ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply)
Correct Answer: B,D,E
Rationale: Checking vital signs, transfusing within 4 hours (not 5), and verifying expiration with another nurse ensure safety. Dextrose causes hemolysis, and a 13-gauge needle is too large; 18-20 gauge is appropriate.
Question 2 of 5
A nurse is preparing to initiate a continuous enteral feeding through an open system to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Unused formula should be discarded after 4 hours, not 8, to prevent bacterial contamination. Initial infusions start slowly, not at 200 mL, over 24 hours, not 15 minutes, and sterile water is used, not tap water.
Question 3 of 5
A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?
Correct Answer: C
Rationale: Yogurt is a semi-solid, not suitable for a clear liquid diet, which includes transparent, easily digestible fluids like gelatin, popsicles, and broth. The choice of yogurt indicates a misunderstanding of the diet.
Question 4 of 5
The nurse is caring for the client with cardiac and renal disease. The client now has a serum potassium level of 6.0 mEq/L. Which medications, if prescribed, should the nurse administer? Select all that apply.
Correct Answer: A,B,D
Rationale: Calcium gluconate stabilizes cardiac membranes against hyperkalemia effects. Dextrose and insulin shift potassium into cells, lowering serum levels. Colace is irrelevant to hyperkalemia. Potassium chloride would worsen hyperkalemia.
Question 5 of 5
A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply)
Correct Answer: B,D,E
Rationale: Checking vital signs, transfusing within 4 hours (not 5), and verifying expiration with another nurse ensure safety. Dextrose causes hemolysis, and a 13-gauge needle is too large; 18-20 gauge is appropriate.