ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Visitors wearing protective gowns (
C) prevents infection transmission to the immunocompromised client post-transplant. A negative-airflow room (
A) is for airborne infections, not stem cell transplants; a positive-airflow room is used. A semi-private room (
B) increases infection risk; a private room is required. Wearing a mask outside the room (
D) is insufficient; clients should avoid leaving unless necessary.
Question 4 of 5
A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?
Correct Answer: B
Rationale: Plain yogurt (
B) is a full liquid, suitable for a full liquid diet, providing protein and calcium. Oatmeal (
A) is a solid requiring chewing, inappropriate for full liquids. Scrambled eggs (
C) are solid, part of a regular diet. Applesauce (
D) is semi-solid, suitable for a soft diet, not full liquid.
Question 5 of 5
A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure, the client tells the nurse, 'I'm worried about that bag.' Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Restating the concern (
B) validates the client’s feelings and encourages further discussion, using therapeutic communication. Waiting until after surgery (
A) dismisses the concern. Asking about others (
C) diverts focus. Reassuring about necessity (
D) minimizes the client’s worry.