ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is preparing to administer dopamine hydrochloride 4mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 milligrams in a 250ML bag. The client weighs 80 kilograms.
Question 1 of 5
The nurse should set the IV infusion to deliver how many ml/hr?
Correct Answer: B
Rationale: The correct answer is B: 11.0 mL/hr.
To calculate the IV infusion rate, you need to consider the total volume to be infused and the time frame. In this case, if the total volume to be infused is 66 mL over 6 hours, you divide 66 mL by 6 hours to get 11.0 mL/hr.
Choice A does not provide a specific rate.
Choices C and D are incorrect because they do not match the calculated rate based on the given information.
Extract:
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine
Question 2 of 5
Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. The liver plays a crucial role in metabolism, detoxification, and protein synthesis. Monitoring liver function tests, such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), can help assess liver health and detect liver diseases like hepatitis. This is important in patients with liver dysfunction or those taking medications that can affect liver function.
The other choices are not as relevant in this context.
B: Kidney function tests mainly focus on assessing renal function, not liver function.
C: Hemoglobin and hematocrit are markers of blood health, not specific to liver function.
D: Serum sodium and potassium levels are related to electrolyte balance, not liver function.
Extract:
A home health nurse is planning care for a client who has Alzheimer's disease.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Place locks at the top of exterior doors. This action is important in the plan of care to ensure the safety of the individual, especially if they have a condition like dementia. Placing locks at the top of exterior doors can prevent the individual from wandering off or getting into potentially dangerous situations. Encouraging physical activity prior to bedtime (
A) may disrupt sleep patterns. Replacing carpet with hardwood floors (
B) may not be necessary for safety. Wearing clothing with zippers instead of buttons (
C) is not as critical for safety as securing exterior doors.
Extract:
A nurse is caring for a client who has heart failure.
Question 4 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in the lungs. This manifestation is expected because crackles indicate fluid accumulation in the lungs, which is common in conditions like heart failure. Bradycardia (
B) is unlikely as heart failure often causes tachycardia. Dry mucous membranes (
C) are more indicative of dehydration. Weight loss (
D) is not a typical manifestation of heart failure. Hence, crackles in the lungs are the most relevant manifestation.
Extract:
A nurse is reviewing the medication administration record of a client.
Question 5 of 5
Which of the following prescriptions should the nurse clarify?
Correct Answer: A
Rationale: The correct answer is A: Digoxen 250 PO daily. The nurse should clarify this prescription because "Digoxen" is misspelled; the correct spelling is "Digoxin." This error could lead to confusion and potential medication errors. The other choices do not contain spelling errors or dosage frequency issues that require clarification. It is crucial to ensure accurate medication administration to prevent harm to the patient.