ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
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 2 of 5
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.
Question 3 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Keep the drainage bag below the level of the bladder. This is important to prevent backflow of urine into the bladder, reducing the risk of urinary tract infections. Placing the drainage bag below the level of the bladder ensures a continuous flow of urine out of the bladder and into the bag. Option B is incorrect as attaching the drainage bag to the side rails can cause tension on the catheter, leading to displacement or obstruction. Option C is incorrect as the drainage bag should be emptied when it is half-full to prevent backflow or infection. Option D is incorrect as taping the catheter to the lower abdomen can cause tension and discomfort.
Question 4 of 5
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. The nurse should consult an occupational therapist because they specialize in helping individuals regain independence in activities of daily living (ADLs) after a stroke. They focus on improving fine motor skills, cognitive abilities, and adaptive techniques to help the client perform self-care tasks. Physical therapists (choice
A) primarily work on mobility and strength, while registered dietitians (choice
B) focus on nutrition. Speech-language pathologists (choice
D) address communication and swallowing difficulties, which are not directly related to assisting with ADLs.
Therefore, consulting an occupational therapist is the most appropriate choice in this scenario.
Question 5 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: A
Rationale: During the alarm reaction stage of general adaptation syndrome, the body responds to stress by activating the fight-or-flight response. Dilated pupils occur as part of this response to enhance visual acuity and peripheral vision, preparing the individual for potential threats. This physiological change helps the person to be more aware and ready to react quickly in a stressful situation.
Choices B, C, and D are incorrect because physical exhaustion, bradycardia (slow heart rate), and depression are manifestations that are not typically associated with the alarm reaction stage. Physical exhaustion may occur in the exhaustion stage, bradycardia is not a typical response to stress, and depression is a psychological response that may occur in the resistance or exhaustion stages.