ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Extract:
Question 1 of 5
A nurse is assigned care of a patient who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this patient?
Correct Answer: B
Rationale: Standard precautions (
B) protect against HIV transmitted via blood and body fluids. Airborne (
A) and droplet (
C) apply to respiratory pathogens and contact (
D) to surface pathogens like MRSA.
Question 2 of 5
A charge nurse is observing a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions by the nurse should prompt the charge nurse to intervene?
Correct Answer: A
Rationale: Supine positioning (
A) during feeding increases aspiration risk requiring intervention. Tap water irrigation (
B) is less ideal but acceptable gravity feeding (
C) is standard and 50 mL residual (D E) may be acceptable depending on protocol.
Question 3 of 5
A nurse in a community clinic is collecting data from a patient who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?
Correct Answer: A ,D, E
Rationale: Frequent vomiting and diarrhea cause dehydration leading to hypotension (
A) from low blood volume poor skin turgor (
D) from reduced elasticity and flat neck veins (E) from low venous pressure. Bradycardia (
B) is uncommon and pale yellow urine (
C) suggests hydration not dehydration.
Question 4 of 5
A nurse is reviewing the laboratory values of a patient receiving total parenteral nutrition (TPN). The glucose is 72 mg/dL,chloride is 100 mEq/L,sodium is 138 mEq/L,and potassium is 3.0 mEq/L. What action should the nurse plan to take?
Correct Answer: C
Rationale: Low potassium (3.0 mEq/L normal 3.5-5.0) requires replacement (
C). Glucose (72 mg/dL) chloride (100 mEq/L) and sodium (138 mEq/L) are normal so glucagon (
A) stopping TPN (
B) or checking Chvostek’s (D for hypocalcemia) are unnecessary.
Question 5 of 5
The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following interventions should the nurse take when inserting the nasogastric tube?
Correct Answer: C
Rationale: Chin-to-chest and swallowing (
C) facilitate NG tube passage by opening the esophagus. Supine position (
A) risks aspiration withdrawing for gagging (
B) is unnecessary and measuring to the umbilicus (D E) is incorrect; use nose-earlobe-xiphoid.