ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment.the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
Correct Answer: B
Rationale: Confusion (
B) explains wandering limited verbal response and flinching common in delirium or dementia.
Choices A,C,D and E/F do not fully account for all behaviors.
Question 2 of 5
A home health nurse is conducting a home safety assessment for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client?
Correct Answer: A,B
Rationale: A water heater at 54.4°C poses a burn risk and throw rugs are a tripping hazard for older adults.
Choices C D and E are either safe or beneficial.
Question 3 of 5
A nurse finds an open vial of morphine lying on top of the cabinet in a client's room. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reporting the discrepancy immediately ensures safety and compliance with protocols.
Choices A B and C risk improper disposal contamination or misuse.
Question 4 of 5
A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Discarding the tablet (
C) ensures no contamination. Other choices risk administering a contaminated dose.
Question 5 of 5
A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following expected outcomes after catheter removal?
Correct Answer: D
Rationale: Temporary urinary retention is common post-catheter removal in older adults due to bladder readjustment.
Choice A is not expected
Choice B requires reporting and
Choice C suggests dehydration not a direct outcome.