ATI ENGAGE EXAM 2 ACTUAL EXAM 2026/2027 | ALL QUESTIONS AND CORRECT
ANSWERS | VERIFIED ANSWERS | BRAND NEW VERSION
Question 1
A nurse is preparing to administer medications to a preschooler. Which of the following
information should the nurse keep in mind regarding intramuscular (IM) injections for this age
group?
A) The dorsogluteal site is the preferred site for preschoolers.
B) IM injections should be avoided in preschoolers due to thin muscle mass.
C) Injections should be administered using a 1.5-inch needle at all times.
D) The deltoid muscle can be used to administer IM injections in preschoolers as well as in
adults.
E) Only the vastus lateralis should be used until the child reaches school age.
Correct Answer: D) The deltoid muscle can be used to administer intramuscular injections
in preschoolers as well as in adults
Rationale: While the vastus lateralis is the preferred site for infants and toddlers, the deltoid
muscle becomes a viable site for IM injections once the child reaches the preschool years
and has developed sufficient muscle mass. However, the volume of medication injected into
the deltoid of a preschooler is typically limited to 0.5 to 1 mL.
Question 2
A nurse is preparing to administer clindamycin 0.3 g IM to a client. Available is clindamycin 150
mg/mL. How many mL should the nurse administer?
A) 0.5 mL
B) 1 mL
C) 1.5 mL
D) 2 mL
E) 4 mL
Correct Answer: D) 2 mL
Rationale: First, convert grams to milligrams: 0.3 g = 300 mg. Then, use the formula
(Desired/Have) x Quantity: (300 mg / 150 mg) x 1 mL = 2 mL. Dosage calculations must
always start with unit conversion to ensure accuracy.
Question 3
A nurse is scheduled to administer a medication to a client who is currently in the bathroom.
Which of the following actions should the nurse plan to take?
A) Leave the medication on the bedside table for the client to take when they finish.
B) Ask the client’s roommate to alert the client that their medication is ready.
C) Wait outside the bathroom door and hand the medication to the client as they exit.
D) Come back in a few minutes to administer the medication.
E) Document that the medication was refused.
Correct Answer: D) Come back in a few minutes to administer the medication.
Rationale: Safety protocols require the nurse to witness the client swallowing the
, 2
medication. Medications should never be left at the bedside (risk of ingestion by others or
the client forgetting). Coming back ensures the "Right Client" and "Right Witnessed
Administration" are maintained.
Question 4
A nurse is providing discharge teaching to a client. Which of the following strategies should the
nurse include to ensure effective learning?
A) Use complex medical terminology to ensure professional accuracy.
B) Provide all information in a single, long session before the client leaves.
C) Discourage questions to save time during the discharge process.
D) Encourage the client to ask questions.
E) Provide only written materials without verbal explanation.
Correct Answer: D) Encourage the client to ask questions.
Rationale: Active involvement of the client in the learning process promotes retention and
understanding. Encouraging questions allows the nurse to identify gaps in knowledge and
clarify misconceptions before the client is responsible for their own care at home.
Question 5
A nurse is preparing to administer an intradermal injection to a client for allergy testing. At
which of the following degree angles should the nurse insert the needle?
A) 90-degree angle
B) 45-degree angle
C) 30-degree angle
D) 10-degree angle
E) 5-degree angle
Correct Answer: D) 10-degree angle
Rationale: Intradermal injections are administered into the dermis, just below the
epidermis. The proper angle is 5 to 15 degrees. A 10-degree angle ensures the needle stays
within the skin layers to create a "wheal" or "bleb."
Question 6
A nurse is reviewing measurement systems with a newly licensed nurse. To convert grams (g) to
milligrams (mg), which of the following instructions is correct?
A) Move the decimal point 3 places to the right.
B) Move the decimal point 3 places to the left.
C) Move the decimal point 2 places to the right.
D) Multiply the value by 100.
E) Divide the value by 1,000.
Correct Answer: A) To convert g to mg, move the decimal point 3 places to the right.
