ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting the pelvic floor muscles is the core of Kegel exercises, strengthening muscles to prevent incontinence. Holding breath, tightening buttocks, or expecting quick results are incorrect. Kegels can be performed in any position, not only lying flat.
Question 2 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: B
Rationale: Aspirating residual volume every 4 hours ensures the client tolerates feedings and prevents overfeeding or aspiration. Tubing should be changed every 24 hours, flushing requires 30 mL every 4-6 hours, and formula should be at room temperature. Bolus feeding is inappropriate for continuous feedings.
Question 3 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a bath blanket between the client and a cooling blanket regulates temperature comfortably. Ice packs risk localized cold injury, alcohol-water baths are outdated and unsafe, and heavy blankets can increase fever. Antibiotics are inappropriate without evidence of bacterial infection.
Question 4 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: A
Rationale: Convert 220 lb to kg: 220 ÷ 2.2 = 100 kg. Calculate dose: 100 kg × 2 mg/kg = 200 mg. Thus, the nurse should administer 200 mg of gentamicin. 300 mg is incorrect, as it assumes a 150 kg weight.
Question 5 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The ALT test measures liver enzyme levels, indicating liver function or damage. It does not assess blood clot risk, heart performance, kidney function, or blood sugar levels.