ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Recommending a same-gender interpreter (
B) respects cultural and personal comfort, enhancing communication. Using medical terminology (
A) risks confusion; simple language is better. Addressing questions to the interpreter (
C) ignores the client, reducing engagement. Nodding (
D) is unreliable for confirming understanding; verbal or demonstrated comprehension is needed.
Question 2 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cleansing the stoma with normal saline (
B) prevents infection and maintains skin integrity. Cotton tip applicators (
A) risk leaving fibers, causing irritation. Soaking in tap water (
C) risks contamination; sterile solutions are preferred. Securing ties for one finger (
D) is correct but not the primary action compared to stoma care.
Question 3 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: B
Rationale: Determining affordability of insulin supplies (
B) is the priority to ensure adherence, preventing complications. Copying forms (
A), providing contacts (
C), or giving printed info (
D) are important but secondary; without supplies, the client cannot follow the regimen.
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: Identifying the impact on body image (
A) is the first step to understand the client’s emotional needs and provide support. Encouraging dressing changes (
B) or using a mirror (
D) may overwhelm her if she’s not ready. Referrals (
C) are useful later, after assessing her needs.
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: Flushing the tubing with 10 mL of water every 2 hr (
C) prevents clogging and maintains tube patency, making it an appropriate action. Heating the formula to 40.5°C (
A) risks thermal injury; room-temperature formula is safer. Aspirating residual volume every 4 hr (
B) is too frequent and increases infection risk; every 6–8 hr is standard. Changing the tubing set every 72 hr (
D) increases contamination risk; daily changes (every 24 hr) are recommended.