ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: C,D,E
Rationale: An oral airway, supplemental oxygen supplies, and oral suction equipment are essential for seizure precautions. An oral airway maintains an open airway during a seizure, oxygen supplies address potential respiratory compromise, and suction equipment prevents aspiration by clearing secretions. Limb restraints are contraindicated, as they can cause injury, and a blood glucose monitor is not a priority during a seizure. Placing pillows around the bed is not standard, as it risks suffocation or injury during a seizure.
Question 2 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Unplugging the pump immediately eliminates the electrical hazard, preventing shock or fire. Notifying biomedical, obtaining a replacement, and labeling the pump follow after ensuring safety. Continuing to use the pump is unsafe.
Question 3 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Placing the client in a private room prevents MRSA spread, as it requires contact precautions. An N95 mask is not needed, gloves are removed before the gown, and visitors do not need masks unless specified. Alcohol-based hand sanitizer is less effective against MRSA; soap and water are preferred.
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.
Extract:
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assessing the client for adverse reactions is the priority because administering an excessive IV fluid bolus (500 mL instead of 250 mL) can lead to immediate complications such as fluid overload, pulmonary edema, or electrolyte imbalances. The nurse must first ensure the client's safety by checking for signs of these adverse effects (e.g., respiratory distress, edema, or changes in mental status). Obtaining vital signs, notifying the provider, and documenting are important but secondary to immediate client assessment. Increasing the IV flow rate is incorrect as it would exacerbate the fluid overload risk.