ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

The nurse is preparing the client for surgery. Select the 3 findings that require follow-up prior to surgery.

A. Dietary intakeB. Oxygen saturationC. Pain levelD. Blood pressureE. AllergiesF. Informed consent

Correct Answer: A,C,E,F

Rationale: Dietary intake (
A) ensures fasting compliance, pain level (
C) needs management (increased to 8/10), allergies (E) prevent reactions (shellfish, latex, penicillin), and informed consent (F) confirms understanding—critical pre-surgery. Oxygen saturation (
B) at 96% and blood pressure (
D) are stable.

Question 2 of 5

A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

A. I am not able to walk for very long so I ride the stationary exercise bike at the gym.'B. I enjoy having lunch with my grandchildren every other Sunday.'C. I have a few friends over for coffee a couple of times a week.'D. I have a lot of arthritis pain, so I only leave my house to get the mail.'

Correct Answer: D

Rationale: Limited outings due to pain (
D) suggest isolation. Gym use (
A), family lunches (
B), and friend visits (
C) indicate social engagement.

Question 3 of 5

A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

A. Instruct the client to take deep, rhythmic breaths.B. Encourage the client to apply a heating pad for 2 hr at a time.C. Remove distractions from the client's room.D. Apply an ice pack to the client's back for 1 hr.

Correct Answer: A

Rationale: Deep, rhythmic breaths (
A) relax muscles and reduce pain perception. Prolonged heat (
B) risks burns, distraction removal (
C) is secondary, and long ice (
D) is for acute pain, not mild chronic.

Question 4 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 5 of 5

A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?

A. The client has electrical wires secured to baseboards.B. The client wears rubber-sole shoes.C. The client's visual acuity is 20/40.D. The client takes an antihypertensive medication.

Correct Answer: D

Rationale: Antihypertensives (
D) can cause hypotension and dizziness, increasing fall risk. Secured wires (
A) and rubber soles (
B) reduce risk, and 20/40 vision (
C) is mildly impaired but less critical.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

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ATI RN

ATI RN