ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer intermittent tube feeding to a client who has a percutaneous gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Flush the client’s tube with 5 mL of water. This is essential to maintain tube patency and prevent clogging. Flushing with water helps clear any residual formula and debris from the tube, ensuring proper delivery of the feeding. Checking pH levels (choice
A) is not necessary for intermittent tube feeding. Checking tube patency every 8 hours (choice
B) is too frequent and may increase the risk of tube dislodgement. Placing the client in a supine position (choice
C) is not necessary for tube feeding.
Therefore, choice D is the most appropriate action to ensure the safe and effective administration of tube feeding.
Question 2 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action is to help the client lie on the floor first. This is crucial to prevent injury during a seizure as it provides a safe environment for the client. By lying on the floor, the client is protected from falling out of the chair, hitting their head, or sustaining other injuries. Moving items in the room away from the client, loosening clothing, and turning the client onto their side are important actions, but they should be done after ensuring the client is safely on the floor. These actions can be taken once the immediate risk of injury is minimized by having the client lie down.
Question 3 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will walk three times per week." Weight-bearing exercises like walking help improve bone density and reduce the risk of osteoporosis. Walking stimulates the bones to retain calcium, making them stronger.
Choice B is incorrect because sunlight exposure is needed for vitamin D synthesis, important for calcium absorption.
Choice C is incorrect as dairy products provide essential calcium for bone health.
Choice D is incorrect because the recommended daily calcium intake is around 1000-1200 mg for older adults.
Question 4 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Using grab bars in the bathtub prevents slips and falls, promoting safety.
B: Having a fire escape plan ensures preparedness in case of emergencies.
E: Checking medication expiration dates maintains their effectiveness and prevents harm.
Incorrect
Choices:
C: Setting the hot water heater to 140°F can scald and cause burns.
D: Applying tape to frayed electrical cords is a fire hazard and can lead to electrocution.
Question 5 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: D
Rationale: The correct answer is D: Right lateral in Trendelenburg position. Placing the client in this position allows gravity to assist in the drainage of secretions from the left lower-lobe atelectasis. The Trendelenburg position promotes the movement of mucus towards the larger airways for easier expectoration. The other choices are incorrect because:
A) Supine in low-Fowler's position does not facilitate drainage from the lower lobes.
B) Side-lying with the right side of the chest elevated would not effectively target the left lower lobe.
C) Prone with pillows under the lower extremities is not ideal for addressing atelectasis in the lower lobes.