ATI FUNDAMENTALS PROCTORED EXAM. QUESTIONS AND ANSWERS WITH RATIONALE

Fundamentals
FOLDERI1:IATIIFUNDAMENTALSIPROCTOREDIEXAM.
QUESTIONSIANDIANSWERSIWITHIRATIONALE.
2.IAInurseIisIcaringIforIaIclientIwhoIisIscheduledItoIhaveIhisIalanineIaminotransferaseI(ALT)IlevelIchecked.
ITheIclientIasksItheInurseItoIexplainItheIlaboratoryItest.IWhichIofItheIfollowingIisIanIappropriateIresponseIb
yIthe
nurse?
a.
Ib
.“ThisItestIwillIindicateIifIyouIareIatIriskIforIdevelopingIbloodIclots
“ThisItestIwillIdetermineIifIyourIheartIisIperformingIproperly”
c.“ThisItestIwillIprovideIinformationIaboutItheIfunctionIofIyourIliver”

Rationale:IALTItestImeasuresIamountIofIenzymeIinIblood.IALTImainlyIfoundIinIliver
Rationale:ILeadershipI7.0.IALTIandIASTImeasureIyouIliverIfunction.ICreatinineIandIBUNImeas
ureIyourIkidneyIfunction
d.“ThisItestIisIusedItoIcheckIhowIyourIkidneysIareIworking”
.
3.IAInurseIisIcaringIforIaIclientIwhoIhasIaIprescriptionIforImorphineI5mgIIMIaccidentallyIadministers
ItheIwholeI10ImgIfromItheIsingle-
doseIvial.IWhichIofItheIfollowingIactionsIshouldItheInurseItakeIIf i rs t ?
a.IIINotifyItheIclient’sIprovider.
b.IIReportItheIincidentItoItheIpharmacy.
c.IIICompleteIanIincidentIreport.
d.IIIMeasureItheIclient’sIrespiratoryIrate.
IRationale:ImorphineIODI=IpulmonaryIedemaIIfillsIlungsIw/
IfluidIIleadingIcauseIofIdeathIforIOD
IRationale:IMorphineIcanIcauseIrespiratoryIdepressionIifIgivenItooImuch.IAlsoIyouIshouldIALW
AYSIASSESSItheIpatientIfirstIwhenIaImedIerrorIisIperformedItoImakeIsureImedIerrorIdoesn’tIput
ItheIclient’sIhealthIinIrisk.
4.IAInurseIisIpreparingItoIadministerIdiphenhydramineI20ImgIorallyItoIaI6-year-
oldIchildIwhoIhasIdifficultyIswallowingIpills.IAvailableIisIdiphenhydramineI12.5Img/
5ImLIoralIsyrup.IWhichIofItheIfollowingIimagesIshowsItheIcorrectI#IofImLItheInurseIshouldIadminister?
I(RoundItheIanswerItoItheInearestIwholeInumber.)
ClickIonItheIsyringeIthatIhasI8ImLIofIme
d.
20ImgIxI(5mL/
12.5mg)I=I8ImL
5.IAInurseIisIcaringIforIaI6-year-oldIchildIwhoIhasIaInewIprescriptionIforIcefoxitinI80Img/kg/
dayIadministeredIintravenouslyIeveryI6Ihour.ITheIchildIweighsI20Ikg.IHowImuchIcefoxitinIshouldItheIn
urseIadministerIwithIeachIdose?
I(RoundItheIanswerItoItheInearestIwholeInumber.IUseIaIleadingIzeroIifIitIapplies.IDoInotIuseIaItrailingIz
ero.)
ISoIitIsaysIeachIdoseIforItheIfinalIanswer,IbutIweIareIgivenI80Img/kg/da y . I80IIxI20I=I1600I/I4I(doseIisIgivenIeveryI6IhoursIaIday)I=II400Img
IRationale:I80ImgIxI20IkgI=I1,600II1,600/4IxIdayI(q6h)I=I400Img 6.IAInurseIisIpreparingItoIadministerIIVIfluidsItoIaIclient.ITheInurseInotesIsparksIwhenIpluggingIinItheIIV
pump.IWhichIofItheIfollowingIactionsIshouldItheInurseItakeIfirst?
a.IIILabelItheIpumpIwithIaIdefectiveIequipmentIsticker.
b.IIIUnplugItheIpump. c.IIIObtainIaIreplacementIpump.
d.IINotifiedItheIbiomedicalIdepartmentItoIfixItheIpump.
