ATI RN
ATI RN Fundamentals 2023 Questions
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?
Correct Answer: A
Rationale: Regular ankle and knee exercises help prevent muscle atrophy due to immobility. Changing positions every 4 hours is helpful, but more frequent movement is recommended. Antiembolic stockings should be worn when immobile to prevent blood clots. Holding breath during movement doesn't contribute to reducing adverse effects of immobility.
Question 2 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Sterile gloves are required for inner cannula cleaning. Gauze under flanges isn’t standard. Full-strength peroxide is too harsh. A hook-and-loop collar ensures secure, adjustable fixation.
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?
Correct Answer: A,B,C
Rationale: High-Fowler’s improves lung expansion, oxygen addresses hypoxia, and stopping the transfusion halts potential circulatory overload. Diuretics may be needed later but aren’t immediate. Epinephrine is for anaphylaxis, not overload.
Question 4 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Frequent coughing while eating indicates aspiration risk, a priority due to potential for pneumonia. Elevated blood pressure, low meal consumption, and leaning are concerns but secondary to airway safety.
Question 5 of 5
A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Rolling as one unit maintains spinal alignment, preventing further injury. Flexing knees or placing arms at sides aids comfort but isn’t primary. Positioning on the bed side aids movement but isn’t critical.