ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time (
B) allows safe assessment and care while maintaining control. Tying to side rails (
A) risks injury if rails move. Square knots (
C) are hard to release; quick-release knots are standard. Removing every 3 hr (
D) is too infrequent; every 1–2 hr is needed to prevent complications.
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 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.
Question 4 of 5
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
Correct Answer: D
Rationale: BRP for bathroom privileges (
D) is a standard, widely recognized abbreviation in medical documentation that is safe and clear, making it appropriate for use. SS for sliding scale (
A) is error-prone and can be confused with other terms. OJ for orange juice (
B) is non-standard and risks misinterpretation. SQ for subcutaneous (
C) is on the ISMP error-prone list due to potential misreading as '5 every' or 'every,' so 'subcut' is preferred.
Question 5 of 5
A nurse is preparing a medication from a vial for a subcutaneous injection for a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Holding the syringe so bubbles collect at the plunger (
C) ensures accurate dosing by removing air before injection. Injecting air with the needle in fluid (
A) risks contamination. A 45° angle (
B) distorts dosage accuracy; 90° is correct. Holding the vial top-up (
D) creates pressure, making withdrawal difficult; top-down is standard.