Extract:

Question 1 of 5

A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states, 'I cannot do this. I do not want this surgery.' Which of the following actions should the nurse take?

A. Tell the client about the benefits of the surgery.B. Inform the client that it is too late to stop the surgery.C. Let the client know that their surgeon will be notified of their decision.D. Reassure the client that it is expected to be nervous before surgery.

Correct Answer: C

Rationale: Notifying the surgeon (
C) respects the client’s autonomy to refuse. Educating (
A) dismisses concerns, saying it’s too late (
B) is false, and reassurance (
D) minimizes their decision.

Question 2 of 5

A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?

A. Place their arms around the client to prevent the fall.B. Remain upright as the client falls toward them.C. Move quickly to a position in front of the client.D. Allow the client to slide down their outstretched leg.

Correct Answer: D

Rationale: Allowing the client to slide down an outstretched leg (
D) safely lowers them, minimizing injury to both. Arms around (
A) risks mutual injury, staying upright (
B) or moving in front (
C) increases fall risk.

Question 3 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

Question 4 of 5

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

A. Obtain a prescription for restraints from the provider.B. Document the indications for using wrist restraints.C. Explain the procedure to the client and their family.D. Attempt less restrictive alternatives.

Correct Answer: D

Rationale: Attempting less restrictive alternatives (
D) is the first step, per least-restrictive principles, before restraints. Prescription (
A), documentation (
B), and explanation (
C) follow if needed.

Question 5 of 5

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

A. The client drinks their thickened juice with a straw.B. The client takes frequent breaks while eating.C. The client adjusts the head of their bed to 90 degrees.D. The client tucks their chin when they swallow.

Correct Answer: A

Rationale: Drinking thickened juice with a straw (
A) increases aspiration risk in dysphagia; a cup is safer. Breaks (
B), upright position (
C), and chin tuck (
D) reduce aspiration risk.

Nurselytic

ATI RN

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ATI RN Fundamentals 2023 Exam 3 Questions

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Question 1 of 5

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Question 3 of 5

Question 4 of 5

Question 5 of 5

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