ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diluting crushed medications with sterile water (
B) ensures safe delivery and prevents mucosal irritation. Mixing medications (
A) risks interactions. Flushing with 5 mL (
C) is insufficient; 15–30 mL is standard. Combining with formula (
D) alters absorption and risks clogging.
Question 2 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.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale measures six elements (
B)—sensory perception, moisture, activity, mobility, nutrition, friction/shear—indicating understanding. Elements range 1–4 (
A), not 1–5. Age (
C) isn’t measured. Higher scores mean lower risk (
D), not higher.
Question 4 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: ALT (
C) is an enzyme primarily in the liver, and elevated levels indicate liver damage or inflammation. It doesn’t assess kidneys (
A), heart (
B), or clotting (
D), which are evaluated by tests like creatinine, troponin, or INR, respectively.
Question 5 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.