ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Flushing with 10 mL water every 2 hours prevents clogging and maintains tube patency. Heating to 105°F (
A) risks mucosal injury residuals should be checked every 6-8 hours (
B) and tubing should be changed every 24 hours (
D) to reduce infection risk.
Question 2 of 5
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?
Correct Answer: B
Rationale: Scheduling as the first procedure minimizes latex particle exposure. Povidone-iodine (
A) may trigger reactions stopcocks should be latex-free (
C) and powdered gloves (
D) increase latex sensitization risk.
Question 3 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 is 700 mL (600 + 100) total output is 260 mL (200 + 40 + 20) so net intake is 700 - 260 = 440 mL.
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 occur in the alarm stage due to sympathetic activation. Exhaustion (
B) and depression (
D) occur in the exhaustion stage and bradycardia (
C) in the resistance stage.
Question 5 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 is a basic task within assistive personnel scope. Suppository insertion (
A) spirometer teaching (
B) and wound irrigation (
C) require nursing skills for assessment and sterile technique.