ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse manager is observing an AP applying wrist restraints for a client. Which of the following actions should the nurse identify as an indication that the AP understands the procedure?
Correct Answer: B
Rationale: Padding against bony prominences protects the skin. Two fingers should fit between the restraint and wrist, quick-release knots are used, and restraints are tied to the bed frame, not side rails.
Question 2 of 5
After an assessment, the nurse realizes that a client demonstrates cognitive responses to stress. What behaviors did the client demonstrate for the nurse to make this clinical determination?
Correct Answer: D
Rationale: Decreased attention to detail indicates cognitive impairment due to stress, affecting concentration and decision-making. Irritability and anger are emotional, and lethargy is physical.
Question 3 of 5
A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove first?
Correct Answer: A
Rationale: Gloves are the most contaminated PPE and should be removed first to prevent contamination of other PPE or hands. Mask, gown, and goggles follow in that order.
Question 4 of 5
A nurse is teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle? (Select All that Apply)
Correct Answer: A,B,C,D
Rationale: Bright light disrupts melatonin production, delaying sleep. Evening caffeine blocks adenosine, reducing sleepiness. A 20-minute nap, especially late in the day, can reduce nighttime sleep drive. Emotional stress increases alertness, hindering sleep. A regular bedtime schedule reinforces the sleep-wake cycle, not disrupts it.
Question 5 of 5
A patient has been admitted for surgery for a colostomy. The patient states, 'I can’t believe this has happened to me.' What is the nurse’s best response?
Correct Answer: A
Rationale: Acknowledging the patient’s feelings and reassuring them while inviting concerns provides support and encourages dialogue. Other responses are dismissive, irrelevant, or confrontational.