ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: Discarding the needle in a puncture-proof container (
A) prevents needlestick injuries and follows safety protocols. Placing on the table (
B) is hazardous. Recapping (
C) risks injury. Removing the needle (
D) is unnecessary and risky.
Question 2 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 3 of 5
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
Correct Answer: D
Rationale: BRP for bathroom privileges (
D) is a standard, widely recognized abbreviation in medical documentation that is safe and clear, making it appropriate for use. SS for sliding scale (
A) is error-prone and can be confused with other terms. OJ for orange juice (
B) is non-standard and risks misinterpretation. SQ for subcutaneous (
C) is on the ISMP error-prone list due to potential misreading as '5 every' or 'every,' so 'subcut' is preferred.
Question 4 of 5
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: A
Rationale: The client’s name (
A) is a unique, reliable identifier, verified against the medication record. Age (
B) isn’t unique. Photographs (
C) may be outdated or unclear. Room (
D) or bed number (E) can change, risking errors.
Question 5 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exposing the abdomen (
D) is the first step to visually assess for complications like wound dehiscence or infection, which could explain severe pain. Listening for bowel sounds (
A) and percussion (
C) are part of a full assessment but not urgent. Palpation (
B) risks worsening pain or disrupting the wound and should be avoided initially.