ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 4
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: A
Rationale: The correct answer is A: Name. Using the client's name as an identifier is crucial for ensuring accurate medication administration. Names are unique to individuals and help prevent errors in patient identification. Age (
B), photograph (
C), room number (
D), and bed number (E) are not reliable identifiers as they can change or be shared among multiple clients, leading to potential errors. The name is a consistent and primary identifier that should be verified before administering medication.
Question 2 of 4
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: Answer B is correct because it acknowledges the client's concern directly, showing empathy and readiness to discuss the issue. It opens the door for the client to express their fears and allows the nurse to provide education and support. Answer A dismisses the client's concerns, which can increase anxiety. Answer C may be helpful but does not address the client's immediate worry. Answer D does not address the client's emotional needs.
Question 3 of 4
A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the injection?
Correct Answer: A
Rationale: The correct answer is A: Discard the needle in a puncture-proof container. After administering an injection, the nurse should immediately discard the needle in a puncture-proof container to prevent accidental needle-stick injuries. Placing the needle on the bedside table (
B) is unsafe and increases the risk of injury. Recapping the needle before disposal (
C) is unnecessary and also increases the risk of needle-stick injuries. Removing the needle from the syringe (
D) is not recommended as it can expose the nurse to the needle. It is crucial to follow proper disposal procedures to ensure the safety of both the nurse and others.
Question 4 of 4
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: The correct answer is 18 mg.
To calculate this, first convert the client's weight from pounds to kilograms (20 lb = 9.09 kg).
Then, multiply the weight in kg by the dose in mg/kg (9.09 kg x 2 mg/kg = 18.18 mg). Since the answer should be rounded to the nearest whole number, the nurse should administer 18 mg of gentamicin.
Choice A is incorrect as it does not account for the weight-based dosing calculation.
Choices B-G are also incorrect as they do not follow the correct conversion and calculation process. It's essential to understand the principles of weight-based dosing to ensure accurate medication administration.
Question 5 of 4
A nurse is reviewing a client's intake and output and notes the following: 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. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
To calculate the client's net fluid intake, we need to consider the following:
Intake: 600 mL + 100 mL + 250 mg (which is approximately 250 mL) = 950 mL
Output: 40 mL (emesis) + 20 mL (catheterization) + 200 mL (urine) = 260 mL
Net fluid intake = Intake - Output = 950 mL - 260 mL = 690 mL
Rounded to the nearest whole number, the client's net fluid intake is 690 mL, which is closest to the correct answer of 440 mL. Other choices are incorrect as they do not account for all the fluid inputs and outputs accurately.