ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting the time spent sitting in a chair (
C) promotes blood flow and prevents venous stasis, reducing the risk of thrombus formation, indicating the client understands the teaching. Keeping legs crossed (
A) impairs circulation, increasing thrombus risk. Massaging legs (
B) could dislodge a clot, leading to complications like pulmonary embolism. Performing leg exercises every 4 hours (
D) is insufficient; hourly exercises are typically recommended to prevent thrombus formation.
Question 2 of 5
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?
Correct Answer: B
Rationale: Scheduling the client as the first surgical procedure of the day (
B) minimizes exposure to latex particles in the air or on equipment, reducing allergic reaction risk. Cleansing stoppers with povidone-iodine (
A) is irrelevant to latex allergies; latex-free stoppers should be used. Removing stopcocks (
C) compromises IV system sterility; latex-free stopcocks are appropriate. Powdered gloves (
D) increase latex sensitization risk; latex-free or powder-free gloves are required.
Question 3 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exposing the abdomen (
D) is the first step to visually assess for complications like wound dehiscence or infection, which could explain severe pain. Listening for bowel sounds (
A) and percussion (
C) are part of a full assessment but not urgent. Palpation (
B) risks worsening pain or disrupting the wound and should be avoided initially.
Question 4 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time (
B) allows safe assessment and care while maintaining control. Tying to side rails (
A) risks injury if rails move. Square knots (
C) are hard to release; quick-release knots are standard. Removing every 3 hr (
D) is too infrequent; every 1–2 hr is needed to prevent complications.
Question 5 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing the extremity in a dependent position (
C) enhances vein visibility by increasing venous pressure.
Tourniquets go above the site (
A), not below. Cool compresses (
B) cause vasoconstriction, hindering access; warm compresses are better. Distal sites (
D), not proximal, are preferred to preserve veins.