ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Injecting 2 inches from the umbilicus avoids vascular areas, reducing bleeding risk. An 18-gauge needle is too large (25-27 gauge is standard), air bubbles in prefilled syringes ensure full dosing, and massaging increases bruising risk due to heparin’s anticoagulant effect.
Question 2 of 5
A nurse is caring for a client who is immobile. Which of the following interventions should the nurse plan to take to prevent plantar flexion contractures?
Correct Answer: B
Rationale: Foot splints maintain dorsiflexion, preventing plantar flexion contractures. Trochanter rolls align hips, abduction pillows prevent adduction, and propping up risks contractures without support.
Question 3 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Implied consent applies in emergencies, allowing surgery to save life or prevent harm. Ethics consultation delays action, waiting risks deterioration, and surgeons can’t consent.
Question 4 of 5
A nurse is preparing to administer intermittent tube feeding to a client who has a percutaneous gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Flushing with 5 mL water maintains patency and clears residue. pH checks are for NG tubes, 8-hour checks are too infrequent, and supine positioning risks aspiration—semi-upright is preferred.
Question 5 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: B
Rationale: Occupational therapists help with ADLs like feeding, offering adaptive tools for rheumatoid arthritis. Social workers address psychosocial needs, PAs manage medical care, and PTs focus on mobility.