ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Sterile gloves are required for inner cannula cleaning. Gauze under flanges isn’t standard. Full-strength peroxide is too harsh. A hook-and-loop collar ensures secure, adjustable fixation.
Question 2 of 5
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Holding the bottle with the label in the palm prevents contamination from dripping solution. Pouring outside the field risks contamination. The field should be above waist level. The outermost flap opens away to maintain sterility.
Extract:
Medical History
2 days before procedure:
Client takes 80 mg of aspirin PO daily for antiplatelet effects. Client performs moderate intensity exercise for 150 min each week.
Client reports an allergy to latex.
Nurses' Notes
Morning of procedure:
Client reports taking aspirin 80 mg PO this morning with a sip of water.
Diagnostic Results
• Hct 37% (37% to 47%)
• Hgb 12 g/dL (12 to 16 g/dL)
• WBC count 12,000/mm3 (5,000 to 10,000/mm3)
• Prothrombin time 21 seconds (11 to 12.5 seconds)
Question 3 of 5
A nurse is caring for a client who is scheduled for a surgical procedure Exhibits:Select the 4 findings that require immediate follow-up.
Correct Answer: B,C,D,E
Rationale: Latex allergy is noted but not urgent now. Low hematocrit, prolonged prothrombin time, elevated WBC, and recent aspirin use indicate bleeding or infection risks, needing preoperative attention.
Extract:
Nurses' Notes
Day 1, 1100:
• Temperature 39.1° C (102.4° F)
• Pulse rate 102/min
• Respiratory rate 26/min
• Blood pressure 122/80 mm Hg
• Oxygen saturation 86% on room air
• Weight 90.7 kg (200 lb)
Day 2, 1200:
• Temperature 38° C (100.4" F)
• Pulse rate 100/min
• Respiratory rate 22/min
• Blood pressure 120/74 mm Hg
• Oxygen saturation 88% on nasal cannula at 2 L/min
Day 3, 1200:
• Temperature 37.2° C (98.9" F)
• Pulse rate 90/min
• Respiratory rate 20/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 91% on nasal cannula at 3 L/min
Day 4, 1500:
• Temperature 37.2° C (98.9° F)
• Pulse rate 92/min
• Respiratory rate 22/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 93% on nasal cannula at 3 L/min: 88% on room air
Vital Signs
Day 1, 1100:
• Temperature 39.1° C (102.4° F)
• Pulse rate 102/min
• Respiratory rate 26/min
• Blood pressure 122/80 mm Hg
• Oxygen saturation 86% on room air
• Weight 90.7 kg (200 lb)
Day 2, 1200:
• Temperature 38° C (100.4" F)
• Pulse rate 100/min
• Respiratory rate 22/min
• Blood pressure 120/74 mm Hg
• Oxygen saturation 88% on nasal cannula at 2 L/min
Day 3, 1200:
• Temperature 37.2° C (98.9" F)
• Pulse rate 90/min
• Respiratory rate 20/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 91% on nasal cannula at 3 L/min
Day 4, 1500:
• Temperature 37.2° C (98.9° F)
• Pulse rate 92/min
• Respiratory rate 22/min
• Blood pressure 120/72 mm Hg
• Oxygen saturation 93% on nasal cannula at 3 L/min: 88% on room air
Medication Administration Record
Day 1, 1500:
• Cefazolin 500 mg every 12 hr IV Dexamethasone 15 mg every 6 hr IV
Day 3, 1200:
• Discontinue dexamethasone 15 mg every 6 hr IV Prednisone 40 mg PO daily
Day 4, 1500:
• Discontinue cefazolin 500 mg every 12 hr IV
Question 4 of 5
A nurse is providing discharge teaching for the client and their caregiver. Which of the following information should the nurse include?
Correct Answer: A,C
Rationale: Adjusting oxygen flow maintains oxygenation. Antibiotics were discontinued, so 10 days is incorrect. Storing the wrench ensures access. Keeping oxygen from heat prevents fires. Steroid timing and tapering lack specifics in the scenario.
Extract:
Question 5 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client's room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: C
Rationale: Gloves are the most contaminated and removed first per CDC guidelines to prevent self-contamination. Gown, eyewear, and mask follow in that order.