ATI Fundamentals 2023 Retake

Extract:

Question 1 of 5

A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?

A. I will hold my breath when rising from a sitting position.'B. I will have my partner help me change positions every 4 hours.'C. I will remove my antiembolic stockings while I am in bed.'D. I will perform ankle and knee exercises every hour!'

Correct Answer: D

Rationale: Hourly ankle/knee exercises (
D) improve circulation and mobility. Breath-holding (
A) increases pressure, 4-hour repositioning (
B) is too infrequent, and removing stockings (
C) risks clots.

Question 2 of 5

A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?

A. The hot water heater is set to 47°C (117°F).B. Grab bars are installed in the shower.C. Prescriptions are stored in a medication organizer.D. There is an area rug covering a tile floor.

Correct Answer: D

Rationale: An area rug (
D) risks falls in osteoporosis; it should be secured or removed. Low water temp (
A), grab bars (
B), and organizers (
C) enhance safety.

Question 3 of 5

A nurse is assessing a client who has cirrhosis. Which of the following findings indicates the client is experiencing a fluid volume excess?

A. Dependent edemaB. Increased serum sodiumC. Thready pulseD. Increased thirst

Correct Answer: A

Rationale: Dependent edema (
A) signals fluid excess in cirrhosis. High sodium (
B) and thirst (
D) suggest deficit, and thready pulse (
C) isn’t specific.

Question 4 of 5

A nurse is caring for a postoperative client who has an IV PCA delivering opioids. The client rates their pain as 2 on a scale of 0 to 10 and has not pressed the button to deliver a bolus dose in over 2 hr. Which of the following actions should the nurse take?

A. Inform the provider that the PCA is not providing adequate pain relief.B. Ask the provider for a prescription to decrease the continuous rate.C. Instruct the client to push the button more frequently.D. Instruct the client's caregiver to push the PCA button when the client is resting.

Correct Answer: B

Rationale: Decreasing the continuous rate (
B) adjusts for low pain (2/10) and no bolus use, preventing over-medication. Pain relief is adequate (
A), frequent pushing (
C) is unnecessary, and caregiver control (
D) risks overdose.

Question 5 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.)

A. When removing the medication from the medication drawerB. At the end of the shiftC. When reconciling counts of controlled substancesD. When preparing the medication dosageE. Directly before administering the medication

Correct Answer: A,D,E

Rationale: Comparing at removal (
A), preparation (
D), and administration (E) ensures accuracy per rights of medication. Shift end (
B) and counts (
C) aren’t administration checks.

ATI Fundamentals 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN