ATI RN
ATI RN Fundamentals 2023 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: A
Rationale: The correct answer is A: "The scale measures six elements." The Braden scale indeed assesses six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This response shows an understanding of the scale's components.
Choice B is incorrect because the client's age is not a factor in the Braden scale assessment.
Choice C is incorrect as a higher score on the Braden scale indicates a lower pressure injury risk.
Choice D is incorrect because each element on the Braden scale has a range from one to four points, not one to five.
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:
Correct
Answer: B
Rationale: Asking the client directly if they have thought about harming themselves is crucial in assessing suicidal ideation. This response shows the nurse's concern for the client's safety and opens up a dialogue for further assessment and intervention.
Summary:
A: While discussing feelings with the provider is important, addressing immediate safety concerns takes precedence.
C: Inquiring about medication cessation is relevant but not as urgent as assessing suicidal thoughts.
D: Understanding the client's relationship is valuable, but safety assessment is the priority in this situation.
Question 3 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label?
Correct Answer: B,C,E
Rationale: The correct times for the nurse to compare the medication administration record and the medication label are when removing the medication from the drawer, directly before administering the medication, and when preparing the medication dosage. Comparing the medication administration record with the label when removing the medication ensures that the correct medication is being taken out. Checking again directly before administration ensures the right medication is given to the right patient. Lastly, verifying the medication dosage during preparation ensures accurate dosing. The other options are incorrect because comparing at the end of the shift may lead to errors going unnoticed, reconciling counts of controlled substances is unrelated to checking medication accuracy, and comparing when reconciling counts may not catch errors in administration.
Question 4 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is important to allow room for stoma swelling and prevent irritation.
Choice A is incorrect because rubbing the peristomal skin dry can cause skin breakdown.
Choice B is incorrect as colostomy pouches should be changed based on individual needs, not a set time frame.
Choice D is incorrect as the skin barrier should be applied to dry skin to ensure proper adhesion.
Question 5 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Help the client lie on the floor. This is the first action to take during a seizure to prevent injury. By lowering the client to the floor, the risk of falling and hitting objects is minimized, ensuring safety. Turning the client onto their side (choice
A) can be done after they are on the floor to prevent aspiration. Loosening clothing (choice
C) and moving items away (choice
D) are important but secondary to ensuring the client is on the ground.