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: Convert 20 lb to kg: 20 × 0.4536 = 9.072 kg. Calculate dose: 9.072 kg × 2 mg/kg = 18.144 mg. Round to 18 mg. This ensures accurate dosing based on weight, critical for gentamicin to avoid toxicity.
Question 2 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting pelvic muscles (
B) strengthens the pelvic floor, improving bladder control, and is the core of Kegel exercises. Holding breath (
A) increases pressure, worsening incontinence. Expecting results in 2 weeks (
C) is unrealistic; it takes weeks to months. Tightening buttocks (
D) interferes with isolating pelvic muscles.
Question 3 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A sponge bath with alcohol-water solution (
C) promotes heat loss through evaporation, effectively reducing fever. A blanket with a cooling blanket (
A) reduces its effectiveness. Heavy blankets (
B) trap heat, worsening fever. Ice packs (
D) cause vasoconstriction, limiting heat loss and risking tissue damage.
Question 4 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: C
Rationale: The entry 'New dressing applied as prescribed: no drainage on old dressing' (
C) is clear, objective, and specific, meeting documentation standards. Option A is incorrect due to vague medication details (dose/route missing). Option B uses subjective terms ('seems,' 'appear'), which are inappropriate. Option D is too vague and fails to provide a current wound assessment.
Question 5 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: Convert 20 lb to kg: 20 × 0.4536 = 9.072 kg. Calculate dose: 9.072 kg × 2 mg/kg = 18.144 mg. Round to 18 mg. This ensures accurate dosing based on weight, critical for gentamicin to avoid toxicity.