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: The correct answer is C: Flush the tubing with 10 mL of water every 2 hr. Flushing the tubing helps prevent clogging and ensures proper delivery of the enteral feed. It also helps maintain tube patency and reduces the risk of infection. Aspiration of residual volume (choice
B) is not recommended as it can lead to inaccurate readings and potential complications. Heating the formula (choice
A) to a specific temperature is not necessary and can cause burns. Changing the tubing set (choice
D) every 72 hours is not evidence-based practice and can increase the risk of contamination.
Question 2 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: The correct answer is B: Contract your pelvic muscle when performing the exercises. Kegel exercises aim to strengthen the pelvic floor muscles, which support the bladder and bowel functions. Contracting the pelvic muscles during these exercises helps to improve control over urinary incontinence. Holding your breath (
A) is not recommended as it can increase intra-abdominal pressure. Expecting improvement after 2 weeks (
C) is not accurate; it may take longer to see results. Tightening the buttocks (
D) does not target the pelvic muscles effectively.
Question 3 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: A
Rationale:
Correct Answer: A - Prepare the client for a central venous line.
Rationale: Parenteral nutrition with high dextrose concentration can cause phlebitis and vein irritation if administered through peripheral IV. A central venous line allows for the hypertonic solution to be infused safely into a larger vein, reducing the risk of complications.
Summary of other choices:
B: Changing the PN infusion bag every 48 hr is a standard practice, but it is not directly related to the type of solution being infused.
C: Obtaining a random blood glucose daily is important for monitoring, but it does not address the specific safety issue related to administering high dextrose concentration.
D: Administering the PN and fat emulsion separately may be necessary for compatibility reasons, but it does not address the safety concern of using a central venous line for the 20% dextrose solution.
Question 4 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: The correct answer is C. Alanine aminotransferase (ALT) is an enzyme found predominantly in the liver. Elevated ALT levels indicate liver damage or disease.
Therefore, by checking ALT levels, the test provides information about the function of the liver.
Choice A is incorrect because ALT is not related to kidney function.
Choice B is incorrect because ALT does not assess heart function.
Choice D is incorrect because ALT does not indicate the risk of developing blood clots.
Question 5 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct Answer: B - The scale measures six elements.
Rationale: The Braden scale is used to assess a patient's risk for developing pressure ulcers and consists of six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Understanding this indicates knowledge of the scale's components.
Incorrect
Choices:
A: Each element has a range from one to five points - This is incorrect because the elements are not scored on a range from one to five.
C: The client's age is part of the measurement - Age is not a factor in the Braden scale assessment.
D: The higher the score, the higher the pressure injury risk - This is incorrect as a higher score on the Braden scale indicates a lower risk of pressure ulcers.