ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is preparing to administer the first dose of cefazolin via intermittent IV infusion to a client.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Reviewing the client's allergy history should be the first action because it is crucial to ensure the safety of the client and prevent any potential allergic reactions to medications. By identifying any known allergies, the nurse can make informed decisions about the client's care. Monitoring temperature (
B), checking WBC count (
C), and explaining medication purpose (
D) are important steps but not as urgent as ensuring the client's safety by reviewing allergies first.
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 2 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 is teaching a prenatal class about infection prevention at a community center.
Question 3 of 5
Which of the following statements by a client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should avoid cleaning my cat's litter box during pregnancy." This statement shows understanding of the teaching because it demonstrates awareness of the risk of toxoplasmosis from cat feces during pregnancy.
Toxoplasmosis can harm the developing fetus.
Choice A is incorrect because antibiotics do not treat viruses.
Choice B is incorrect as chickenpox is contagious before and during crusting of sores.
Choice D is incorrect as flu vaccine is recommended during pregnancy to protect both mother and baby.
Extract:
A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Place the oxygen tank away from curtains or drapes. This is important to prevent potential fire hazards as oxygen supports combustion.
Choice B is incorrect because oxygen tanks should be stored in a well-ventilated area, not in a closed closet.
Choice C is incorrect as oxygen tanks should always be stored upright to prevent damage.
Choice D is incorrect as increasing oxygen flow without proper assessment can be dangerous.
Extract:
A nurse is caring for a client.
Laboratory Results
Week 1:
WBC count 8,000/mm³ (5,000 to 10,000/mm³)
Platelets 350,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.7 mEq/L (3.5 to 5 mEq/L)
Week 2:
WBC count 3,800/mm³ (5,000 to 10,000/mm³)
Platelets 150,000/mm³ (150,000 to 400,000/mm³)
Potassium 3.6 mEq/L (3.5 to 5 mEq/L)
Vital Signs
Week 2:
Temperature 38.6° C (101.5° F)
BP 114/56 mm Hg
Heart rate 102/min
Respiratory rate 24/min
Oxygen saturation 93% on room air
Question 5 of 5
A nurse is reviewing the client's electronic medical record. Which of the following findings require follow up?
Correct Answer: C,D
Rationale: Decreased WBC count and elevated temperature suggest infection, requiring follow-up. Potassium levels remain within normal range, so no action is needed.