ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Verifying the count after removing the dose (
D) ensures accurate inventory, preventing discrepancies. A second nurse’s signature (
A) is needed for wasting but isn’t the primary action. Reporting discrepancies (
B) follows verification. Wasting in a sharps container (
C) is incorrect; specific disposal protocols apply.
Question 3 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
Correct Answer: A,B,D
Rationale: A fire escape plan (
A), checking medication expiration (
B), and using grab bars (
D) indicate safety understanding, preventing fires, drug errors, and falls. Setting the heater to 140°F (
C) risks burns; 120°F is safer. Taping frayed cords (E) is unsafe; replacement is needed.
Question 4 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.
Question 5 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: D
Rationale: Assisting with ambulation (
D) is a basic task within the assistive personnel’s scope, requiring no advanced skills. Inserting a suppository (
A) involves assessment and sterile technique, a nursing task. Teaching spirometer use (
B) requires education and evaluation, a nursing responsibility. Irrigating a wound (
C) needs sterile technique and assessment, unsuitable for delegation.