Rationale: One gram is equal to 1,000 milligrams. To convert from a larger unit (g) to a
, 3
smaller unit (mg), you multiply by 1,000, which is mathematically the same as moving the
decimal point three places to the right.
Question 7
A nurse is caring for a group of clients. Which of the following clients should the nurse identify
as being at the greatest risk of developing medication toxicity?
A) A client who is 25 years old and has no chronic illnesses.
B) A client who is receiving intravenous fluids for dehydration.
C) A client who has impaired kidney function.
D) A client who is taking a water-soluble medication.
E) A client who has an increased metabolic rate.
Correct Answer: C) A client who has impaired kidney function.
Rationale: The kidneys are primarily responsible for the excretion of medications. If kidney
function is impaired (decreased glomerular filtration rate), medications remain in the
bloodstream longer, leading to accumulation and potential toxicity.
Question 8
A nurse is preparing to administer amikacin 7 mg/kg/day IM to a client who weighs 165 pounds.
Available is amikacin 250 mg/mL. How many mL should the nurse administer per dose
(assuming one dose per day)?
A) 1.5 mL
B) 1.8 mL
C) 2.1 mL
D) 2.5 mL
E) 4.6 mL
Correct Answer: C) 2.1 mL
Rationale: 1) Convert lbs to kg: .2 = 75 kg. 2) Calculate total mg: 75 kg x 7 mg/kg =
525 mg. 3) Calculate mL: 525 mg / 250 mg/mL = 2.1 mL. Accurate weight-based dosing is
critical in preventing medication errors.
Question 9
A nurse is preparing to administer a medication to a client who has an enteral feeding tube.
Which of the following actions should the nurse take?
A) Crush an extended-release tablet and mix it with water.
B) Mix the medication with the client's enteral feeding formula.
C) Administer the medication to the client in a liquid form.
D) Flush the tube with 5 mL of air after administration.
E) Use a small-bore syringe to increase pressure.
Correct Answer: C) Administer the medication to the client in a liquid form.
Rationale: Liquid medications are preferred for enteral tubes to prevent clogging. If a liquid
form is not available, the nurse must verify if the tablet can be crushed (never crush
ANSWERS | VERIFIED ANSWERS | BRAND NEW VERSION
Question 1
A nurse is preparing to administer medications to a preschooler. Which of the following
information should the nurse keep in mind regarding intramuscular (IM) injections for this age
group?
A) The dorsogluteal site is the preferred site for preschoolers.
B) IM injections should be avoided in preschoolers due to thin muscle mass.
C) Injections should be administered using a 1.5-inch needle at all times.
D) The deltoid muscle can be used to administer IM injections in preschoolers as well as in
adults.
E) Only the vastus lateralis should be used until the child reaches school age.
Correct Answer: D) The deltoid muscle can be used to administer intramuscular injections
in preschoolers as well as in adults
Rationale: While the vastus lateralis is the preferred site for infants and toddlers, the deltoid
muscle becomes a viable site for IM injections once the child reaches the preschool years
and has developed sufficient muscle mass. However, the volume of medication injected into
the deltoid of a preschooler is typically limited to 0.5 to 1 mL.
Question 2
A nurse is preparing to administer clindamycin 0.3 g IM to a client. Available is clindamycin 150
mg/mL. How many mL should the nurse administer?
A) 0.5 mL
B) 1 mL
C) 1.5 mL
D) 2 mL
E) 4 mL
Correct Answer: D) 2 mL
Rationale: First, convert grams to milligrams: 0.3 g = 300 mg. Then, use the formula
(Desired/Have) x Quantity: (300 mg / 150 mg) x 1 mL = 2 mL. Dosage calculations must
always start with unit conversion to ensure accuracy.
Question 3
A nurse is scheduled to administer a medication to a client who is currently in the bathroom.
Which of the following actions should the nurse plan to take?
A) Leave the medication on the bedside table for the client to take when they finish.
B) Ask the client’s roommate to alert the client that their medication is ready.
C) Wait outside the bathroom door and hand the medication to the client as they exit.
D) Come back in a few minutes to administer the medication.