IRationale:IPrioritizationIquestion.IYOUIWILLIFIRSTIUNPLUGItheIIVIpumpItoIavoidIcausingIaIfire.
7.IAInurseIisIcaringIforIaIclientIwhoIhasIaIsurgicalIwound.IWhichIofItheIfollowingIlaboratoryIvaluesIplace
sItheIclientIatIriskIforIpoorIwoundIhealing?
a.IIISerumIalbuminI3Ig/dL
b.IIITotalIlymphocyteIcountI2400Im
m3Ic.IIIHCTI42%
d.IIIHGBI16g/dL
IRationale:IAlbuminIinIlow.INormalIrangeIisI3.5ItoI5.5Ig/
dL.ILowIalbuminIplacesItheIclientIatIriskIforIpoorIwoundIhealing.ITheIotherIlabIvaluesIareIwithinInormal
Ilimits.
8.IAInurseIisIpreparingItoIcheckIaIclient'sIbloodIpressure.IWhichIofItheIfollowingIactionsIshouldItheInurseIta
ke?
ChapterI27IVitalsIsignsIpageI244
a.IIIApplyItheIcuffIaboveItheIclient’sIantecubitalIfossa.
b.IIUseIaIcuffIwithIaIwidthIthatIisIaboutI60%IofItheIclient'sIarmIcircumference.I-
IwidthIofItheIcuffIshouldIbe
40I%IofIarmIcircumference
c.IIIHowItheIclientsIsitIwithIhisIarmIrestingIaboveItheIlevelIofIhisIheart.I-
IMUSTIBEIATIHEARTILEVEL
d.IIReleaseItheIpressureIonItheIclient'sIarmI5ItoI6ImmIperIsecond.I-
IpressureIreleaseIshouldInotIbeImoreIthan
2ItoI3ImmIhgIperIsecond
IRationale:IATIIFUNDAIsaysI40%IofItheIarmIcircumferenceIpg.I139.IReleaseItheIpressureInoIfasterIt
han
2ItoI3ImmIHgIperIsecond.IApplyItheIBPIcuffI2.5IcmI(1Iin)IaboveItheIantecubitalIspaceIwithItheIbra
chialIarteryIinIlineIwithItheImarkingIonItheIcuff.IApplyItheIBPIcuffI2.5IcmI(1Iin)IaboveItheIantecub
italIspaceIwithItheIbrachialIarteryIinIlineIwithItheImarkingIonItheIcuff.
9.IAInurseIisIpreparingItoIperformInasalItrachealIsuctioningIforIaIclient.IWhichIofItheIfollowingIisIanIapprop
riateIactionIforItheInurseItoItake?IChapterI53IAirwayImanagementIpageI563
a.IIIHoldItheIsuctionIcatheterIwithItheIcleanInon-dominantIhand.
b.IIApplyIsuctioningIforI20ItoI30Iseconds.I-I10I-15IsecondsIisItheImaximum.
c.IIIPlaceItheIcatheterIinIaIlocationIthatIisIcleanIandIdryIforIlaterIuseInewIline.I-
INEVERIEVERIREUSEITHEISUCTIONICATHETERI.IyouIthrowIitIawayIafterIbeingIused.
d.IIUseIsurgicalIasepsisIwhenIperformingItheIprocedure.I-
IbookIsayImedicalIasepsisIwhichIisImaybeItheIsameIthingI.
IIRationale:IsterileItechniqueIforItrachea
IRationale:IATIIFUNDA.IPG.I316IUseIsurgicalIasepsisIforIallItypesIofIsuctioning.INoIlongerIthanI1
0-15IsecondsItoIavoidIhypoxemia
10.IAInurseIisIdocumentingIclientIcare.IWhichIofItheIfollowingIabbreviationsIshouldItheInurseIuse?
atiIbookIwasInotIthoroughIsoIiIhadItoIgoIonIdifferentIsitesIforIchartsI-
InotIconfidentIwithIthis,IpleaseIdoubleIcheck.
a.III“SS”IforIslidingIscale
b.II“BRP”IforIbathroomIprivileg esIc.III“OJ”IforIorangeIjuice-
IdoInot
d.II“SQ”IforIsubcutaneous-IdoInot
11.IMISSING