ATI Fundamentals 2023 Retake

Extract:

Question 1 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?

A. Flush the NG tube with 5 mL of sterile water for irrigation prior to administration.B. Mix the medications together in a single syringe.C. Combine the medications with the formula in the feeding bag.D. Dilute each crushed medication with warm water.

Correct Answer: A

Rationale: Flushing with 5 mL sterile water (
A) clears the tube, preventing clogs and interactions. Mixing (
B) or combining with formula (
C) risks precipitation, and warm water dilution (
D) isn’t standard for all drugs.

Question 2 of 5

A nurse is caring for a client who has a terminal illness. The client states, 'I am not giving up. I want as much treatment as possible.' Which of the following responses should the nurse make?

A. Enjoy the time you have and do the things you want to do.'B. You need to understand that you have very little time left.'C. Hospice care is the best thing for you at this time.'D. I will contact your provider to discuss your options.'

Correct Answer: D

Rationale: Contacting the provider (
D) respects the client’s wish for treatment. Enjoyment (
A) dismisses, time left (
B) discourages, and hospice (
C) assumes surrender.

Question 3 of 5

A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?

A. Loosen the client's bed linens.B. Massage the client's sacrum.C. Offer to play music in the client's room.D. Provide bright lights in the client's room.

Correct Answer: C

Rationale: Music (
C) distracts and relaxes, reducing pain perception. Loose linens (
A) don’t target pain, massaging (
B) worsens injury, and bright lights (
D) increase discomfort.

Question 4 of 5

A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?

A. Reposition the client every 4 hr.B. Raise the head of the client's bed to a 60° angle.C. Massage the client's bony prominences.D. Ensure the client's heels are not touching the mattress.

Correct Answer: D

Rationale: Keeping heels off the mattress (
D) prevents pressure injuries using relief devices. Repositioning every 2 hr (not 4,
A), 30° max elevation (not 60°,
B), and no massaging (
C) are correct practices.

Question 5 of 5

A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?

A. Request that another nurse check the client's BP in 30 min.B. Ensure that the width of the BP cuff is 50% of the client's upper arm circumference.C. Recheck the client's BP in her other arm for comparison.D. Reposition the client supine and recheck her BP.

Correct Answer: C

Rationale: Rechecking in the other arm (
C) confirms accuracy of elevated BP. Waiting (
A) delays, 50% cuff width (
B) is incorrect (40% is standard), and supine recheck (
D) isn’t needed initially.

ATI Fundamentals 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN