ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is preparing to suction secretions from a patient who has a new tracheostomy.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Selecting a suction catheter that is half the size of the tracheostomy lumen is appropriate. This size prevents excessive occlusion of the airway, ensuring adequate airflow during suctioning.
Extract:
Question 2 of 5
A nurse is assessing an older adult client’s risk for falls.Which assessments should the nurse use to identify the client’s safety needs? (Select all that apply)
Correct Answer: B,C,D
Rationale:
Choice A: Pupil clarity is not related to fall risk.
Choice B: Gait appearance identifies balance issues.
Choice C: Visual fields affect spatial awareness.
Choice D: Visual acuity impacts obstacle detection.
Question 3 of 5
Which of the following items should be recorded as 120 mL of fluid in the client's intake and output record?
Correct Answer: C
Rationale: 8 oz of ice chips is approximately equivalent to 120 mL because when ice melts, it reduces in volume by about half, so 8 oz of ice chips would melt to about 4 oz of water, which is approximately 120 mL.
Extract:
A home health nurse is conducting an admission assessment of an elderly patient who has their caregiver present.
Question 4 of 5
Which observation should the nurse identify as a potential sign of elder abuse?
Correct Answer: C
Rationale: The caregiver insisting on staying in the room during the nurse's assessment could be a potential sign of elder abuse. This could indicate that the caregiver is controlling or overbearing.
Extract:
A client expresses anger when the nurse does not respond within 5 minutes of ringing for the nurse.
Question 5 of 5
Which response by the nurse is appropriate?
Correct Answer: C
Rationale: Saying 'That must be frustrating for you. How can I help you right now?' acknowledges the client's feelings of frustration and offers assistance, which is an appropriate response.