ATI
Fundamentals
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Rationale: Morphine can cause respiratory depression if given too much. Also you
should ALWAYS ASSESS the patient first when a med error is performed to make
sure med error doesn‟t put the client‟s health in risk.
4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who
has difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup.
Which of the following images shows the correct # of mL the nurse should administer?
(Round the answer to the nearest whole number.)
Click on the syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
5. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day
administered intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin should
the nurse administer with each dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
So it says each dose for the final answer, but we are given 80 mg/kg/day.
80 x 20 = (dose is given every 6 hours a day) =400 mg
Rationale: 80 mg x 20 kg = 1,600 → 1,600/4 x day (q6h) = 400 mg
6. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging
in the IV pump. Which of the following actions should the nurse take first?
a. Label the pump with a defective equipment sticker.
b. Unplug the pump.
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump.
Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid
causing a fire.
7. A nurse is caring for a client who has a surgical wound. Which of the following laboratory
values places the client at risk for poor wound healing?
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
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d. HGB 16g/dL
Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the
client at risk forpoor wound healing. The other lab values are within normal limits.
8. A nurse is preparing to check a client's blood pressure. Which of the following actions should
the nurse take? Chapter 27 Vitals signs page 244
a. Apply the cuff above the client‟s antecubital fossa.
b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the
cuff should be 40 % of arm circumference
c. How the clients sit with his arm resting above the level of his heart. - MUST BE AT
HEART LEVEL
d. Release the pressure on the client's arm 5 to 6 mm per second. - pressure release should
not be more than 2 to 3 mm hg per second
Rationale: ATI FUNDA says 40% of the arm circumference pg. 139. Release the
pressure no faster than 2 to 3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in) above
the antecubital space with the brachial artery in line with the marking on the cuff.Apply
the BP cuff 2.5 cm (1 in) above the antecubital space with the brachial artery in line with
the marking on the cuff.
9. A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the following
is an appropriate action for the nurse to take? Chapter 53 Airway management page 563
a. Hold the suction catheter with the clean non-dominant hand.
b. Apply suctioning for 20 to 30 seconds.- 10 -15 seconds is the maximum.
c. Place the catheter in a location that is clean and dry for later use new line.- NEVER EVER
REUSE THE SUCTION CATHETER . you throw it away after being used.
d. Use surgical asepsis when performing the procedure.- book say medical asepsis which
is maybe the same thing .
Rationale: sterile technique for trachea
Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of suctioning. No
longer than 10-15 seconds to avoid hypoxemia
NURSING EXAM
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Fundamentals
Proctored Exam
Test Bank
2021 - 2022
Downloaded by: EXCELLENTLEC | Want to earn Distribution of this document
is illegal $103 per month?
, NURSING EXAM
Downloaded by: EXCELLENTLEC | Want to earn Distribution of this document is
illegal $103 per month?
, ATI Fundamentals Proctored Exam Test Bank 202Stuvia.com - The Marketplace to Buy and
Sell your Study Materi1 - 2al022
Rationale: Morphine can cause respiratory depression if given too much. Also you
should ALWAYS ASSESS the patient first when a med error is performed to make
sure med error doesn‟t put the client‟s health in risk.
4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who
has difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup.
Which of the following images shows the correct # of mL the nurse should administer?
(Round the answer to the nearest whole number.)
Click on the syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
5. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day
administered intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin should
the nurse administer with each dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
So it says each dose for the final answer, but we are given 80 mg/kg/day.
80 x 20 = (dose is given every 6 hours a day) =400 mg
Rationale: 80 mg x 20 kg = 1,600 → 1,600/4 x day (q6h) = 400 mg
6. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging
in the IV pump. Which of the following actions should the nurse take first?
a. Label the pump with a defective equipment sticker.
b. Unplug the pump.
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump.
Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid
causing a fire.
7. A nurse is caring for a client who has a surgical wound. Which of the following laboratory
values places the client at risk for poor wound healing?
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
NURSING EXAM
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document is illegal $103 per month?
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d. HGB 16g/dL
Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the
client at risk forpoor wound healing. The other lab values are within normal limits.
8. A nurse is preparing to check a client's blood pressure. Which of the following actions should
the nurse take? Chapter 27 Vitals signs page 244
a. Apply the cuff above the client‟s antecubital fossa.
b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the
cuff should be 40 % of arm circumference
c. How the clients sit with his arm resting above the level of his heart. - MUST BE AT
HEART LEVEL
d. Release the pressure on the client's arm 5 to 6 mm per second. - pressure release should
not be more than 2 to 3 mm hg per second
Rationale: ATI FUNDA says 40% of the arm circumference pg. 139. Release the
pressure no faster than 2 to 3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in) above
the antecubital space with the brachial artery in line with the marking on the cuff.Apply
the BP cuff 2.5 cm (1 in) above the antecubital space with the brachial artery in line with
the marking on the cuff.
9. A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the following
is an appropriate action for the nurse to take? Chapter 53 Airway management page 563
a. Hold the suction catheter with the clean non-dominant hand.
b. Apply suctioning for 20 to 30 seconds.- 10 -15 seconds is the maximum.
c. Place the catheter in a location that is clean and dry for later use new line.- NEVER EVER
REUSE THE SUCTION CATHETER . you throw it away after being used.
d. Use surgical asepsis when performing the procedure.- book say medical asepsis which
is maybe the same thing .
Rationale: sterile technique for trachea
Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of suctioning. No
longer than 10-15 seconds to avoid hypoxemia
NURSING EXAM
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