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Exam (elaborations)

ATI FUNDS EXAM Questions And Answers 2022

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ATI FUNDS EXAM Questions And Answers 2022 A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? Select all that apply. a. "I need to check my medications for expiration dates." b. "I will use the grab bars when getting in and out of the bathtub." c. "I need to have a fire escape plan with my family." d. "I need to set my hot water heater to 140 degrees Fahrenheit."- no more than 120 degrees e. "I will apply tapes over frayed areas of electrical cord." - Answer- "I will apply tapes over frayed areas of electrical cord." "I need to have a fire escape plan with my family." "I will use the grab bars when getting in and out of the bathtub." "I need to check my medications for expiration dates." A nurse is administering a large volume enema to a client. Identify the sequence of steps the nurse should follow after preparation and lubricating the enema set.(ati funds video enema) 1. Administer the enema solution.(2) 2. Remove the enema tube from the clients rectum.(4) 3. Wrap the end of the enema tube with a disposable tissue.(5) 4. Insert the enema tube into the client's rectum.(1) 5. Clamp the enema tube.(3) - Answer- Insert the enema tube into the client's rectum.(1) Administer the enema solution.(2) Clamp the enema tube.(3) Remove the enema tube from the clients rectum.(4) Wrap the end of the enema tube with a disposable tissue.(5) A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse? a. "This test will indicate if you are at risk for developing blood clots b. "This test will determine if your heart is performing properly" c. "This test will provide information about the function of your liver" d. "This test is used to check how your kidneys are working" - Answer- This test will provide information about the function of your liver" A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the whole 10 mg from the single-dose vial. Which of the following actions should the nurse take first? a. Notify the client's provider. b. Report the incident to the pharmacy. c. Complete an incident report. d. Measure the client's respiratory rate. - Answer- d. Measure the client's respiratory rate. A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse take to verify proper placement of the tube? a. Place the end of the NG tube in water to observe for bubbling. b. Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL of sterile water. AIR NOT WATER OR BY ASPIRATING GASTRIC FOR PH. c. Assess the client's gag reflex. d. Measure the pH of the gastric aspirate. - Answer- Measure the pH of the gastric aspirate. 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.) - Answer- Click on the syringe that has 8 mL of med. 20 mg x (5mL/12.5mg) = 8 mL 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.) - Answer- So it says each dose for the final answer, but we are given 80 mg/kg/day. 80 x 20 = 1600 / 4 (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 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. - Answer- Unplug the pump. 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% d. HGB 16g/dL - Answer- Serum albumin 3 g/dL 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 - Answer- Apply the cuff above the client's antecubital fossa. 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 . - Answer- Use surgical asepsis when performing the procedure. - book say medical asepsis which is maybe the same thing . A nurse is documenting client care. Which of the following abbreviations should the nurse use?ati book was not thorough so i had to go on different sites for charts - not confident with this, please double check. a. "SS" for sliding scale b. "BRP" for bathroom privileges c. "OJ" for orange juice- do not d. "SQ" for subcutaneous- do not - Answer- "BRP" for bathroom privileges A nurse is collecting A blood pressure reading from a client who is sitting in a chair period the nurse determines that the clients BP is 158/96 mmhg. which of the following actions should the nurse take? a. Ensure that the width of the BP cuff is 50% of the client's upper arm circumference. It says 40% b. Reposition the client Supine and recheck her BP. BP. → ORTHOSTATIC HYPOTENSION c. Recheck the clients BP and her other arm for comparison. d. Request that another nurse check the the clients BP in 30 minutes. → 15 minutes - Answer- Recheck the clients BP and her other arm for comparison. CONTINUES.....

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