ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Place the extremity in a dependent position. Placing the extremity in a dependent position helps to engorge the veins, making them more visible and easier to access during IV catheter insertion. This position also promotes venous return and reduces the risk of infiltration.
Choice A is incorrect because the tourniquet should be placed above the proposed insertion site to occlude the veins and make them more prominent.
Choice B is incorrect because applying a cool compress would cause vasoconstriction, making it harder to locate and access the veins.
Choice D is incorrect because the most distal site should be chosen for IV catheter insertion to preserve more proximal sites for future use.
Question 2 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: The correct answer is C. Alanine aminotransferase (ALT) is an enzyme found predominantly in the liver. Elevated ALT levels indicate liver damage or disease.
Therefore, by checking ALT levels, the test provides information about the function of the liver.
Choice A is incorrect because ALT is not related to kidney function.
Choice B is incorrect because ALT does not assess heart function.
Choice D is incorrect because ALT does not indicate the risk of developing blood clots.
Question 3 of 5
A nurse is documenting client care. Which of the following abbreviations should the nurse use?
Correct Answer: D
Rationale: The correct answer is D: BRP for bathroom privileges. This abbreviation is widely accepted and understood in healthcare settings. Using abbreviations like SS for sliding scale or OJ for orange juice can lead to misinterpretation and errors. SQ for subcutaneous is also commonly used but may not be universally understood. Choosing BRP ensures clear communication and adherence to patient safety protocols.
Question 4 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Identify the impact of the mastectomy on the client's body image. The nurse should first assess the client's emotional state and address her feelings of distress and avoidance. By identifying the impact of the mastectomy on body image, the nurse can provide emotional support and appropriate interventions. This step prioritizes the client's emotional well-being and helps establish trust. Encouraging the client to assist with dressing changes (
B) may not address the underlying emotional distress. Referring the client to a support group (
C) may be beneficial but should come after addressing the immediate emotional needs. Providing a mirror (
D) may worsen the client's distress if she is not ready to confront her incisions.
Question 5 of 5
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the tubing with 10 mL of water every 2 hr. Flushing the tubing helps prevent clogging and ensures proper delivery of the enteral feed. It also helps maintain tube patency and reduces the risk of infection. Aspiration of residual volume (choice
B) is not recommended as it can lead to inaccurate readings and potential complications. Heating the formula (choice
A) to a specific temperature is not necessary and can cause burns. Changing the tubing set (choice
D) every 72 hours is not evidence-based practice and can increase the risk of contamination.