Questions 55

ATI RN

ATI RN Test Bank

ATI RN Fundamentals Updated 2023 Exam Questions

Extract:


Question 1 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: Scheduling the client as the first surgical procedure of the day (
B) minimizes exposure to latex particles in the air or on equipment, reducing allergic reaction risk. Cleansing stoppers with povidone-iodine (
A) is irrelevant to latex allergies; latex-free stoppers should be used. Removing stopcocks (
C) compromises IV system sterility; latex-free stopcocks are appropriate. Powdered gloves (
D) increase latex sensitization risk; latex-free or powder-free gloves are required.

Question 2 of 5

A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

Correct Answer: B

Rationale: The Braden scale measures six elements (
B)—sensory perception, moisture, activity, mobility, nutrition, friction/shear—indicating understanding. Elements range 1–4 (
A), not 1–5. Age (
C) isn’t measured. Higher scores mean lower risk (
D), not higher.

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 had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?

Correct Answer: C

Rationale: An occupational therapist (
C) helps with ADLs by improving functional abilities and providing adaptive tools. Physical therapists (
A) focus on mobility, dietitians (
B) on nutrition, and speech pathologists (
D) on communication/swallowing, none directly addressing ADLs.

Question 5 of 5

A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Auscultating bowel sounds (
D) is the first action to assess gastrointestinal function, helping differentiate causes like appendicitis or obstruction without exacerbating symptoms. Antiemetics (
A) and pain medication (
B) address symptoms but don’t diagnose. Palpation (
C) risks rupturing an inflamed appendix and should follow auscultation.

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