ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?
Correct Answer: A
Rationale: Plain yogurt is appropriate for a full liquid diet, as it is liquid or melts at body temperature. Oatmeal, applesauce, scrambled eggs, and mashed potatoes are not part of a full liquid diet, as they have a thicker consistency.
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.)
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 3 of 5
A nurse is preparing to administer medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: C
Rationale: A photograph is a reliable client identifier, ensuring medication is administered to the correct person. Room numbers, bed numbers, age, and insurance cards are not specific enough and can lead to errors.
Question 4 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Keeping the drainage bag below the level of the bladder prevents urine backflow, reducing infection risk. Taping the catheter to the abdomen is incorrect (it should be secured to the thigh), attaching the bag to bed rails risks elevating it above the bladder, and the bag should be emptied regularly, not just when three-quarters full, to prevent backflow. Cleaning with alcohol is incorrect; soap and water are used to avoid irritation.
Question 5 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives.
Correct Answer: C
Rationale: Providing written information about advance directives ensures the client understands their options for medical decision-making. Signing is not mandatory, providers do not sign directives, and a partner’s presence is not required. Advance directives do not expire annually.