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 caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Identify the impact of the mastectomy on the client's body image. The nurse should first assess the client's emotional state and address her feelings of distress and avoidance. By identifying the impact of the mastectomy on body image, the nurse can provide emotional support and appropriate interventions. This step prioritizes the client's emotional well-being and helps establish trust. Encouraging the client to assist with dressing changes (
B) may not address the underlying emotional distress. Referring the client to a support group (
C) may be beneficial but should come after addressing the immediate emotional needs. Providing a mirror (
D) may worsen the client's distress if she is not ready to confront her incisions.
Question 3 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale:
Correct Answer: A - Unplug the pump
Rationale: The sparks indicate an electrical issue with the pump, posing a safety hazard. Unplugging the pump immediately is crucial to prevent any potential harm to the client or staff. This action prioritizes safety and addresses the immediate risk.
Incorrect choices:
B: Labeling the pump with a defective equipment sticker does not address the immediate safety concern of the sparks. It is important to prioritize safety first.
C: Obtaining a replacement pump is not necessary until the safety issue is resolved with the current pump.
D: Notifying the biomedical department is important, but the immediate action should be to unplug the pump to prevent any potential harm.
Question 4 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 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: The correct answer is B: Dilute each crushed medication with sterile water. This is the correct action because medications administered via NG tube should be in liquid form to prevent clogging and ensure proper absorption. Diluting each crushed medication with sterile water helps maintain the medication's consistency and facilitates its passage through the tube. Mixing medications together in a single syringe (choice
A) may cause interactions or alter the effectiveness of the medications. Flushing the NG tube with sterile water (choice
C) is important but not directly related to administering medications. Combining medications with the formula in the feeding bag (choice
D) can affect the feeding formula's composition and may lead to inaccurate dosing.