ATI RN
ATI RN Fundamentals 2023 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: C
Rationale: An 18-gauge needle is too large; a 25- to 27-gauge needle is appropriate. Massaging the site can increase bruising with heparin. Injecting 2 inches away from the umbilicus is correct for subcutaneous administration. The air bubble in prefilled syringes should not be expelled to ensure the full dose is given.
Question 2 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Loosening linens doesn’t address pain. Massaging a pressure injury worsens it. Bright lights don’t help pain. Music therapy reduces pain perception through distraction and relaxation.
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: In emergencies where immediate surgery is life-saving and no consent is available, implied consent allows preparation for surgery. Ethics committee consultation or waiting for family delays critical care. Surgeons cannot consent for patients.
Extract:
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements. Client is a nonsmoker.
Client does not drink alcohol.
Diagnostic Results
Initial visit:
• Calcium 8.9 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.4 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+ D3) 24 ng/dL (25 to 80 ng/dL)
6-month follow-up:
• Calcium 8.8 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.2 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+D) 15 ng/dL (25 to 80 ng/dL)
Nurses' Notes
Initial visit:
Client instructed to take a calcium and vitamin D supplement and begin an exercise program, such as walking 3 times per week.
6-month follow-up:
Client states they frequently forget to take their calcium and vitamin D supplements and has been unable to exercise due to time constraints.
Question 4 of 5
A nurse in a provider's office is caring for a client. Exhibits:The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: C,F
Rationale: Lactose intolerance doesn’t directly cause osteoporosis. No smoking or alcohol use reported. Low vitamin D and sedentary lifestyle increase osteoporosis risk by reducing bone density.
Extract:
Question 5 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.