ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
Correct Answer: D
Rationale: BRP for bathroom privileges (
D) is a standard, widely recognized abbreviation in medical documentation that is safe and clear, making it appropriate for use. SS for sliding scale (
A) is error-prone and can be confused with other terms. OJ for orange juice (
B) is non-standard and risks misinterpretation. SQ for subcutaneous (
C) is on the ISMP error-prone list due to potential misreading as '5 every' or 'every,' so 'subcut' is preferred.
Question 2 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Verifying the count after removing the dose (
D) ensures accurate inventory, preventing discrepancies. A second nurse’s signature (
A) is needed for wasting but isn’t the primary action. Reporting discrepancies (
B) follows verification. Wasting in a sharps container (
C) is incorrect; specific disposal protocols apply.
Question 3 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: Providing written information about advance directives (
C) is required by law, ensuring informed decision-making. Providers don’t sign directives (
A); clients do. Partners needn’t be present (
B); any trusted proxy can be chosen. Signing isn’t mandatory (
D); it’s voluntary.
Question 4 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
Total intake: 600 mL (sodium chloride) + 100 mL (cefazolin) = 700 mL.
Total output: 200 mL (emesis) + 40 mL (voided) + 20 mL (catheterized) = 260 mL. Net intake: 700 mL – 260 mL = 440 mL. Accurate calculation prevents fluid imbalance complications.
Question 5 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: ALT (
C) is an enzyme primarily in the liver, and elevated levels indicate liver damage or inflammation. It doesn’t assess kidneys (
A), heart (
B), or clotting (
D), which are evaluated by tests like creatinine, troponin, or INR, respectively.