ATI RN
ATI RN Fundamentals 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure,the client tells the nurse I'm worried about that bag. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale:
Rationale: Option C is correct because it acknowledges the client's concern directly, showing empathy and addressing the specific worry about wearing a colostomy bag. It opens the door for further discussion and support.
Incorrect
Choices:
A: This choice doesn't address the client's immediate worry and shifts the focus away from their concerns.
B: Waiting may increase the client's anxiety. It's important to address their worries promptly.
D: While this statement may be true, it doesn't directly address the client's emotional concerns about the colostomy bag.
Question 2 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. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 200
Rationale:
Correct
Answer: 200
Rationale:
1. Convert client's weight from lb to kg: 220 lb / 2.2 = 100 kg
2. Calculate gentamicin dose: 2 mg/kg x 100 kg = 200 mg
3. Round to nearest whole number: 200 mg
Therefore, the nurse should administer 200 mg of gentamicin to the client.
Summary:
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Choice A: Incorrect, as it does not match the calculated dosage of 200 mg.
-
Choices B-G: Irrelevant, as the correct calculation yields 200 mg as the appropriate dose.
Question 3 of 5
A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should leave the battery in the hearing aid when I take it out to sleep." This statement indicates understanding because removing the battery when not in use prevents battery drain and extends its lifespan.
Choice A is incorrect as hearing aids don't need to be replaced yearly unless malfunctioning.
Choice C is incorrect as wearing the hearing aid for extended periods initially may cause discomfort.
Choice D is incorrect as turning the volume up too high can damage hearing.
Question 4 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: D
Rationale: The correct answer is D: Flush the tubing with 10 mL of water every 2 hr. Flushing the tubing with water helps prevent clogging and maintains tube patency, ensuring the client receives the full prescribed feeding. Changing the tubing every 72 hours (
A) is not necessary unless there are signs of contamination. Heating the formula to 40.5°C (105°F) (
B) can lead to burns and should be avoided. Aspirating residual volume every 4 hours (
C) is not recommended routinely as it can cause trauma to the gastrointestinal tract.
Therefore, option D is the best choice to maintain tube patency and ensure the client's safety and nutritional intake.
Question 5 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when with the client?
Correct Answer: D
Rationale: The correct answer is D: Airborne precautions. Tuberculosis is spread through airborne transmission via droplet nuclei. Airborne precautions include using an N95 respirator, negative pressure room, and ensuring proper ventilation. Droplet precautions (
B) are for diseases transmitted through respiratory droplets. Protective (
A) and contact (
C) precautions are not specifically related to tuberculosis transmission.