ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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.
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 an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: Discarding the needle in a puncture-proof container (
A) prevents needlestick injuries and follows safety protocols. Placing on the table (
B) is hazardous. Recapping (
C) risks injury. Removing the needle (
D) is unnecessary and risky.
Question 4 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: A
Rationale: Preparing for a central venous line (
A) is appropriate for high-osmolarity PN (20% dextrose), preventing vein damage. Changing the bag every 48 hr (
B) risks infection; daily changes are standard. Random glucose daily (
C) is insufficient; frequent monitoring is needed. PN and fat emulsions can be combined (
D) if compatible, not separate.
Question 5 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: D
Rationale: Assisting with ambulation (
D) is a basic task within the assistive personnel’s scope, requiring no advanced skills. Inserting a suppository (
A) involves assessment and sterile technique, a nursing task. Teaching spirometer use (
B) requires education and evaluation, a nursing responsibility. Irrigating a wound (
C) needs sterile technique and assessment, unsuitable for delegation.