ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the partner of a client who has a linear incision site following an open cholecystectomy. Which of the following wound care instructions should the nurse include?
Correct Answer: C
Rationale: Cleaning from incision outward (
C) prevents contamination. Sterile gloves (
A) aren’t needed (clean suffice), frequent changes (
B) disrupt healing, and benzoin (
D) isn’t routine.
Question 2 of 5
A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Allowing the client to slide down an outstretched leg (
D) safely lowers them, minimizing injury to both. Arms around (
A) risks mutual injury, staying upright (
B) or moving in front (
C) increases fall risk.
Question 3 of 5
A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, 'I am looking forward to seeing my grandchildren grow up.' The nurse should identify that the client is experiencing which of the following stages of grief?
Correct Answer: A
Rationale: Denial (
A) involves rejecting reality; expecting to see grandchildren grow up denies the terminal prognosis. Bargaining (
B) seeks deals, acceptance (
C) embraces reality, and anger (
D) shows frustration.
Question 4 of 5
A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?
Correct Answer: B
Rationale: Occupational therapists (
B) specialize in ADLs like eating. Social workers (
A) handle psychosocial issues, speech therapists (
C) focus on swallowing, and physical therapists (
D) address mobility.
Question 5 of 5
A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Hypocalcemia increases neuromuscular excitability, causing tingling (paresthesia) around the lips (
A), positive Trousseau’s sign (
C) from carpal spasm, and muscle cramps (E). Abdominal distention (
B) isn’t typical, and Chvostek’s sign is positive (not negative,
D) in hypocalcemia.