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ATI RN Fundamentals Updated 2023 Exam Questions

Question 1 of 5

A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?

Correct Answer: D

Rationale: Reviewing the artificial larynx (
D) is the priority to ensure the client can communicate post-laryngectomy, addressing immediate functional needs. Support sessions (
A) aid coping but are less urgent. Esophageal speech (
B) is taught later by specialists. Reading ability (
C) informs education but isn’t the priority.

Question 2 of 5

A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Diluting crushed medications with sterile water (
B) ensures safe delivery and prevents mucosal irritation. Mixing medications (
A) risks interactions. Flushing with 5 mL (
C) is insufficient; 15–30 mL is standard. Combining with formula (
D) alters absorption and risks clogging.

Question 3 of 5

A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Covering the percussion area with a towel (
B) reduces skin discomfort and bruising, making it correct. Percussion should be over the chest wall (
A), not the back, to loosen lung mucus. Postural drainage after meals (
C) risks nausea; it should be before or 2 hr after meals. Exhaling quickly during vibration (
D) is incorrect; slow, deep exhalation moves mucus effectively.

Question 4 of 5

A nurse is assessing an older adult client. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Decreased balance (
B) is expected in older adults due to vestibular, vision, and proprioception changes, increasing fall risk. Pain perception (
A) often diminishes. Nighttime sleep (
C) decreases due to circadian changes. Incontinence (
D) isn’t normal but may result from treatable causes.

Question 5 of 5

A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?

Correct Answer: C

Rationale: An occupational therapist (
C) helps with ADLs by improving functional abilities and providing adaptive tools. Physical therapists (
A) focus on mobility, dietitians (
B) on nutrition, and speech pathologists (
D) on communication/swallowing, none directly addressing ADLs.

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A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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