ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
What would be the primary focus of interventions for a client who sleepwalks?
Correct Answer: D
Rationale: Maintaining safety during sleepwalking episodes is the primary focus to prevent injuries. Medications, verbalizing feelings, and a quiet environment are secondary or unrelated to immediate safety concerns.
Question 2 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 3 of 5
A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?
Correct Answer: C
Rationale: Stage 3 pressure ulcers involve full-thickness skin loss with necrotic subcutaneous tissue, appearing as a deep crater. Exposed bone is stage 4, blood-filled blisters are earlier stages, and partial-thickness loss is stage 2.
Question 4 of 5
A nurse is assessing a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Correct Answer: B
Rationale: Elevated blood pressure is a common response to acute pain due to sympathetic nervous system activation. Pain typically increases respiratory and heart rates and dilates pupils, not the opposite.
Question 5 of 5
A nurse is caring for a client who had radiation therapy and is experiencing painful dermatitis. The nurse should identify the client is experiencing which of the following types of pain?
Correct Answer: A
Rationale: Painful dermatitis from radiation therapy is acute pain, resulting from recent tissue damage. Cancer pain relates to tumor effects, chronic pain persists longer, and neuropathic pain involves nerve damage.