ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: C
Rationale: The correct answer is C: The infant's 17-year-old mother. In most jurisdictions, a parent or legal guardian must provide consent for a minor's medical treatment. The 17-year-old mother is considered a legal guardian of the infant. The infant's provider (
A) does not have legal guardianship. The grandparent (
B) may not have legal custody. The mother's 21-year-old sibling (
D) is not a legal guardian.
Question 2 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: The correct answer is B: Plain yogurt. Full liquid diet includes foods that are liquid at room temperature or can be easily changed to a liquid form. Plain yogurt fits this criteria as it is a smooth, easily digestible food suitable for a full liquid diet. Oatmeal (
A) and scrambled eggs (
C) are not considered full liquids as they are solid foods. Applesauce (
D) is a soft food but may not be suitable for a full liquid diet due to its thickness.
Question 3 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. "New dressing applied as prescribed" - This entry documents the action taken by the nurse, ensuring compliance with the care plan.
2. "No drainage on old dressing" - This indicates the status of the wound, showing that there is no abnormal discharge.
3. It provides specific and relevant information related to the dressing change, demonstrating thorough documentation.
Incorrect
Choices:
A: Irrelevant information about premedication with MSO, subq prior to dressing change.
B: Subjective assessment without concrete details or objective findings.
D: Lack of specific details or assessment of the wound's condition.
Overall, choice C provides clear, concise, and relevant information essential for accurate documentation.
Question 4 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 5 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: "You will receive written information about advance directives prior to signing." This instruction is important because it ensures that the client has the necessary information to make an informed decision about advance directives. Providing written information allows the client to fully understand the purpose and implications of advance directives before signing them.
Choice A is incorrect because the provider does not need to sign the advance directives, it is the client's decision.
Choice B is incorrect as the presence of a partner is not mandatory for signing advance directives.
Choice D is incorrect as signing advance directives is a personal choice and not a requirement before surgery.