ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
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: C
Rationale: Discarding the needle in a puncture-proof container prevents needlestick injuries and ensures safe disposal. Removing the needle is unnecessary, recapping risks injury, placing it on the table is unsafe, and cleaning the site post-injection is unnecessary.
Question 2 of 5
A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: C,D,E
Rationale: An oral airway, supplemental oxygen supplies, and oral suction equipment are essential for seizure precautions. An oral airway maintains an open airway during a seizure, oxygen supplies address potential respiratory compromise, and suction equipment prevents aspiration by clearing secretions. Limb restraints are contraindicated, as they can cause injury, and a blood glucose monitor is not a priority during a seizure. Placing pillows around the bed is not standard, as it risks suffocation or injury during a seizure.
Question 3 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Unplugging the pump immediately eliminates the electrical hazard, preventing shock or fire. Notifying biomedical, obtaining a replacement, and labeling the pump follow after ensuring safety. Continuing to use the pump is unsafe.
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 assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Placing the shallow end of the fracture bedpan under the buttocks ensures proper positioning and comfort for an immobile client. Hyperextending the back causes discomfort, 20 minutes is excessive, and a slightly elevated head may aid defecation. Applying lubricant is unnecessary and may cause slippage.