ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
When preparing medication from a vial for a subcutaneous injection for a client, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Holding the vial with the top upward while injecting air maintains pressure and prevents fluid leakage. Bubbles at the plunger are not relevant, injecting air with the needle in fluid risks contamination, and a 45° angle is for injection, not dosage verification. A filter needle is used for ampules, not vials.
Question 2 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: Parenteral nutrition with 20% dextrose is hypertonic and requires a central venous line to prevent peripheral vein damage. PN bags should be changed every 24 hours, blood glucose needs more frequent monitoring, and PN and fat emulsions can be administered together. Using a peripheral IV is incorrect due to the solution’s high osmolarity.
Question 3 of 5
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?
Correct Answer: D
Rationale: Scheduling the client as the first procedure minimizes latex exposure in the surgical suite. Stopcock removal and povidone-iodine cleansing are unrelated to latex, powdered gloves contain latex, and latex-based tape would trigger an allergic reaction.
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
Rationale: Having a fire escape plan ensures quick evacuation and reduces panic during a fire. Using grab bars prevents falls in the bathroom, a common hazard. Setting the water heater to 140°F is too high, risking burns, and taping frayed cords is unsafe; they should be replaced. Keeping floors wet increases fall risk, not safety.
Question 5 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting the pelvic floor muscles is the core of Kegel exercises, strengthening muscles to prevent incontinence. Holding breath, tightening buttocks, or expecting quick results are incorrect. Kegels can be performed in any position, not only lying flat.