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ATI RN FUNDAMENTALS ONLINE PRACTICE
2019 A, NGN EXAM WITH RATIONALES
A nurse is preparing to administer an injection of an opioid medication to a client.
The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the
following actions should the nurse take?
-Ask another nurse to observe the medication wastage.
-Notify the pharmacy when wasting the medication.
-Lock the remaining medication in the controlled substances cabinet.
-Dispose of the vial with the remaining medication in a sharps container. -
ANSWER Ask another nurse to observe the medication wastage.
A nurse is using an open irrigation technique to irrigate a client's indwelling
urinary catheter. Which of the following actions should the nurse take?
-Place the client in a side-lying position
-Instill 15 mL of irrigation fluid into the catheter with each flush
-Subtract the amount of irritant used from the clients urine output
-Perform the irrigation using a 20 mL syringe - ANSWER Subtract the amount of
irritant used from the clients urine output
A nurse is teaching a client & his family how to care for the client's tracheotomy at
home Which of the following instructions should the nurse include in the
teaching?
-Remove the outer cannula cautiously for routine cleaning
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-Use tracheostomy covers when outdoors
-Use sterile technique when performing tracheostomy care at home
-Cleanse irritated skin w/ full strength hydrogen peroxide - ANSWER Use
tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, "What will happen if I arrived at the
emergency department & I had difficulty breathing?" Which of the following
responses should the nurse make?
-"We would consult the person appointed by your health care proxy to make
decisions."
-"We would give you oxygen through a tube in your nose."
-"You would be unable to change your previous wishes about your care."
-"We would insert a breathing tube while we evaluate your condition." - ANSWER
"We would give you oxygen through a tube in your nose."
the nurse should first , ...... followed by........ - ANSWER -review medications that
might be causing confusion
- using other methods to keep the client safe
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
nurse plan for this client?
-Make sure the client's room has at least six air exchanges per hour.
-Make sure the client wears a mask when outside her room if there's construction
in the area.
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-Place the client in a private room with negatives-pressure airflow.
-Wear an N95 respirator when giving client direct care. - ANSWER Make sure the
client wears a mask when outside her room if there's construction in the area.
The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse
over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr?
(Round to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - ANSWER 107 mL/hr
A nurse is teaching for a client who has heart failure. which of the following 3
statements by the client indicates an understanding of the teaching ?
-"I have been weighing myself every other morning"
-"i am trying to decrease my intake of foods with potassium"
-i" i am limiting my sodium intake to 2 grams daily"
-" i am eating fewer potato chips and more fruit for snacks"
-" i will lie down and rest after meals"
-" i know to call my doctor if i gain 3 pounds or more in 2 days" - ANSWER - i am
limiting my sodium intake to 2 grams daily"
-i am eating fewer potato chips and more fruit for snacks
-i know to call my doctor if i gain 3 pounds or more in 2 days"
A nurse is evaluating a client's use of a cane. Which of the following actions should
the nurse identify as an indication of correct use?
-The top of the cane is parallel to the client's waist
-When walking, the client moves the cane 46 cm (18 in) forward
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-The client holds the cane on the stronger side of her body
-The client moves her stronger limb forward with the cane - ANSWER -The client
holds the cane on the stronger side of her body
A nurse is caring for a client who requires an Ng tube for stomach decompression.
Which of the following actions should the nurse take when inserting the NG tube?
-Position the client with the head of the bed elevated 30 degrees prior to insertion
of the NG tube.
-Remove the NG tube if the client begins to gag or choke.
-Apply suction to the NG tube prior to insertion.
-Have the client take sips of water to promote insertion of the NG tube into the
esophagus. - ANSWER Have the client take sips of water to promote insertion of
the NG tube into the esophagus.
A nurse is planning to insert a peripheral IV catheter for an older adult client.
Which of the following actions should the nurse plan to take?
-Insert the catheter at a 45 degree angle
-Place the client's arm in a dependent position
-Shave excess hair from the insertion site
-Initiate IV therapy in the veins of the hand - ANSWER Place the client's arm in a
dependent position
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a
chair. To prevent self-injury, which of the following actions should the nurse take
when lifting this object?
