ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Asking a second nurse to witness and sign for wasted controlled substances ensures accountability and compliance with regulations. Verifying counts should occur before removal, waste goes to designated containers, discrepancies are reported immediately, and storing unused portions is prohibited.
Question 2 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: B
Rationale: Dilated pupils occur during the alarm reaction stage due to sympathetic nervous system activation in the fight-or-flight response. Depression is not specific, bradycardia contradicts tachycardia in this stage, exhaustion occurs in the final stage, and hypotension is not typical.
Question 3 of 5
A nurse is delegating client care tasks to assistive personnel. Which of the following tasks should the nurse delegate?
Correct Answer: B
Rationale: Performing a simple dressing change is within the scope of assistive personnel, freeing the nurse for more complex tasks. Changing IV tubing, inserting an NG tube, evaluating healing, and administering medications require a licensed nurse’s expertise.
Question 4 of 5
What tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider's prescription for strict bed rest?
Correct Answer: A
Rationale: Assault is an intentional act causing fear of imminent harm, such as threatening restraints. Defamation involves false statements harming reputation, false imprisonment restricts movement, battery involves harmful touching, and negligence involves failure to meet care standards, none of which apply here.
Question 5 of 5
How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?
Correct Answer: D
Rationale:
Total intake: 600 mL (sodium chloride) + 100 mL (cefazolin) = 700 mL.
Total output: 200 mL (emesis) + 40 mL (voided urine) + 20 mL (catheterized urine) = 260 mL. Net fluid intake: 700 mL - 260 mL = 440 mL. 700 mL is incorrect, as it represents gross intake, not net.