ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs (
C) is the first action to assess for fluid overload complications like pulmonary edema. Documentation (
A) follows assessment. Incident reports (
B) are completed after ensuring safety. Reporting to the manager (
D) is later, after immediate actions.
Question 2 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diluting crushed medications with sterile water (
B) ensures safe delivery and prevents mucosal irritation. Mixing medications (
A) risks interactions. Flushing with 5 mL (
C) is insufficient; 15–30 mL is standard. Combining with formula (
D) alters absorption and risks clogging.
Question 3 of 5
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?
Correct Answer: B
Rationale: Scheduling the client as the first surgical procedure of the day (
B) minimizes exposure to latex particles in the air or on equipment, reducing allergic reaction risk. Cleansing stoppers with povidone-iodine (
A) is irrelevant to latex allergies; latex-free stoppers should be used. Removing stopcocks (
C) compromises IV system sterility; latex-free stopcocks are appropriate. Powdered gloves (
D) increase latex sensitization risk; latex-free or powder-free gloves are required.
Question 4 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 5 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cleansing the stoma with normal saline (
B) prevents infection and maintains skin integrity. Cotton tip applicators (
A) risk leaving fibers, causing irritation. Soaking in tap water (
C) risks contamination; sterile solutions are preferred. Securing ties for one finger (
D) is correct but not the primary action compared to stoma care.