ATI RN
ATI RN Fundamentals 2019 Questions
Extract:
Question 1 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. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 200
Rationale:
Correct
Answer: 200
Rationale:
1. Convert client's weight from lb to kg: 220 lb / 2.2 = 100 kg
2. Calculate gentamicin dose: 2 mg/kg x 100 kg = 200 mg
3. Round to nearest whole number: 200 mg
Therefore, the nurse should administer 200 mg of gentamicin to the client.
Summary:
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Choice A: Incorrect, as it does not match the calculated dosage of 200 mg.
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Choices B-G: Irrelevant, as the correct calculation yields 200 mg as the appropriate dose.
Question 2 of 5
A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should leave the battery in the hearing aid when I take it out to sleep." This statement indicates understanding because removing the battery when not in use prevents battery drain and extends its lifespan.
Choice A is incorrect as hearing aids don't need to be replaced yearly unless malfunctioning.
Choice C is incorrect as wearing the hearing aid for extended periods initially may cause discomfort.
Choice D is incorrect as turning the volume up too high can damage hearing.
Question 3 of 5
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Flush the tubing with 10 mL of water every 2 hr. Flushing the tubing with water helps prevent clogging and maintains tube patency, ensuring the client receives the full prescribed feeding. Changing the tubing every 72 hours (
A) is not necessary unless there are signs of contamination. Heating the formula to 40.5°C (105°F) (
B) can lead to burns and should be avoided. Aspirating residual volume every 4 hours (
C) is not recommended routinely as it can cause trauma to the gastrointestinal tract.
Therefore, option D is the best choice to maintain tube patency and ensure the client's safety and nutritional intake.
Question 4 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when with the client?
Correct Answer: D
Rationale: The correct answer is D: Airborne precautions. Tuberculosis is spread through airborne transmission via droplet nuclei. Airborne precautions include using an N95 respirator, negative pressure room, and ensuring proper ventilation. Droplet precautions (
B) are for diseases transmitted through respiratory droplets. Protective (
A) and contact (
C) precautions are not specifically related to tuberculosis transmission.
Question 5 of 5
A nurse is caring for a client who has wrist restraints after an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Remove one restraint at a time. This is the safest approach as it ensures the client's safety while allowing for gradual removal of restraints to assess their behavior and prevent sudden outbursts. Removing both restraints simultaneously can escalate agitation and pose a risk to the client and staff. Tying restraints to the side rail (
B) can lead to entanglement and injury. Securing restraints with a square knot (
C) may make it difficult to remove quickly in case of emergency. Removing restraints every 3 hours (
D) is not as safe as removing one at a time based on the client's behavior.