ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Providing written information about advance directives (
C) is required by law, ensuring informed decision-making. Providers don’t sign directives (
A); clients do. Partners needn’t be present (
B); any trusted proxy can be chosen. Signing isn’t mandatory (
D); it’s voluntary.
Question 2 of 5
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?
Correct Answer: D
Rationale: In the contemplation stage of health behavior change, the client is considering change but has not yet committed. Presenting information about the benefits of quitting smoking (
D) helps the client weigh pros and cons, increasing motivation. Recommending small changes (
A) and assisting with goal-setting (
B) are appropriate in the preparation stage, when the client is ready to act. Developing a lifestyle plan (
C) suits the action stage, after the client has started the change.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale measures six elements (
B)—sensory perception, moisture, activity, mobility, nutrition, friction/shear—indicating understanding. Elements range 1–4 (
A), not 1–5. Age (
C) isn’t measured. Higher scores mean lower risk (
D), not higher.
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 administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Unplugging the pump (
A) is the first action to ensure safety and prevent electrical hazards. Labeling (
B), replacing (
C), or notifying biomedical (
D) follow after neutralizing the immediate risk.