D), and Fowler’s (E) break sterility.
Question 5 of 5
A nurse is caring for a client who is anxious about being admitted to a health care facility for the first time. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Discussing expectations (
D) reduces anxiety. Why (
A) pressures, most people (
B) generalizes, reassurance (
C) dismisses.