ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and asks the nurse, 'When will I get to go home? I'm not sure what happens next.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Informing the provider (
C) ensures the client’s questions are addressed, promoting communication and autonomy. Assuring a provider visit (
A) may dismiss concerns if delayed. Trusting the provider’s reputation (
B) avoids addressing the client’s needs. Stating discharge depends on the provider (
D) disempowers the client; explaining criteria is better.
Question 2 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 3 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting the time spent sitting in a chair (
C) promotes blood flow and prevents venous stasis, reducing the risk of thrombus formation, indicating the client understands the teaching. Keeping legs crossed (
A) impairs circulation, increasing thrombus risk. Massaging legs (
B) could dislodge a clot, leading to complications like pulmonary embolism. Performing leg exercises every 4 hours (
D) is insufficient; hourly exercises are typically recommended to prevent thrombus formation.
Question 4 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: A
Rationale: Dilated pupils (
A) occur in the alarm stage due to sympathetic activation, preparing for fight or flight. Exhaustion (
B) and depression (
D) occur in the exhaustion stage when resources are depleted. Bradycardia (
C) may occur in the resistance stage, not alarm.
Question 5 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
Total intake: 600 mL (sodium chloride) + 100 mL (cefazolin) = 700 mL.
Total output: 200 mL (emesis) + 40 mL (voided) + 20 mL (catheterized) = 260 mL. Net intake: 700 mL – 260 mL = 440 mL. Accurate calculation prevents fluid imbalance complications.