ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: A
Rationale: Preparing for a central venous line (
A) is appropriate for high-osmolarity PN (20% dextrose), preventing vein damage. Changing the bag every 48 hr (
B) risks infection; daily changes are standard. Random glucose daily (
C) is insufficient; frequent monitoring is needed. PN and fat emulsions can be combined (
D) if compatible, not separate.
Question 2 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time (
B) allows safe assessment and care while maintaining control. Tying to side rails (
A) risks injury if rails move. Square knots (
C) are hard to release; quick-release knots are standard. Removing every 3 hr (
D) is too infrequent; every 1–2 hr is needed to prevent complications.
Question 3 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: Diluting crushed medications with sterile water (
B) ensures safe delivery and prevents mucosal irritation. Mixing medications (
A) risks interactions. Flushing with 5 mL (
C) is insufficient; 15–30 mL is standard. Combining with formula (
D) alters absorption and risks clogging.
Question 4 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Keeping the drainage bag below the bladder (
A) prevents urine backflow and reduces infection risk, making it the correct action. Attaching the bag to side rails (
B) risks tension and trauma. Emptying when three-quarters full (
C) risks excessive weight pulling on the catheter; emptying every 8 hr or when half full is standard. Taping to the lower abdomen (
D) risks kinking; taping to the upper thigh is correct for females.
Question 5 of 5
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Holding the bottle with the label in the palm (
C) prevents drips from obscuring it, maintaining readability. Sterile gloves (
A) are applied after opening the bottle. The lid goes face up (
B) to avoid contamination. Pouring from 20 cm (
D) risks splashing; 2.5–5 cm is correct.