ATI RN
ATI N100 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving an intermittent enteral feed through a nasogastric tube. Which finding is the nurse's PRIORITY to address?
Correct Answer: C
Rationale: Vomiting is a priority concern because it can lead to aspiration, dehydration, electrolyte imbalances, and further complications. Addressing the cause of vomiting and managing it promptly is crucial for the client's safety.
Question 2 of 5
A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. What is the nurse's PRIORITY action to complete?
Correct Answer: D
Rationale: Stopping the transfusion is the priority action as it addresses the immediate risk of a transfusion reaction, such as an allergic reaction or transfusion-related infection.
Question 3 of 5
A nurse is caring for a client who is prescribed a mechanical soft diet. Which food choice would be appropriate for this client to have included in their diet?
Correct Answer: C
Rationale: Ground beef is appropriate for a mechanical soft diet because it is easier to chew and swallow compared to whole cuts of meat. It is typically tender and does not require extensive chewing.
Question 4 of 5
A nurse is preparing to give a client an infusion of packed red blood cells (PRBCS). The nurse is priming her administration IV tubing, the nurse primes one side of the Y tubing with the blood and the other should be which solution?
Correct Answer: D
Rationale: Normal saline (0.9% sodium chloride) is isotonic and the only solution recommended for use with blood transfusions. It does not cause hemolysis of red blood cells, does not alter the composition of the blood product, and helps to maintain the patency of the IV line.
Question 5 of 5
A nurse is assessing a client who is having fluid volume overload. Which finding should the nurse expect for this client?
Correct Answer: A
Rationale: Edema is a hallmark of fluid volume overload, resulting from excess fluid leaking into interstitial spaces.