ATI RN Fundamentals Updated 2023 Exam

Extract:

Question 1 of 5

A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?

A. Delirium does not affect a client's sleep cycle.B. Delirium does not affect a client's perception of her environment.C. Delirium has a slow progression.D. Delirium has an abrupt onset.

Correct Answer: D

Rationale: Delirium has an abrupt onset (
D), occurring within hours or days, distinguishing it from dementia. It disrupts sleep cycles (
A), causing insomnia or reversal. It alters perception (
B), leading to hallucinations. It doesn’t progress slowly (
C); it fluctuates rapidly.

Question 2 of 5

A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?

A. Make a copy of the medication reconciliation form for the client.B. Determine whether the client can afford the insulin administration supplies.C. Provide the client with the contact number for a diabetes education specialist.D. Obtain printed information about insulin self-administration.

Correct Answer: B

Rationale: Determining affordability of insulin supplies (
B) is the priority to ensure adherence, preventing complications. Copying forms (
A), providing contacts (
C), or giving printed info (
D) are important but secondary; without supplies, the client cannot follow the regimen.

Question 3 of 5

A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, 'I'm worried about that bag.' Which of the following is an appropriate response by the nurse?

A. Let's wait until after the surgery to discuss your concerns about your colostomy.B. You are worried about having to wear a colostomy bag?C. Have you ever known someone who has a colostomy?D. The surgeon will only place the colostomy if it is necessary.

Correct Answer: B

Rationale: Restating the concern (
B) validates the client’s feelings and encourages further discussion, using therapeutic communication. Waiting until after surgery (
A) dismisses the concern. Asking about others (
C) diverts focus. Reassuring about necessity (
D) minimizes the client’s worry.

Question 4 of 5

A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?

A. Inserting an NG tubeB. Performing a simple dressing changeC. Evaluating the healing of an incisionD. Changing IV tubing

Correct Answer: B

Rationale: Performing a simple dressing change is a routine and non-invasive task that can be safely delegated to assistive personnel (AP) with proper training and clear instructions. Inserting an NG tube (
A) is invasive and requires nursing judgment, so it cannot be delegated. Evaluating the healing of an incision (
C) involves assessment, which is a nursing responsibility and not within the AP’s scope. Changing IV tubing (
D) is a sterile procedure involving medication administration risks, making it inappropriate for delegation.

Question 5 of 5

A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)

A. I need to have a fire escape plan with my family.B. I need to check my medications for expiration dates.C. I need to set my hot water heater to 140 degrees Fahrenheit.D. I will use the grab bars when getting in and out of the bathtub.E. I will apply tape over frayed areas of electrical cords.

Correct Answer: A,B,D

Rationale: A fire escape plan (
A), checking medication expiration (
B), and using grab bars (
D) indicate safety understanding, preventing fires, drug errors, and falls. Setting the heater to 140°F (
C) risks burns; 120°F is safer. Taping frayed cords (E) is unsafe; replacement is needed.

ATI RN Fundamentals Updated 2023 Exam | Nurselytic

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