ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Diluting each crushed medication with sterile water prevents clogging and ensures proper delivery. Combining with formula, using insufficient flush volume (5 mL vs. 15–30 mL), mixing medications, or stopping feeding for 2 hours risks interactions or tube blockage.
Question 2 of 5
How should the nurse record the net fluid intake for a client who received 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?
Correct Answer: D
Rationale:
Total intake: 600 mL (sodium chloride) + 100 mL (cefazolin) = 700 mL.
Total output: 200 mL (emesis) + 40 mL (voided urine) + 20 mL (catheterized urine) = 260 mL. Net fluid intake: 700 mL - 260 mL = 440 mL. 700 mL is incorrect, as it represents gross intake, not net.
Question 3 of 5
A nurse is reviewing the medical record of a newly admitted client. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: Potassium 5.8 mEq/L is above the normal range (3.6–5.2 mEq/L) and indicates hyperkalemia, which can cause cardiac arrhythmias and requires immediate reporting. Sodium (135–145 mEq/L), magnesium (1.7–2.2 mEq/L), and calcium (8.5–10.2 mg/dL) values are within normal ranges. Glucose 110 mg/dL is normal and does not require reporting.
Extract:
Diagnostic Results Day 3: - Negative: purified protein derivative (PPD) test - Negative: QuantiFERON-TB Gold test A nurse is caring for a client.
Question 4 of 5
Exhibits What are the first two actions the nurse should take?
Correct Answer: C
Rationale: With negative TB tests, the nurse should review the client’s medical history and reassess symptoms to identify other potential causes (e.g., pneumonia, cancer). Initiating TB treatment, repeating tests, TB education, or ordering a CT scan are inappropriate without further assessment. Tuberculosis Symptoms
Extract:
Question 5 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: A
Rationale: Thirst is a hallmark symptom of hyperglycemia due to dehydration from osmotic diuresis. Confusion can occur in both hyper- and hypoglycemia, shakiness and sweating are typical of hypoglycemia, and cool skin is not specific to hyperglycemia.