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 feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: D
Rationale: A gastric residual of 300 mL indicates delayed gastric emptying risking aspiration and is unexpected. Weight gain (
A) shows nutritional adequacy glucose 110 mg/dL (
B) is normal and one diarrhea episode (
C) is a common side effect.
Question 2 of 5
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: A
Rationale: Name is a unique reliable identifier verified against the medication record. Age (
B) photos (
C) room (
D) and bed (E) numbers are not specific or reliable.
Question 3 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: Plain yogurt is liquid at body temperature fitting a full liquid diet. Oatmeal (
A) and scrambled eggs (
C) are solid and applesauce (
D) is semi-solid better for a soft diet.
Question 4 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 first allows visual inspection for complications like wound dehiscence or infection which could explain severe pain. Auscultation (
A) and percussion (
C) are secondary and palpation (
B) risks worsening pain or disrupting the wound.
Question 5 of 5
A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure the client tells the nurse "I'm worried about that bag." Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Restating the concern validates the client’s feelings and encourages discussion. Waiting (
A) dismisses concerns personal questions (
C) divert focus and false reassurance (
D) minimizes the issue.