ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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:
Correct Answer: B - The scale measures six elements.
Rationale: The Braden scale is used to assess a patient's risk for developing pressure ulcers and consists of six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Understanding this indicates knowledge of the scale's components.
Incorrect
Choices:
A: Each element has a range from one to five points - This is incorrect because the elements are not scored on a range from one to five.
C: The client's age is part of the measurement - Age is not a factor in the Braden scale assessment.
D: The higher the score, the higher the pressure injury risk - This is incorrect as a higher score on the Braden scale indicates a lower risk of pressure ulcers.
Question 2 of 5
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: The correct answer is A: Discard the needle in a puncture-proof container. After administering the injection, the nurse must immediately discard the needle in a puncture-proof container to prevent accidental needle sticks and transmission of infections. Placing the needle on the bedside table (
B) is unsafe and can lead to injuries. Recapping the needle before disposal (
C) is discouraged as it increases the risk of needle stick injuries. Removing the needle from the syringe (
D) is unnecessary and exposes the nurse to potential harm.
Question 3 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: The correct answer is D: Present information about the benefits of quitting smoking. During the contemplation stage, clients are considering the pros and cons of changing their behavior. Providing information about the benefits of quitting smoking can help the client make an informed decision. This action aligns with motivational interviewing techniques, which focus on exploring and resolving ambivalence towards behavior change. Recommending small changes (
A) may be more suitable for the preparation stage. Setting goals (
B) and developing a plan (
C) are actions typically taken during the action stage when the client is ready to make a change.
Question 4 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Decreased sense of balance. As people age, their sense of balance tends to decrease due to changes in vision, inner ear function, muscle strength, and joint flexibility. This can increase the risk of falls and injuries in older adults. The other choices are incorrect because heightened sense of pain (
A) is not a typical finding in older adults, increased nighttime sleeping (
C) may occur but it is not a universal finding, and nighttime urinary incontinence (
D) is common but not a definitive finding in all older adults.
Question 5 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: B
Rationale: The correct answer is B: Airborne precautions. Tuberculosis is spread through the air via droplet nuclei. By implementing airborne precautions, the nurse can prevent the transmission of the disease to others. Airborne precautions include wearing an N95 respirator mask, placing the client in a negative pressure room, and ensuring proper ventilation. Droplet precautions (
Choice
A) are used for diseases spread through respiratory droplets, not airborne particles like tuberculosis. Protective precautions (
Choice
C) are not specific to tuberculosis. Contact precautions (
Choice
D) are used for diseases spread through direct contact with the client or their environment, not through the air like tuberculosis.