ATI RN
ATI RN Fundamentals 2019 II Questions
Question 1 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Removing one restraint at a time ensures safety while assessing the client. Tying to side rails (
A) risks injury square knots (
C) are hard to release and restraints need removal every 1-2 hours (
D).
Question 2 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 9.072 kg (20 × 0.4536) then multiply by 2 mg/kg (9.072 × 2 = 18.144) and round to 18 mg.
Question 3 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diluting crushed medications with sterile water facilitates administration and prevents mucosal irritation. Mixing medications (
A) risks interactions 5 mL flush is insufficient (
C) and combining with formula (
D) affects absorption.
Question 4 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: C
Rationale: The entry about the new dressing provides clear objective data about the procedure and wound condition. MSO (
A) lacks dose/route specificity "seems" and "appear" (
B) are subjective and no changes (
D) fails to document current assessment.
Question 5 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Reporting discrepancies ensures accurate inventory and prevents diversion. The nurse records waste (
A) sharps containers are for needles (
C) and counts are verified before removal (
D).