ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should limit the time that I spend sitting in a chair." This statement shows an understanding of the teaching because prolonged sitting increases the risk of thrombus formation. By limiting sitting time, the client can promote circulation and reduce the risk of blood clots.
Other choices are incorrect:
A: Keeping legs crossed can impede blood flow, increasing the risk of thrombus formation.
B: Massaging legs when they hurt may not prevent thrombus formation and could potentially dislodge a clot.
D: Performing leg exercises once every 4 hours may not be frequent enough to prevent blood clots.
Question 2 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 3 of 5
A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?
Correct Answer: D
Rationale: The correct answer is D: Present information about the benefits of quitting smoking. During the contemplation stage, clients are considering the pros and cons of changing their behavior. Providing information about the benefits of quitting smoking can help the client make an informed decision. This action aligns with motivational interviewing techniques, which focus on exploring and resolving ambivalence towards behavior change. Recommending small changes (
A) may be more suitable for the preparation stage. Setting goals (
B) and developing a plan (
C) are actions typically taken during the action stage when the client is ready to make a change.
Question 4 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: The correct answer is D: A gastric residual of 300 mL at the end of the shift. This finding is unexpected because a high residual volume may indicate feeding intolerance or delayed gastric emptying, which can lead to aspiration or other complications. Monitoring gastric residuals helps assess the client's tolerance to enteral feeding.
A: A weight gain of 0.91 kg (2 lb) in 2 days - This could be expected due to fluid retention or intake exceeding output.
B: A blood glucose level of 110 mg/dL - This is within normal range and not unexpected.
C: Diarrhea one time in a 24-hr period - Occasional diarrhea can occur with enteral feeding and is not necessarily unexpected.
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.