RN ATI Galen College

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Sample questions from RN ATI Galen College

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical unit, an RN reviews the chart of a 72-year-old client. Refer to the client's chart. Which action has the highest priority?

   • A.Request a physical therapy evaluation.
   • B.Collect the scheduled sputum specimen.
   • C.Administer the prescribed oral antipyretic.
   • D.Activate the rapid response team.

   Rationale: The decrease in BP to 84/46 mm Hg, new confusion, and increasing oxygen requirement indicate acute deterioration requiring immediate escalation. Physical therapy is inappropriate during hemodynamic instability. An antipyretic and sputum collection may be indicated later but do not address impaired perfusion and oxygenation. Prioritize rescue over routine or diagnostic tasks.

2. 2.During morning assignments on a surgical unit, a stable 46-year-old client is postoperative day 2 after an uncomplicated appendectomy. Which task should the RN delegate to experienced assistive personnel?

   • A.Evaluate the response to the first oral opioid dose.
   • B.Assist the client with a scheduled hallway walk.
   • C.Teach the client how to splint the incision.
   • D.Assess the incision for infection.

   Rationale: Assisting a stable client with an established ambulation plan is appropriate for assistive personnel. Incision assessment and evaluation of an opioid response require nursing judgment. Initial teaching about splinting also remains with the licensed nurse. Delegate predictable tasks while retaining assessment, teaching, and evaluation.

3. 3.In a preoperative holding area, a 58-year-old client scheduled for a colectomy states, 'I signed the form after receiving a sedative, and I still do not understand why I need surgery.' Which actions should the RN take? Select all that apply.

   • A.Document the client's statement and the notifications made.
   • B.Pause preparation for transport to the operating room.
   • C.Notify the surgeon about the client's statement.
   • D.Explain the surgical alternatives and obtain a new signature independently.
   • E.Ask the spouse to sign instead because the client received sedation.

   Rationale: Pausing transport and notifying the surgeon protect the client's right to informed, voluntary consent when understanding and capacity are in question. Documenting the statement and notifications accurately records the concern. A spouse does not automatically become the decision-maker because sedation was administered. The RN may reinforce information, but the procedural provider must explain the procedure, risks, and alternatives and resolve the consent issue.

4. 4.On a telemetry unit, an RN discovers that a 67-year-old client received twice the prescribed metoprolol dose 15 minutes ago. The client is resting in bed. What should the RN do first?

   • A.Complete an internal safety report.
   • B.Ask the prescriber to discontinue future doses.
   • C.Assess the client's pulse, blood pressure, and symptoms.
   • D.Call the pharmacy to investigate dispensing.

   Answer and rationale are in the full material.

5. 5.A client's daughter tells the home health RN, 'Do not tell my father that his cancer has spread.' The 74-year-old client is alert, makes his own decisions, and asks for his test results. Which response is most appropriate?

   • A.Your father has the right to information, and I can help arrange a discussion with his provider.
   • B.I will avoid discussing the results until your family agrees.
   • C.You should tell him because family members are responsible for difficult news.
   • D.I will ask the provider to document that your father cannot make decisions.

   Answer and rationale are in the full material.