Questions 55

ATI RN

ATI RN Test Bank

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: 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 2 of 5

A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Obtaining vital signs (
C) is the first action to assess for fluid overload complications like pulmonary edema. Documentation (
A) follows assessment. Incident reports (
B) are completed after ensuring safety. Reporting to the manager (
D) is later, after immediate actions.

Question 3 of 5

A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, 'I'm worried about that bag.' Which of the following is an appropriate response by the nurse?

Correct Answer: B

Rationale: Restating the concern (
B) validates the client’s feelings and encourages further discussion, using therapeutic communication. Waiting until after surgery (
A) dismisses the concern. Asking about others (
C) diverts focus. Reassuring about necessity (
D) minimizes the client’s worry.

Question 4 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 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: Airborne precautions (
B) are required for tuberculosis, which spreads via small respiratory particles that remain suspended in the air. Droplet precautions (
A) apply to infections like influenza, spread by larger droplets. Protective precautions (
C) are for immunocompromised clients, not TB. Contact precautions (
D) are for infections like MRSA, not airborne diseases.

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