ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30 minutes. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 83
Rationale:
To calculate the correct IV infusion rate in gtt/min, we first need to determine the total drops needed for 250 mL over 30 minutes.
Step 1: Calculate total drops needed per minute
250 mL / 30 minutes = 8.33 mL/min
8.33 mL/min x 10 gtt/mL = 83.3 gtt/min
Step 2: Round down to nearest whole number
83.3 gtt/min rounds down to 83 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 83 gtt/min.
Summary:
Choice A: Incorrect, as it does not match the calculated rate of 83 gtt/min.
Choices B-G: These choices are incorrect as they do not align with the calculated rate based on the given information.
Question 2 of 5
A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all.
Correct Answer: B, C, E
Rationale:
Correct Answer: B, C, E
Rationale:
B: Nail polish should not be used near a client receiving oxygen as it is flammable and can ignite easily, posing a fire hazard.
C: A 'No smoking' sign should be placed on the front door to remind everyone that smoking is prohibited in the presence of oxygen, reducing the risk of fire.
E: A fire extinguisher should be readily available in the home to quickly extinguish any fire that may occur due to oxygen use, ensuring safety.
Incorrect
Choices:
A: Family members who smoke must be at least 10 ft from the client when oxygen is in use is important, but it is more crucial to prevent any source of ignition near oxygen.
D: Cotton bedding & clothing should not be replaced with items made from wool specifically due to oxygen use. It is unnecessary and not related to oxygen safety.
Question 3 of 5
The skin barrier covering a client's intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn't ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all.
Correct Answer: A, B, D
Rationale:
Correct Answer: A, B, D
Rationale:
A: The physical therapist not ambulating the client is crucial information as it indicates a change in the client's care plan due to the skin barrier issue.
B: The skin barrier's behavior in different positions is relevant to understanding the problem and potential solutions.
D: The wound care nurse's visit is important as it shows ongoing management of the skin barrier issue.
Summary:
C: The client's feelings about physical therapy are not as critical as the actual care provided.
E: The client's food intake is not directly related to the issue with the skin barrier.
F, G: No information is provided about these options in the scenario.
Question 4 of 5
A nurse is working with a newly hired nurse who is administering meds to clients. Which of the following actions by the newly hired nurse indicates an understanding of med error prevention?
Correct Answer: B
Rationale: The correct answer is B: Checking with the provider when a single dose requires administration of multiple tablets. This action indicates an understanding of med error prevention because it ensures the medication is being administered correctly as per the provider's instructions. By verifying with the provider for doses that require multiple tablets, the nurse is practicing safe medication administration and preventing dosing errors.
Explanation for other choices:
A: Taking all meds out of the unit-dose wrappers before entering the client's room - This is incorrect as it increases the risk of medication mix-ups and errors.
C: Administering a med, then looking up the usual dosage range - This is incorrect as it should be done before administering the medication to ensure the correct dosage is given.
D: Relying on another nurse to clarify a med prescription - This is incorrect as each nurse should take responsibility for verifying and understanding medication orders independently.
Question 5 of 5
A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the 1st-pass effect?
Correct Answer: B
Rationale: The correct answer is B. The 1st-pass effect refers to the metabolism of a drug in the liver before it reaches systemic circulation. Administering drugs via nonenteral routes bypasses the liver, avoiding inactivation.
Choice A discusses receptor activity, not the 1st-pass effect.
Choice C relates to drug elimination, not the 1st-pass effect.
Choice D mentions safety margins, not drug metabolism.