Ati Pn Comprehensive Predictor Exam Retake Guide Test Bank (700 Q&A) 100% Verified By Expert.

ATI PN COMPREHENSIVE PREDICTOR EXAM RETAKE GUIDE TEST BANK (700 Q&A) 100% VERIFIED BY EXPERT.4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child whohas 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. 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 wholenumber. 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 = 1600 / 4 (dose is given every 6 hours a day) =400 iimg 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 pluggingin the IV pump. Which of the following actions should the nurse take first? a. Label the pump with a defective equipment sticker. b. 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 avoidcausing a fire. 7. A nurse is caring for a client who has a surgical wound. Which of the following laboratoryvalues places the client at risk for poor wound healing? a. Serum iialbumin ii3 iig/dL ATI PN FUNDAMENTALS PROCTORED EXAM (11 LATEST DoDwDonwolownalnodlaoedadedbdeyd :bayb D:cyaT o: dEweSx nmalTomiBc AdgeNndKiuPbsyR:|0bwjai|si mnjhmn eoiae spklmwewawbanitsugaka5 |ira8i4@13@ Distribution of this document is illegal b. Total lymphocyte count 2400 mm3 c. HCT 42% 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 shouldithe nurse take? Chapter 27 Vitals signs page 244 a. b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of thecuff should be 40 % of arm circumference c. How the clients sit with his arm resting above the level of his heart. - MUST BE ATHEART LEVEL d. Release the pressure on the client's arm 5 to 6 mm per second. - pressure release shouldni ot 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 withthe marking on the cuff. 9. A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the followingis 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.- NEVERiEVER REUSE THE SUCTION CATHETER . you throw it away after being used. d. Use surgical asepsis when performing the procedure.- book say medical asepsiswhich is maybe the same thing .  Rationale: sterile technique for trachea Applyiithe iicuff iiabove iithe iiclient‟s iiantecubital iifossa. ATI PN FUNDAMENTALS PROCTORED EXAM (11 LATEST DoDwDonwolownalnodlaoe daedbdeyd D:cyaT o: dEweSx :byab nmalTomiBacgAg deNndKiuPbsyR:|0bwjai|si mnjhmn eoiae spklwmewawbanitusgaka5 |iar8i@413@ Distribution of this document is illegal use?ati iibook iiwas iinot iithorough iiso iii iihad iito iigo iion iidifferent iisites iifor iichartsii-iinot iiconfident iiwith iithis,iplease iidoubleiicheck. iiperiod the iinurse iideterminesiithat iithe iiclients iiBP iiisii158/96 iimmhg. iiwhich iiof iithe iifollowing iiactionsiishouldithe iinurse iitake?  Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of suctioning. Nolonger than 10-15 seconds to avoid hypoxemia 10. a. “SS” for sliding scale b. “BRP” for bathroom privileges c. “OJ” for orange juice- do not d. “SQ” for subcutaneous- do not 11. MISSING 12. a. Ensure that the width of the BP cuff is 50% of the client‟s upper arm circumference. Itsays 40% b. Reposition the client Supine and recheck her BP. BP. → ORTHOSTATICHYPOTENSION 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 13. A nurse is caring for a client who has left lower atelectasis. in which of the followingpositions should the nurse place the client for postural drainage? Chapter 53 Airway Management page 562 e. Supine and low-Fowler's position f. g. Side lying with the right side of the chest elevated h. Prone with pillows under the extremities Aiinurse iiisiicollecting iiAiiblood iipressure iireading iifrom iia iiclient iiwhoiiis iisitting iin iia iichair Aiinurse iiisiidocumenting iiclient iicare. iiWhich iiof iithe iifollowing iiabbreviationsiishouldiithe iinurse Right iilateral iiin iiTrendelenburg iiposition DoDwDonwolownalnodlaoe daedbdeydb: yab d D:cyaT: odEweSx nmalTomiBacgd gAeNn dnKiuPbsyR:|0bwjai|si mnjhmn eoiasepklwmewawbanitsugaka5 |ir8i@413@ Distribution of this document is illegal Clear iiliquids- iiliquids iimust iibe iiTHICK. S i- Ti hheeMiiMaarkreketptplalacceetoiitoBiuiByuayniiadnSdeiilSl eyolluiiyroSutruiidSytuMdyaterial 14. A nurse is receiving the prescription for a client who is experiencing dysphagia following astroke. Which of the following prescriptions should the nurse clarify? a. Dietitian consult b. Speech therapy referral c. Oral suction at the bedside d. Clear liquids can cause aspiration  Rationale: ATI MS. Pg. 83 food levels for dysphagia include pureed, mechanically altered, advanced/mechanically soft, and regular. 