ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs (
C) is the first action to assess for fluid overload complications like pulmonary edema. Documentation (
A) follows assessment. Incident reports (
B) are completed after ensuring safety. Reporting to the manager (
D) is later, after immediate actions.
Question 3 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.
Question 4 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: Wearing an N95 respirator mask (
C) is appropriate for MRSA if aerosol-generating procedures are performed, as it filters airborne particles. Removing gown before gloves (
A) risks contamination; gloves come off first. Visitors need masks at all times (
B), not just within 3 feet. Private rooms (
D) are only needed for bloodstream MRSA; cohorting is acceptable for skin infections.
Question 5 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: A
Rationale: Dilated pupils (
A) occur in the alarm stage due to sympathetic activation, preparing for fight or flight. Exhaustion (
B) and depression (
D) occur in the exhaustion stage when resources are depleted. Bradycardia (
C) may occur in the resistance stage, not alarm.