ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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.
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: In the contemplation stage of health behavior change, the client is considering change but has not yet committed. Presenting information about the benefits of quitting smoking (
D) helps the client weigh pros and cons, increasing motivation. Recommending small changes (
A) and assisting with goal-setting (
B) are appropriate in the preparation stage, when the client is ready to act. Developing a lifestyle plan (
C) suits the action stage, after the client has started the change.
Question 3 of 5
A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Oral suction equipment (
B), supplemental oxygen supplies (
C), and an oral airway (E) are essential for seizure precautions to manage airway clearance, oxygenation, and prevent tongue biting post-seizure. Limb restraints (
A) risk injury and are only used with orders if the client is a danger. A blood glucose monitor (
D) is not directly related to seizure management unless hypoglycemia is a known trigger.
Question 4 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 5 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: A gastric residual of 300 mL (
D) is an unexpected finding, indicating delayed gastric emptying, which increases the risk of aspiration and requires stopping the feeding and notifying the provider. A weight gain of 0.91 kg in 2 days (
A) is expected, reflecting nutritional intake. A blood glucose level of 110 mg/dL (
B) is normal. Diarrhea once in 24 hours (
C) is a common side effect of enteral feeding and not immediately concerning unless persistent.