ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: A
Rationale: Dilated pupils (
A) occur in the alarm stage due to sympathetic activation, preparing for fight or flight. Exhaustion (
B) and depression (
D) occur in the exhaustion stage when resources are depleted. Bradycardia (
C) may occur in the resistance stage, not alarm.
Question 2 of 5
A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Oral suction equipment (
B), supplemental oxygen supplies (
C), and an oral airway (E) are essential for seizure precautions to manage airway clearance, oxygenation, and prevent tongue biting post-seizure. Limb restraints (
A) risk injury and are only used with orders if the client is a danger. A blood glucose monitor (
D) is not directly related to seizure management unless hypoglycemia is a known trigger.
Question 3 of 5
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: D
Rationale: A gastric residual of 300 mL (
D) is an unexpected finding, indicating delayed gastric emptying, which increases the risk of aspiration and requires stopping the feeding and notifying the provider. A weight gain of 0.91 kg in 2 days (
A) is expected, reflecting nutritional intake. A blood glucose level of 110 mg/dL (
B) is normal. Diarrhea once in 24 hours (
C) is a common side effect of enteral feeding and not immediately concerning unless persistent.
Question 4 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time (
B) allows safe assessment and care while maintaining control. Tying to side rails (
A) risks injury if rails move. Square knots (
C) are hard to release; quick-release knots are standard. Removing every 3 hr (
D) is too infrequent; every 1–2 hr is needed to prevent complications.
Question 5 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diluting crushed medications with sterile water (
B) ensures safe delivery and prevents mucosal irritation. Mixing medications (
A) risks interactions. Flushing with 5 mL (
C) is insufficient; 15–30 mL is standard. Combining with formula (
D) alters absorption and risks clogging.