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: The correct answer is B: Cleanse the skin around the stoma with normal saline. This is important to prevent infection and skin breakdown. Cleaning the skin helps maintain hygiene and prevents the build-up of secretions. Using normal saline is gentle and non-irritating to the skin.
A: Using a cotton tip applicator to clean inside the inner cannula can cause injury or dislodgment of the tracheostomy tube.
C: Soaking the outer cannula in warm, soapy tap water is not necessary for routine tracheostomy care and may introduce contaminants.
D: Securing the tracheostomy ties to allow one finger to fit snugly underneath is incorrect as it does not address the immediate need for skin cleansing.
Question 2 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: C
Rationale: The correct answer is C: The infant's 17-year-old mother. In most jurisdictions, a parent or legal guardian must provide consent for a minor's medical treatment. The 17-year-old mother is considered a legal guardian of the infant. The infant's provider (
A) does not have legal guardianship. The grandparent (
B) may not have legal custody. The mother's 21-year-old sibling (
D) is not a legal guardian.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B - The scale measures six elements.
Rationale: The Braden scale is used to assess a patient's risk for developing pressure ulcers and consists of six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Understanding this indicates knowledge of the scale's components.
Incorrect
Choices:
A: Each element has a range from one to five points - This is incorrect because the elements are not scored on a range from one to five.
C: The client's age is part of the measurement - Age is not a factor in the Braden scale assessment.
D: The higher the score, the higher the pressure injury risk - This is incorrect as a higher score on the Braden scale indicates a lower risk of pressure ulcers.
Question 4 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale:
Correct Answer: A - Unplug the pump
Rationale: The sparks indicate an electrical issue with the pump, posing a safety hazard. Unplugging the pump immediately is crucial to prevent any potential harm to the client or staff. This action prioritizes safety and addresses the immediate risk.
Incorrect choices:
B: Labeling the pump with a defective equipment sticker does not address the immediate safety concern of the sparks. It is important to prioritize safety first.
C: Obtaining a replacement pump is not necessary until the safety issue is resolved with the current pump.
D: Notifying the biomedical department is important, but the immediate action should be to unplug the pump to prevent any potential harm.
Question 5 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: The correct answer is B: Plain yogurt. Full liquid diet includes foods that are liquid at room temperature or can be easily changed to a liquid form. Plain yogurt fits this criteria as it is a smooth, easily digestible food suitable for a full liquid diet. Oatmeal (
A) and scrambled eggs (
C) are not considered full liquids as they are solid foods. Applesauce (
D) is a soft food but may not be suitable for a full liquid diet due to its thickness.