ATI RN
ATI RN Fundamentals Updated 2023 Exam 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: The correct answer is B: Performing a simple dressing change. This task can be safely delegated to an assistive personnel as it is within their scope of practice and does not require specialized nursing knowledge or assessment skills. The nurse should provide clear instructions and supervise the task. Tasks such as inserting an NG tube (
A) require specialized training and should be performed by a licensed nurse. Evaluating healing of an incision (
C) involves assessment and interpretation of findings, which is a nursing responsibility. Changing IV tubing (
D) involves potential risks and requires nursing assessment and intervention.
Question 2 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 20 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 18
Rationale: The correct answer is 18 mg.
To calculate: 20 lb * 2 mg/kg = 40 mg. Since the question asks for the nearest whole number, and 40 is closer to 18 than 19, the nurse should administer 18 mg.
Other choices are incorrect because:
A: 15 mg - This is not the nearest whole number to the calculated dose.
B: 20 mg - This is higher than the calculated dose.
C: 25 mg - This is higher than the calculated dose.
D: 30 mg - This is much higher than the calculated dose.
E: 35 mg - This is significantly higher than the calculated dose.
F: 10 mg - This is lower than the calculated dose.
G: 5 mg - This is much lower than the calculated dose.
Question 3 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: The correct answer is D: Expose the client's abdomen to look for changes in appearance. This action should be taken first because sudden, severe abdominal pain postoperatively can indicate a serious complication like internal bleeding or bowel perforation. By exposing the abdomen, the nurse can visually assess for signs of distention, discoloration, or any other abnormality that may indicate a surgical complication. This visual assessment can provide crucial information to guide further interventions.
Choices A, B, and C involve assessment techniques that may be important in evaluating the client's condition, but they should be secondary to visually inspecting the abdomen in this urgent situation.
Choice A focuses on bowel sounds, which may not be reliable in a postoperative client experiencing sudden severe pain.
Choice B involves palpation, which could potentially exacerbate any existing complications.
Choice C refers to assessing areas of resonance, which is less urgent compared to visually inspecting for immediate changes in the abdomen.
In summary, visually inspecting the client's
Question 4 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 5 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: The correct answer is D: Auscultate bowel sounds. This is the first action the nurse should take as it can provide crucial information about the client's condition, particularly in suspected appendicitis. Absence of bowel sounds in the right lower quadrant may indicate an inflamed appendix, requiring immediate medical attention. Administering an antiemetic (choice
A) or pain medication (choice
B) without assessing the bowel sounds first could mask important symptoms. Palpating the abdomen (choice
C) can potentially worsen the client's condition if appendicitis is present.
Therefore, auscultating bowel sounds is the priority to guide further assessment and intervention.