ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Placing the client in a private room prevents MRSA spread, as it requires contact precautions. An N95 mask is not needed, gloves are removed before the gown, and visitors do not need masks unless specified. Alcohol-based hand sanitizer is less effective against MRSA; soap and water are preferred.
Question 2 of 5
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?
Correct Answer: B
Rationale: An occupational therapist specializes in assisting with ADLs, helping the stroke client regain independence in daily tasks. Physical therapists focus on mobility, speech-language pathologists address communication/swallowing, dieticians manage nutrition, and social workers handle psychosocial needs.
Question 3 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Correct Answer: C
Rationale: Ensuring the client is free of metal objects prevents interference with X-ray images during an intravenous pyelogram. Bowel cleansing is not routine, pain monitoring is not specific to preparation, and IV contrast is used, not oral. Applying a warm compress is unnecessary and unrelated.
Question 4 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Having a fire escape plan, using grab bars, and checking medication expiration dates are correct safety measures. Setting the water heater to 140°F risks scalding (120°F is recommended), and taping frayed cords is unsafe; they should be replaced. Installing a motion-sensor light enhances safety but is not listed as a required measure here.
Question 5 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.)
Correct Answer: A
Rationale: Convert 220 lb to kg: 220 ÷ 2.2 = 100 kg. Calculate dose: 100 kg × 2 mg/kg = 200 mg. Thus, the nurse should administer 200 mg of gentamicin. 300 mg is incorrect, as it assumes a 150 kg weight.