ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Comparing MAR and label at preparation, removal, and administration ensures accuracy (three checks). Reconciliation is separate, and end-of-shift isn’t a standard time.
Question 2 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A night light improves visibility, reducing fall risk. A distant table limits access, full side rails risk entrapment, and 18°C isn’t a fall prevention standard.
Question 3 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: Flushing with 5 mL water maintains patency and clears residue. pH checks are for NG tubes, 8-hour checks are too infrequent, and supine positioning risks aspiration—semi-upright is preferred.
Question 4 of 5
A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Flushing with water (typically 30-60 mL, though 5 mL is noted) ensures tube patency. Combining with formula risks interactions, dilution varies by drug, and mixing in one syringe risks incompatibility.
Question 5 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Pouring liquids outside the sterile field prevents contamination. Hips are too low (waist level is ideal), labels face away from the palm, and the outermost flap opens away from the body.