ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Thirst (
B) indicates hyperglycemia due to dehydration from increased urination. Confusion (
A), cold skin (
C), and shakiness (
D) are signs of hypoglycemia, caused by low glucose affecting the brain and triggering adrenaline.
Question 2 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?
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 3 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: ALT (
C) is an enzyme primarily in the liver, and elevated levels indicate liver damage or inflammation. It doesn’t assess kidneys (
A), heart (
B), or clotting (
D), which are evaluated by tests like creatinine, troponin, or INR, respectively.
Question 4 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Identifying the impact on body image (
A) is the first step to understand the client’s emotional needs and provide support. Encouraging dressing changes (
B) or using a mirror (
D) may overwhelm her if she’s not ready. Referrals (
C) are useful later, after assessing her needs.
Question 5 of 5
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Flushing the tubing with 10 mL of water every 2 hr (
C) prevents clogging and maintains tube patency, making it an appropriate action. Heating the formula to 40.5°C (
A) risks thermal injury; room-temperature formula is safer. Aspirating residual volume every 4 hr (
B) is too frequent and increases infection risk; every 6–8 hr is standard. Changing the tubing set every 72 hr (
D) increases contamination risk; daily changes (every 24 hr) are recommended.