ATI RN
ATI RN Fundamentals Updated 2023 Exam 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 the tubing with 10 mL of water every 2 hr (
C) prevents clogging and maintains tube patency, making it an appropriate action. Heating the formula to 40.5°C (
A) risks thermal injury; room-temperature formula is safer. Aspirating residual volume every 4 hr (
B) is too frequent and increases infection risk; every 6–8 hr is standard. Changing the tubing set every 72 hr (
D) increases contamination risk; daily changes (every 24 hr) are recommended.
Question 2 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.
Question 3 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting pelvic muscles (
B) strengthens the pelvic floor, improving bladder control, and is the core of Kegel exercises. Holding breath (
A) increases pressure, worsening incontinence. Expecting results in 2 weeks (
C) is unrealistic; it takes weeks to months. Tightening buttocks (
D) interferes with isolating pelvic muscles.
Question 4 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A sponge bath with alcohol-water solution (
C) promotes heat loss through evaporation, effectively reducing fever. A blanket with a cooling blanket (
A) reduces its effectiveness. Heavy blankets (
B) trap heat, worsening fever. Ice packs (
D) cause vasoconstriction, limiting heat loss and risking tissue damage.
Question 5 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: ALT (
C) is an enzyme primarily in the liver, and elevated levels indicate liver damage or inflammation. It doesn’t assess kidneys (
A), heart (
B), or clotting (
D), which are evaluated by tests like creatinine, troponin, or INR, respectively.