ATI RN
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ATI RN Fundamentals 2019 II Questions
Extract:
Question
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1 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: A
Rationale: A central venous line is needed for high-osmolarity PN like 20% dextrose to prevent complications. Bags should change every 24 hours (
B) glucose needs frequent monitoring (
C) and PN/fat can be combined (
D) if compatible.
Question 2 of 5
A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 20 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: 18
Rationale: Convert 20 lb to 9.072 kg (20 × 0.4536) then multiply by 2 mg/kg (9.072 × 2 = 18.144) and round to 18 mg.
Question 3 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?
Correct Answer: C
Rationale: Placing the tuning fork on the forehead assesses sound lateralization for the Weber test. High-pitched sounds (
A) and mastoid placement (
B) are for the Rinne test and whispering (
D) is for the whisper test.
Question 4 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: B
Rationale: Restating the concern validates the client’s feelings and encourages discussion. Waiting (
A) dismisses concerns personal questions (
C) divert focus and false reassurance (
D) minimizes the issue.
Question 5 of 5
A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A same-gender interpreter reduces discomfort for sensitive procedures. Medical terminology (
A) confuses addressing the interpreter (
C) disrespects the client and nodding (
D) is unreliable for comprehension.