ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Visitors wearing protective gowns (
C) prevents infection transmission to the immunocompromised client post-transplant. A negative-airflow room (
A) is for airborne infections, not stem cell transplants; a positive-airflow room is used. A semi-private room (
B) increases infection risk; a private room is required. Wearing a mask outside the room (
D) is insufficient; clients should avoid leaving unless necessary.
Question 2 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time (
B) allows safe assessment and care while maintaining control. Tying to side rails (
A) risks injury if rails move. Square knots (
C) are hard to release; quick-release knots are standard. Removing every 3 hr (
D) is too infrequent; every 1–2 hr is needed to prevent complications.
Question 3 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 4 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
Correct Answer: A,B,D
Rationale: A fire escape plan (
A), checking medication expiration (
B), and using grab bars (
D) indicate safety understanding, preventing fires, drug errors, and falls. Setting the heater to 140°F (
C) risks burns; 120°F is safer. Taping frayed cords (E) is unsafe; replacement is needed.
Question 5 of 5
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: D
Rationale: A gastric residual of 300 mL (
D) is an unexpected finding, indicating delayed gastric emptying, which increases the risk of aspiration and requires stopping the feeding and notifying the provider. A weight gain of 0.91 kg in 2 days (
A) is expected, reflecting nutritional intake. A blood glucose level of 110 mg/dL (
B) is normal. Diarrhea once in 24 hours (
C) is a common side effect of enteral feeding and not immediately concerning unless persistent.