ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 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: A
Rationale: Unplugging the pump first ensures safety by eliminating electrical hazards. Labeling (
B) replacing (
C) and notifying (
D) follow after securing safety.
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:
Total intake is 700 mL (600 + 100) total output is 260 mL (200 + 40 + 20) so net intake is 700 - 260 = 440 mL.
Question 3 of 5
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: D
Rationale: A gastric residual of 300 mL indicates delayed gastric emptying risking aspiration and is unexpected. Weight gain (
A) shows nutritional adequacy glucose 110 mg/dL (
B) is normal and one diarrhea episode (
C) is a common side effect.
Question 4 of 5
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Holding the bottle with the label in the palm prevents solution from obscuring it. Gloves are applied after opening (
A) lids go face up (
B) and pouring height is 2.5-5 cm (
D).
Question 5 of 5
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
Correct Answer: B
Rationale: Performing a simple dressing change is a routine non-invasive task suitable for assistive personnel with clear instructions. Inserting an NG tube (
A) and changing IV tubing (
D) are complex invasive procedures requiring nursing judgment. Evaluating incision healing (
C) requires professional assessment skills.