ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is mixing a short-acting insulin and an intermediate-acting insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Injecting air into the intermediate-acting insulin vial first maintains vial pressure and prevents contamination. Air is then injected into the short-acting vial, followed by drawing short-acting insulin, then intermediate-acting insulin, to avoid cross-contamination. Mixing in a separate container is incorrect and risks contamination.
Question 2 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Correct Answer: C
Rationale: Ensuring the client is free of metal objects prevents interference with X-ray images during an intravenous pyelogram. Bowel cleansing is not routine, pain monitoring is not specific to preparation, and IV contrast is used, not oral. Applying a warm compress is unnecessary and unrelated.
Extract:
Diagnostic Results Day 3: - Negative: purified protein derivative (PPD) test - Negative: QuantiFERON-TB Gold test A nurse is caring for a client.
Question 3 of 5
Exhibits What are the first two actions the nurse should take?
Correct Answer: C
Rationale: With negative TB tests, the nurse should review the client’s medical history and reassess symptoms to identify other potential causes (e.g., pneumonia, cancer). Initiating TB treatment, repeating tests, TB education, or ordering a CT scan are inappropriate without further assessment. Tuberculosis Symptoms
Extract:
Question 4 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: B
Rationale: Assisting with ambulation is within the scope of assistive personnel, as it involves basic mobility support. Teaching spirometer use, wound irrigation, suppository insertion, and blood glucose checks require a licensed nurse’s expertise.
Question 5 of 5
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, 'I trust my doctor, but I don't understand what is meant by resecting my intestines.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Notifying the provider ensures the client receives clarification from the responsible clinician, ensuring informed consent. Brochures may not suffice, an incident report is inappropriate, the nurse should not explain the procedure, and a family meeting is unrelated to consent clarification.