ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The client’s belief that education meets his needs (
A) fosters intrinsic motivation, enhancing learning engagement. Explaining the need (
B) informs but doesn’t drive motivation. Seeking family approval (
C) is external motivation, less effective. Empathy (
D) supports emotionally but doesn’t directly increase learning motivation.
Question 2 of 5
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the percussion area with a towel (
B) reduces skin discomfort and bruising, making it correct. Percussion should be over the chest wall (
A), not the back, to loosen lung mucus. Postural drainage after meals (
C) risks nausea; it should be before or 2 hr after meals. Exhaling quickly during vibration (
D) is incorrect; slow, deep exhalation moves mucus effectively.
Question 3 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 20 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 18
Rationale: Convert 20 lb to kg: 20 × 0.4536 = 9.072 kg. Calculate dose: 9.072 kg × 2 mg/kg = 18.144 mg. Round to 18 mg. This ensures accurate dosing based on weight, critical for gentamicin to avoid toxicity.
Question 4 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: B
Rationale: Airborne precautions (
B) are required for tuberculosis, which spreads via small respiratory particles that remain suspended in the air. Droplet precautions (
A) apply to infections like influenza, spread by larger droplets. Protective precautions (
C) are for immunocompromised clients, not TB. Contact precautions (
D) are for infections like MRSA, not airborne diseases.
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: Flushing the tubing with 10 mL of water every 2 hr (
C) prevents clogging and maintains tube patency, making it an appropriate action. Heating the formula to 40.5°C (
A) risks thermal injury; room-temperature formula is safer. Aspirating residual volume every 4 hr (
B) is too frequent and increases infection risk; every 6–8 hr is standard. Changing the tubing set every 72 hr (
D) increases contamination risk; daily changes (every 24 hr) are recommended.