ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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: The entry 'New dressing applied as prescribed: no drainage on old dressing' (
C) is clear, objective, and specific, meeting documentation standards. Option A is incorrect due to vague medication details (dose/route missing). Option B uses subjective terms ('seems,' 'appear'), which are inappropriate. Option D is too vague and fails to provide a current wound assessment.
Question 2 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?
Correct Answer: C
Rationale: Placing an activated tuning fork on the forehead (
C) is the correct Weber’s test action, assessing sound lateralization. High-pitched sounds (
A) are for other tests, like Rinne. The mastoid process (
B) is used in the Rinne test. Whispering words (
D) is for the whisper test, not Weber’s.
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 normal saline (
B) prevents infection and maintains skin integrity. Cotton tip applicators (
A) risk leaving fibers, causing irritation. Soaking in tap water (
C) risks contamination; sterile solutions are preferred. Securing ties for one finger (
D) is correct but not the primary action compared to stoma care.
Question 4 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: Plain yogurt (
B) is a full liquid, suitable for a full liquid diet, providing protein and calcium. Oatmeal (
A) is a solid requiring chewing, inappropriate for full liquids. Scrambled eggs (
C) are solid, part of a regular diet. Applesauce (
D) is semi-solid, suitable for a soft diet, not full liquid.
Question 5 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting the time spent sitting in a chair (
C) promotes blood flow and prevents venous stasis, reducing the risk of thrombus formation, indicating the client understands the teaching. Keeping legs crossed (
A) impairs circulation, increasing thrombus risk. Massaging legs (
B) could dislodge a clot, leading to complications like pulmonary embolism. Performing leg exercises every 4 hours (
D) is insufficient; hourly exercises are typically recommended to prevent thrombus formation.