ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Directly asking about self-harm assesses suicide risk, a priority given the client’s statement. Exploring partner loss, deferring to the provider, or focusing on medication non-adherence delays immediate safety assessment.
Question 2 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should identify that which of following members of the interdisciplinary team?
Correct Answer: D
Rationale: A speech-language pathologist assesses and treats dysphagia, common post-stroke, to prevent aspiration. OTs aid ADLs, PTs improve mobility, and social workers address psychosocial needs.
Question 3 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: Flushing with 5 mL water maintains patency and clears residue. pH checks are for NG tubes, 8-hour checks are too infrequent, and supine positioning risks aspiration—semi-upright is preferred.
Question 4 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A pouch 1/8 inch larger than the stoma prevents irritation and ensures a secure fit. Damp skin barriers reduce adhesion, daily changes may irritate skin, and rubbing can damage peristomal skin—patting dry is preferred.
Question 5 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: B
Rationale: Drinking thickened juice with a straw increases aspiration risk in dysphagia clients, bypassing natural swallowing mechanisms. A 90° bed position aids swallowing, chin tucking directs food to the esophagus, and breaks enhance safety—all appropriate.