E) Document that the medication was refused.
Correct Answer: D) Come back in a few minutes to administer the medication.
Rationale: Safety protocols require the nurse to witness the client swallowing the
, 2
medication. Medications should never be left at the bedside (risk of ingestion by others or
the client forgetting). Coming back ensures the "Right Client" and "Right Witnessed
Administration" are maintained.
Question 4
A nurse is providing discharge teaching to a client. Which of the following strategies should the
nurse include to ensure effective learning?
A) Use complex medical terminology to ensure professional accuracy.
B) Provide all information in a single, long session before the client leaves.
C) Discourage questions to save time during the discharge process.
D) Encourage the client to ask questions.
E) Provide only written materials without verbal explanation.
Correct Answer: D) Encourage the client to ask questions.
Rationale: Active involvement of the client in the learning process promotes retention and
understanding. Encouraging questions allows the nurse to identify gaps in knowledge and
clarify misconceptions before the client is responsible for their own care at home.
Question 5
A nurse is preparing to administer an intradermal injection to a client for allergy testing. At
which of the following degree angles should the nurse insert the needle?
A) 90-degree angle
B) 45-degree angle
C) 30-degree angle
D) 10-degree angle
E) 5-degree angle
Correct Answer: D) 10-degree angle
Rationale: Intradermal injections are administered into the dermis, just below the
epidermis. The proper angle is 5 to 15 degrees. A 10-degree angle ensures the needle stays
within the skin layers to create a "wheal" or "bleb."
Question 6
A nurse is reviewing measurement systems with a newly licensed nurse. To convert grams (g) to
milligrams (mg), which of the following instructions is correct?
A) Move the decimal point 3 places to the right.
B) Move the decimal point 3 places to the left.
C) Move the decimal point 2 places to the right.
D) Multiply the value by 100.
E) Divide the value by 1,000.
Correct Answer: A) To convert g to mg, move the decimal point 3 places to the right.
Rationale: One gram is equal to 1,000 milligrams. To convert from a larger unit (g) to a
, 3
smaller unit (mg), you multiply by 1,000, which is mathematically the same as moving the
decimal point three places to the right.
Question 7
A nurse is caring for a group of clients. Which of the following clients should the nurse identify
as being at the greatest risk of developing medication toxicity?
A) A client who is 25 years old and has no chronic illnesses.
B) A client who is receiving intravenous fluids for dehydration.
C) A client who has impaired kidney function.
D) A client who is taking a water-soluble medication.
E) A client who has an increased metabolic rate.
Correct Answer: C) A client who has impaired kidney function.
Rationale: The kidneys are primarily responsible for the excretion of medications. If kidney
function is impaired (decreased glomerular filtration rate), medications remain in the
bloodstream longer, leading to accumulation and potential toxicity.
Question 8
A nurse is preparing to administer amikacin 7 mg/kg/day IM to a client who weighs 165 pounds.
Available is amikacin 250 mg/mL. How many mL should the nurse administer per dose
(assuming one dose per day)?
A) 1.5 mL
B) 1.8 mL
C) 2.1 mL
D) 2.5 mL
E) 4.6 mL
Correct Answer: C) 2.1 mL
Rationale: 1) Convert lbs to kg: .2 = 75 kg. 2) Calculate total mg: 75 kg x 7 mg/kg =
525 mg. 3) Calculate mL: 525 mg / 250 mg/mL = 2.1 mL. Accurate weight-based dosing is
critical in preventing medication errors.
Question 9
A nurse is preparing to administer a medication to a client who has an enteral feeding tube.
Which of the following actions should the nurse take?
A) Crush an extended-release tablet and mix it with water.
B) Mix the medication with the client's enteral feeding formula.
C) Administer the medication to the client in a liquid form.
D) Flush the tube with 5 mL of air after administration.
E) Use a small-bore syringe to increase pressure.
Correct Answer: C) Administer the medication to the client in a liquid form.
Rationale: Liquid medications are preferred for enteral tubes to prevent clogging. If a liquid
form is not available, the nurse must verify if the tablet can be crushed (never crush
