ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 10 mg by IV bolus. The amount available is 40 mg/mL. How many mL should the nurse administer?
Correct Answer: 0.3
Rationale:
Correct Answer: 0.3 mL
Rationale:
To calculate the mL to administer, divide the dose needed (10 mg) by the concentration available (40 mg/mL). 10 mg / 40 mg/mL = 0.25 mL. Since the available concentration is rounded to the nearest tenth (0.3 mL), this is the amount the nurse should administer.
Summary of other choices:
A: Incorrect, as it does not follow the correct calculation process.
B: Incorrect, as it does not consider the concentration of the medication.
C: Incorrect, as it does not involve the necessary division calculation.
D: Incorrect, as it does not relate the dose needed to the concentration available.
E: Incorrect, as it does not provide a logical explanation for the calculation.
F: Incorrect, as it lacks the step-by-step calculation process.
G: Incorrect, as it does not explain how to determine the mL to administer.
Question 2 of 5
A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Repeating the prescription details back ensures accurate communication and confirms understanding.
B: Having another nurse listen provides a second verification to prevent errors or misinterpretations.
C: Obtaining the prescriber's signature is essential for legal documentation and accountability.
Summary:
D: Declining the prescription is inappropriate as it disregards the client's pain management needs.
E: Informing the charge nurse alone does not fulfill the necessary steps to ensure safe medication administration.
Question 3 of 5
A home health nurse is discussing the dangers of food poisoning w/a client. Which of the following info should the nurse include in her counseling? Select all.
Correct Answer: B, C, E
Rationale: The correct answers are B, C, and E.
B: Immunocompromised individuals are at higher risk for complications from food poisoning due to their weakened immune system.
C: Clients at risk should stick to pasteurized dairy products as they are less likely to contain harmful bacteria.
E: Separating raw and fresh foods helps prevent cross-contamination, reducing the risk of food poisoning.
Incorrect:
A: Most food poisoning is actually caused by bacteria, not viruses.
D: While healthy individuals may recover quicker, food poisoning can still have serious consequences.
In summary, the correct answers emphasize the importance of protecting vulnerable individuals, consuming safe dairy products, and practicing proper food handling techniques to prevent food poisoning.
Question 4 of 5
A nurse is working with a newly hired nurse who is administering meds to clients. Which of the following actions by the newly hired nurse indicates an understanding of med error prevention?
Correct Answer: B
Rationale: The correct answer is B: Checking with the provider when a single dose requires administration of multiple tablets. This action indicates an understanding of med error prevention because it ensures the medication is being administered correctly as per the provider's instructions. By verifying with the provider for doses that require multiple tablets, the nurse is practicing safe medication administration and preventing dosing errors.
Explanation for other choices:
A: Taking all meds out of the unit-dose wrappers before entering the client's room - This is incorrect as it increases the risk of medication mix-ups and errors.
C: Administering a med, then looking up the usual dosage range - This is incorrect as it should be done before administering the medication to ensure the correct dosage is given.
D: Relying on another nurse to clarify a med prescription - This is incorrect as each nurse should take responsibility for verifying and understanding medication orders independently.
Question 5 of 5
A nurse is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? Select all.
Correct Answer: A, D, E
Rationale: The correct guidelines for endotracheal suctioning are A, D, and E. A is correct because applying suction while withdrawing the catheter helps prevent trauma to the airway. D is correct to prevent the risk of infection by using a new catheter for each suctioning attempt. E is correct to limit the number of suctioning attempts to prevent hypoxia and airway trauma.
Choice B is incorrect as suctioning should be based on assessment rather than routine timing.
Choice C is incorrect as strict sterile technique, not just medical asepsis, is required for suctioning.