ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
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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: B
Rationale: Parenteral nutrition with 20% dextrose is hypertonic and requires a central venous line to prevent peripheral vein damage. PN bags should be changed every 24 hours, blood glucose needs more frequent monitoring, and PN and fat emulsions can be administered together. Using a peripheral IV is incorrect due to the solution’s high osmolarity.
Question 2 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: B
Rationale: The entry 'New dressing applied as prescribed; no drainage on old dressing' is objective and specific, detailing the procedure and wound status. Other options are vague, subjective, or unrelated to the dressing change.
Question 3 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: Delirium has an abrupt onset, typically developing within hours or days, characterized by confusion and reduced environmental awareness. It affects perception, has a rapid onset, and can disrupt sleep cycles. Delirium is typically temporary, not permanent, if the underlying cause is addressed.
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 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.