ATI RN
ATI RN Fundamentals 2023 I Questions
Question 1 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D. Pouring liquids into containers outside the sterile field prevents contamination.
Step 1: Set up sterile field.
Step 2: Pour liquids into containers within sterile field. Pouring outside risks contamination.
A: Incorrect. Sterile field should be at chest level to maintain sterility.
B: Incorrect. Label should face up to prevent contamination.
C: Incorrect. Open flaps away from body to avoid contamination.
Extract:
A nurse in a provider's office is caring for a client.
Exhibit 1
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements.
Client is a nonsmoker.
Client does not drink alcohol.
Question 2 of 5
The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: B,E,F
Rationale: The correct answer includes Vitamin D level, low activity level, and lactose intolerance. Low Vitamin D levels lead to poor calcium absorption, increasing osteoporosis risk. Inadequate physical activity reduces bone density, contributing to osteoporosis. Lactose intolerance may result in low calcium intake, impacting bone health. Phosphorous level, smoking history, and alcohol use do not directly impact osteoporosis risk.
Extract:
Question 3 of 5
A nurse is reviewing the laboratory results of a female client who has liver dysfunction and is receiving a continuous tube feeding. Which of the following findings should the nurse identify as a protein deficiency?
Correct Answer: A
Rationale: The correct answer is A: Albumin 3.1 g/dL. Albumin is the main protein in the blood and is produced by the liver. In liver dysfunction, the synthesis of albumin is decreased, leading to low levels in the blood, indicating protein deficiency. Transferrin (
B) is a protein involved in iron transport, not a direct indicator of protein deficiency. Uric acid (
C) and total iron-binding capacity (
D) are not specific markers for protein deficiency.
Question 4 of 5
A nurse identifies a small fire in a client’s room. After moving the client to safety, which of the following is the next action the nurse should take?
Correct Answer: C
Rationale: The correct answer is C: Activate the facility’s fire alarm. This is the next action the nurse should take because it alerts others to the fire and initiates the building's evacuation protocol. This ensures the safety of all individuals in the facility.
Placing wet towels along the base of the door (
A) may help prevent smoke from entering the room, but it is not the priority when there is an active fire. Turning off electrical equipment (
B) is important to prevent further hazards, but it is not the immediate action needed in this situation. Directing a fire extinguisher at the fire (
D) should only be done if the nurse is trained in using one and if it is safe to do so; however, activating the fire alarm takes precedence.
Question 5 of 5
A nurse is preparing to administer intermittent tube feeding to a client who has a percutaneous gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Flush the client’s tube with 5 mL of water. This is essential to maintain tube patency and prevent clogging. Flushing with water helps clear any residual formula and debris from the tube, ensuring proper delivery of the feeding. Checking pH levels (choice
A) is not necessary for intermittent tube feeding. Checking tube patency every 8 hours (choice
B) is too frequent and may increase the risk of tube dislodgement. Placing the client in a supine position (choice
C) is not necessary for tube feeding.
Therefore, choice D is the most appropriate action to ensure the safe and effective administration of tube feeding.