ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
Correct Answer: B
Rationale: Performing a simple dressing change is a routine non-invasive task suitable for assistive personnel with clear instructions. Inserting an NG tube (
A) and changing IV tubing (
D) are complex invasive procedures requiring nursing judgment. Evaluating incision healing (
C) requires professional assessment skills.
Question 2 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain nausea and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Auscultating bowel sounds first assesses gastrointestinal function and helps diagnose conditions like appendicitis. Antiemetics (
A) and pain medication (
B) treat symptoms but don’t assess and palpation (
C) risks rupturing an inflamed appendix.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cleansing the stoma with saline prevents irritation and infection. Cotton applicators (
A) risk mucosal damage tap water (
C) introduces contaminants and ties should allow two fingers (
D) to avoid pressure.
Question 4 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: The Braden scale measures six elements (sensory perception moisture activity mobility nutrition friction/shear). Elements range 1-4 (
A) age isn’t included (
C) and higher scores indicate lower risk (
D).
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.