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: The correct answer is D: BRP for bathroom privileges. This abbreviation is widely accepted and understood in healthcare settings. Using abbreviations like SS for sliding scale or OJ for orange juice can lead to misinterpretation and errors. SQ for subcutaneous is also commonly used but may not be universally understood. Choosing BRP ensures clear communication and adherence to patient safety protocols.
Question 2 of 5
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?
Correct Answer: D
Rationale: The correct answer is D: Present information about the benefits of quitting smoking. During the contemplation stage, clients are considering the pros and cons of changing their behavior. Providing information about the benefits of quitting smoking can help the client make an informed decision. This action aligns with motivational interviewing techniques, which focus on exploring and resolving ambivalence towards behavior change. Recommending small changes (
A) may be more suitable for the preparation stage. Setting goals (
B) and developing a plan (
C) are actions typically taken during the action stage when the client is ready to make a change.
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: The correct answer is D: A gastric residual of 300 mL at the end of the shift. This finding is unexpected because a high residual volume may indicate feeding intolerance or delayed gastric emptying, which can lead to aspiration or other complications. Monitoring gastric residuals helps assess the client's tolerance to enteral feeding.
A: A weight gain of 0.91 kg (2 lb) in 2 days - This could be expected due to fluid retention or intake exceeding output.
B: A blood glucose level of 110 mg/dL - This is within normal range and not unexpected.
C: Diarrhea one time in a 24-hr period - Occasional diarrhea can occur with enteral feeding and is not necessarily unexpected.
Question 4 of 5
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the tubing with 10 mL of water every 2 hr. Flushing the tubing helps prevent clogging and ensures proper delivery of the enteral feed. It also helps maintain tube patency and reduces the risk of infection. Aspiration of residual volume (choice
B) is not recommended as it can lead to inaccurate readings and potential complications. Heating the formula (choice
A) to a specific temperature is not necessary and can cause burns. Changing the tubing set (choice
D) every 72 hours is not evidence-based practice and can increase the risk of contamination.
Question 5 of 5
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?
Correct Answer: B
Rationale: The correct answer is B: Schedule the client as the first surgical procedure of the day. This is appropriate because scheduling the client as the first surgery reduces the risk of exposure to latex, as there will be less latex residue in the operating room. This minimizes the chances of an allergic reaction for the client.
A: Cleansing the stoppers with povidone-iodine does not directly address the latex allergy and does not prevent exposure to latex.
C: Removing the stopcocks from IV tubing may reduce latex exposure, but scheduling the client as the first procedure is more effective.
D: Ensuring that gloves in the surgical suite are powdered can actually increase the risk of allergic reactions as the powder can contain latex particles.
Therefore, choosing option B is the most appropriate and effective action to include in the client's plan of care.