ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exposing the abdomen (
D) is the first step to visually assess for complications like wound dehiscence or infection, which could explain severe pain. Listening for bowel sounds (
A) and percussion (
C) are part of a full assessment but not urgent. Palpation (
B) risks worsening pain or disrupting the wound and should be avoided initially.
Question 2 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 3 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 20 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 18
Rationale: Convert 20 lb to kg: 20 × 0.4536 = 9.072 kg. Calculate dose: 9.072 kg × 2 mg/kg = 18.144 mg. Round to 18 mg. This ensures accurate dosing based on weight, critical for gentamicin to avoid toxicity.
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 implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Oral suction equipment (
B), supplemental oxygen supplies (
C), and an oral airway (E) are essential for seizure precautions to manage airway clearance, oxygenation, and prevent tongue biting post-seizure. Limb restraints (
A) risk injury and are only used with orders if the client is a danger. A blood glucose monitor (
D) is not directly related to seizure management unless hypoglycemia is a known trigger.