ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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 the injection, the nurse must immediately discard the needle in a puncture-proof container to prevent accidental needle sticks and transmission of infections. Placing the needle on the bedside table (
B) is unsafe and can lead to injuries. Recapping the needle before disposal (
C) is discouraged as it increases the risk of needle stick injuries. Removing the needle from the syringe (
D) is unnecessary and exposes the nurse to potential harm.
Question 2 of 4
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. A indicates understanding of fire safety, B shows awareness of medication safety, and D demonstrates knowledge of fall prevention. Option C is incorrect because setting the hot water heater to 140 degrees Fahrenheit is too hot and can cause burns. Option E is incorrect because taping over frayed electrical cords is not safe and can lead to electrical hazards.
Question 3 of 4
A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps.
Correct Answer: A,B,C,E,D
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: D, E.
The correct sequence for performing a physical assessment of a client's abdomen involves the following steps:
1. Provide adequate lighting to inspect the abdomen (Action
A) to ensure clear visibility.
2. Listen to the abdominal arteries using the bell of a stethoscope (Action
B) to assess vascular sounds.
3. Percuss all four quadrants of the abdomen (Potential Condition
C) to measure sound quality and identify any abnormalities.
4. Check for areas of tenderness by pressing fingers 1.3 cm (0.5 in) into the abdomen (Parameter to Monitor E) to assess for pain or discomfort.
5. Locate liver and spleen borders by pressing hands 2.5 to 7.5 cm (1 to 3 in) into the abdomen (Parameter to Monitor
D) to assess organ size and position.
This sequence ensures a systematic and comprehensive assessment of the abdomen,
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: 20 lb * 2 mg/kg = 40 mg. Since the question asks for the nearest whole number, and 40 is closer to 18 than 19, the nurse should administer 18 mg.
Other choices are incorrect because:
A: 15 mg - This is not the nearest whole number to the calculated dose.
B: 20 mg - This is higher than the calculated dose.
C: 25 mg - This is higher than the calculated dose.
D: 30 mg - This is much higher than the calculated dose.
E: 35 mg - This is significantly higher than the calculated dose.
F: 10 mg - This is lower than the calculated dose.
G: 5 mg - This is much lower than the calculated dose.
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 net fluid intake, we need to add all fluid inputs (IV fluids and oral intake) and subtract all fluid outputs (emesis, voided urine, catheterized urine).
IV fluids: 600 mL + 100 mL = 700 mL
Oral intake: 250 mg cefazolin in 100 mL = 100 mL
Total input = 700 mL + 100 mL = 800 mL
Total output = 200 mL (emesis) + 40 mL (voided urine) + 20 mL (catheterized urine) = 260 mL
Net fluid intake =
Total input -
Total output = 800 mL - 260 mL = 540 mL
Therefore, the correct answer is 540 mL, rounded to the nearest whole number, which is 540 mL. Other choices are incorrect as they do not align with the calculations based on the given inputs and outputs.