ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis?
Correct Answer: D
Rationale: Striking the CVA (
D) tests kidney tenderness in pyelonephritis. Percussion (
A), intercostal push (
B), and lumbar palpation (
C) don’t target this area effectively.
Question 2 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
Correct Answer: C
Rationale: Checking blood compatibility (
C) prevents transfusion reactions, a critical safety step. Small gauge (
A) is incorrect (large needed), lactated Ringer’s (
B) risks clotting, and technician confirmation (
D) isn’t standard.
Question 3 of 5
A nurse manager overhears a nurse telling a client, 'I will administer your medication by injection if you don’t swallow your pills.' The nurse manager should identify that the nurse is committing which of the following torts?
Correct Answer: A
Rationale: Assault (
A) involves a threat of harm, as in this coercive statement. Defamation (
B) harms reputation, privacy (
C) involves confidentiality, and battery (
D) requires physical contact, not yet occurred.
Question 4 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Music (
C) distracts and relaxes, reducing pain perception. Loose linens (
A) don’t target pain, massaging (
B) worsens injury, and bright lights (
D) increase discomfort.
Question 5 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Injecting 2 in from the umbilicus (
C) ensures safe subcutaneous administration. 18-gauge (
A) is too large, massaging (
B) risks bleeding, and air bubble (
D) stays in prefilled syringes.