ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: D
Rationale: Tuberculosis is spread via airborne droplet nuclei, requiring airborne precautions (e.g., N95 mask, negative-pressure room). Contact, protective, droplet, and standard precautions alone are inappropriate for TB.
Question 3 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The client’s belief that education will meet their needs aligns with self-efficacy theory, enhancing motivation to learn. External explanations, family approval, empathy, or fear of needles are less effective motivators.
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 receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Writing down the complete prescription first ensures accuracy and prevents errors. Reading back, documenting, and obtaining a signature follow to confirm and formalize the order. Verifying allergies is important but occurs after receiving the prescription.