ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: Reviewing the artificial larynx (
D) is the priority to ensure the client can communicate post-laryngectomy, addressing immediate functional needs. Support sessions (
A) aid coping but are less urgent. Esophageal speech (
B) is taught later by specialists. Reading ability (
C) informs education but isn’t the priority.
Question 2 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 3 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 4 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Providing written information about advance directives (
C) is required by law, ensuring informed decision-making. Providers don’t sign directives (
A); clients do. Partners needn’t be present (
B); any trusted proxy can be chosen. Signing isn’t mandatory (
D); it’s voluntary.
Question 5 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
Total intake: 600 mL (sodium chloride) + 100 mL (cefazolin) = 700 mL.
Total output: 200 mL (emesis) + 40 mL (voided) + 20 mL (catheterized) = 260 mL. Net intake: 700 mL – 260 mL = 440 mL. Accurate calculation prevents fluid imbalance complications.