ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting pelvic muscles (
B) strengthens the pelvic floor, improving bladder control, and is the core of Kegel exercises. Holding breath (
A) increases pressure, worsening incontinence. Expecting results in 2 weeks (
C) is unrealistic; it takes weeks to months. Tightening buttocks (
D) interferes with isolating pelvic muscles.
Question 2 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting the time spent sitting in a chair (
C) promotes blood flow and prevents venous stasis, reducing the risk of thrombus formation, indicating the client understands the teaching. Keeping legs crossed (
A) impairs circulation, increasing thrombus risk. Massaging legs (
B) could dislodge a clot, leading to complications like pulmonary embolism. Performing leg exercises every 4 hours (
D) is insufficient; hourly exercises are typically recommended to prevent thrombus formation.
Question 3 of 5
A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Recommending a same-gender interpreter (
B) respects cultural and personal comfort, enhancing communication. Using medical terminology (
A) risks confusion; simple language is better. Addressing questions to the interpreter (
C) ignores the client, reducing engagement. Nodding (
D) is unreliable for confirming understanding; verbal or demonstrated comprehension is needed.
Question 4 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 20 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 18
Rationale: Convert 20 lb to kg: 20 × 0.4536 = 9.072 kg. Calculate dose: 9.072 kg × 2 mg/kg = 18.144 mg. Round to 18 mg. This ensures accurate dosing based on weight, critical for gentamicin to avoid toxicity.
Question 5 of 5
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
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.