Bend at the waist
ATI RN FUNDAMENTALS ONLINE PRACTICE
2019 A, NGN EXAM WITH RATIONALES
A nurse is preparing to administer an injection of an opioid medication to a client.
The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the
following actions should the nurse take?
-Ask another nurse to observe the medication wastage.
-Notify the pharmacy when wasting the medication.
-Lock the remaining medication in the controlled substances cabinet.
-Dispose of the vial with the remaining medication in a sharps container. -
ANSWER Ask another nurse to observe the medication wastage.
A nurse is using an open irrigation technique to irrigate a client's indwelling
urinary catheter. Which of the following actions should the nurse take?
-Place the client in a side-lying position
-Instill 15 mL of irrigation fluid into the catheter with each flush
-Subtract the amount of irritant used from the clients urine output
-Perform the irrigation using a 20 mL syringe - ANSWER Subtract the amount of
irritant used from the clients urine output
A nurse is teaching a client & his family how to care for the client's tracheotomy at
home Which of the following instructions should the nurse include in the
teaching?
-Remove the outer cannula cautiously for routine cleaning
,2|Page
-Use tracheostomy covers when outdoors
-Use sterile technique when performing tracheostomy care at home
-Cleanse irritated skin w/ full strength hydrogen peroxide - ANSWER Use
tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, "What will happen if I arrived at the
emergency department & I had difficulty breathing?" Which of the following
responses should the nurse make?
-"We would consult the person appointed by your health care proxy to make
decisions."
-"We would give you oxygen through a tube in your nose."
-"You would be unable to change your previous wishes about your care."
-"We would insert a breathing tube while we evaluate your condition." - ANSWER
"We would give you oxygen through a tube in your nose."
the nurse should first , ...... followed by........ - ANSWER -review medications that
might be causing confusion
- using other methods to keep the client safe
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should the
nurse plan for this client?
-Make sure the client's room has at least six air exchanges per hour.
-Make sure the client wears a mask when outside her room if there's construction
in the area.
,3|Page
-Place the client in a private room with negatives-pressure airflow.
-Wear an N95 respirator when giving client direct care. - ANSWER Make sure the
client wears a mask when outside her room if there's construction in the area.
The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse
over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr?
(Round to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - ANSWER 107 mL/hr
A nurse is teaching for a client who has heart failure. which of the following 3
statements by the client indicates an understanding of the teaching ?
-"I have been weighing myself every other morning"
-"i am trying to decrease my intake of foods with potassium"
-i" i am limiting my sodium intake to 2 grams daily"
-" i am eating fewer potato chips and more fruit for snacks"
-" i will lie down and rest after meals"
-" i know to call my doctor if i gain 3 pounds or more in 2 days" - ANSWER - i am
limiting my sodium intake to 2 grams daily"
-i am eating fewer potato chips and more fruit for snacks
-i know to call my doctor if i gain 3 pounds or more in 2 days"
A nurse is evaluating a client's use of a cane. Which of the following actions should
the nurse identify as an indication of correct use?
-The top of the cane is parallel to the client's waist
-When walking, the client moves the cane 46 cm (18 in) forward
, 4|Page
-The client holds the cane on the stronger side of her body
-The client moves her stronger limb forward with the cane - ANSWER -The client
holds the cane on the stronger side of her body
A nurse is caring for a client who requires an Ng tube for stomach decompression.
Which of the following actions should the nurse take when inserting the NG tube?
-Position the client with the head of the bed elevated 30 degrees prior to insertion
of the NG tube.
-Remove the NG tube if the client begins to gag or choke.
-Apply suction to the NG tube prior to insertion.
-Have the client take sips of water to promote insertion of the NG tube into the
esophagus. - ANSWER Have the client take sips of water to promote insertion of
the NG tube into the esophagus.
A nurse is planning to insert a peripheral IV catheter for an older adult client.
Which of the following actions should the nurse plan to take?
-Insert the catheter at a 45 degree angle
-Place the client's arm in a dependent position
-Shave excess hair from the insertion site
-Initiate IV therapy in the veins of the hand - ANSWER Place the client's arm in a
dependent position
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a
chair. To prevent self-injury, which of the following actions should the nurse take
when lifting this object?
Bend at the waist
