ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
Which activity should the nurse implement to decrease shearing force on a client's stage II pressure injury?
Correct Answer: D
Rationale: Preventing sliding in bed reduces shearing forces that worsen pressure injuries. Pulling up under arms increases shear, hydration aids skin health indirectly, and cream reduces friction, not shear.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of lung cancer. The client states they do not want to tell their partner their diagnosis. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Offering to discuss concerns respects the client’s autonomy and encourages open dialogue. Other responses are judgmental, confrontational, or impose assumptions, potentially discouraging communication.
Question 3 of 5
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
Correct Answer: C
Rationale: Elevating the head of the bed 30° to 45° is the priority to prevent aspiration by promoting drainage of stomach contents away from the airway, critical for a client with decreased consciousness. Other actions are important but secondary.
Question 4 of 5
After an assessment, the nurse realizes that a client demonstrates cognitive responses to stress. What behaviors did the client demonstrate for the nurse to make this clinical determination?
Correct Answer: D
Rationale: Decreased attention to detail indicates cognitive impairment due to stress, affecting concentration and decision-making. Irritability and anger are emotional, and lethargy is physical.
Question 5 of 5
A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning headaches are common in obstructive sleep apnea due to intermittent hypoxia and hypercapnia. Nausea, hypotension, and constipation are not typical findings.