Questions 54

ATI RN

ATI RN Test Bank

ATI Fundamentals 2023 Retake Questions

Extract:


Question 1 of 5

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

Correct Answer: A

Rationale: Three-point gait (
A) suits one-leg weight-bearing, advancing crutches with the affected leg. Two-point (
B) and four-point (
C) need bilateral weight, swing-through (
D) is for non-weight-bearing.

Question 2 of 5

A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Have you thought about harming yourself?' (
B) directly addresses suicidal ideation, prioritizing safety per mental health protocols. Medication cessation (
A) and partner details (
C) are secondary, and referral (
D) delays immediate assessment.

Question 3 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: C

Rationale: Music (
C) distracts and relaxes, reducing pain perception. Loose linens (
A) don’t target pain, massaging (
B) worsens injury, and bright lights (
D) increase discomfort.

Question 4 of 5

A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?

Correct Answer: C

Rationale: Checking blood compatibility (
C) prevents transfusion reactions, a critical safety step. Small gauge (
A) is incorrect (large needed), lactated Ringer’s (
B) risks clotting, and technician confirmation (
D) isn’t standard.

Question 5 of 5

To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?

Correct Answer: A

Rationale: Observing for safety (
A) advocates for the client. Care provider (
B) is direct care, case manager (
C) coordinates, and educator (
D) teaches, not the primary role here.

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