15. iitheinurse iishould iifollowiiafter iipreparationiiandiilubricatingiithe iienema iiset.(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) nurse is inserting an NG tube for a client who requires gastric decompression. Which ofthefollowing 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. AIRNOT WATER OR BY ASPIRATING GASTRIC FOR PH. c. Assess the client's gag reflex. d. 17. A nurse is teaching a group of newly licensed nurses about the Braden Scale. Which of thefollowing responses by the newly licensed nurse indicates an understanding of the teaching? a. “The client‟s age is part of the measurement.” - rationale is same as b. b.  Rationale: The six elements are 1. Sensory Perception, 2. Moisture, 4. activity, 5. mobility ,6. nutrition , 7. friction and shear. “The iiscale iimeasures iisix iielements.” Measure iithe iipH iiof iithe iigastric iiaspirate. Aiinurse iiisiiadministering iia iilarge iivolume iienema iito iia iiclient. iiIdentify iithe iisequence iiof iisteps DoDwDonwolownalnodlaoe daedbdeyd:byab D:cyaT o: dEweSx nmalTomiBcgAdgeNndKiuPbsyR:|0bwjai|si mnjhmn eoiasepklwmewawbanitusgaka5 |iar8i@413@ Distribution of this document is illegal iishouldti heiinurse iirecord? c. “The higher the score, the higher the pressure ulcer risk.”- the higher the score the betterchance the patient has of NOT getting an ulcer . score of 12 or less is high risk. Anything above 18 is healthy. d. “Each element has a range from 1 to 5 points.”- each elements is scored from 1-4 actually . 18. A nurse is caring from a client who has a tracheostomy. Which of the following actionsishould the nurse take? a. b. Secure the tracheostomy ties with one finger to fit snugly underneath. → 2 snug fingerswidths under neck strap c. Soak the outer cannula in warm tap water. STERILE NS d. Use a cotton tip applicator to clean the inside in the inner cannula. to clean OUTERicannula surfaces, cllity-approved solutionean the inside with the faci  Rationale: according to POTTER, funda pg. 866 using NS-saturated cotton-tipped sterile swabs and 4x4 gauze, clean exposed outer cannula surfaces and soma under faceplate, extending 5-10cm (2-4in) in all directions from stoma. 19. a. “Incision without redness or drainage.” b. “Drink adequate amounts of fluid with meals.” WHATS THE AMOUNT c. “Oral temperature slightly elevated at 0800.” WHATS THE TEMP d. “Administered pain medication.” Any action & change to the client‟s condition should be recorded 20. A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints onclients who are confused. Which of the following instructions should the nurse include? a. “Use full-length side rails on the client‟s bed.” b. “Check on the client frequently while he is in the restroom.” c. “Encourage iiphysical iiactivity iithroughout iithe iiday iitoiiexpand iienergy.” A iinurse iiisiidocumenting iiin iia iiclient‟s iimedical iirecord ii. iiWhichiiofiithe iifollowingiientries Cleaniithe iiskin iiaroundiithe iistoma iiwith iinormal iisaline. DoDwDonwolownalnodlaoe daedbdeydb: yab D:cyaT o: dEweSx nmalTomiBcgdgAeNndKiuPbsyR:|0bwjai|si mnjhmn eoiasepklmwewawbanitusgaka5 |iar8i@413@ Distribution of this document is illegal d. “Remove clocks from the client‟s room.” 21. A nurse in an emergency department is assessing a client who reports RIGHT lower quadrantpain, nausea and vomiting for the past 48 hr. Which of the following actions should the nurse take first? a. b. Administer an antiemetic. c. Offer a pain med. d. Palpate the abdomen. Possible appendicitis “nausea/vomiting” with RLQ pain. (IAPP) INSPECTION. AUSCULTATE. PERCUSS. PALPATE- FOR BOWEL 22. A nurse is assessing a client‟s extraocular eye movements. Which of the following should thenurse take? a.  Rationale: Cardinal fields of gaze test for cranial nerves 3, 4, and 6 which are for eye movement b. Hold a finger 46 cm (18 in) in front of the client‟s eyes. c. Ask the clients to cover her right eye during assessment of her left eye. d. Position the client‟s 6.1 m (20 feet) away from the Snellen chart. (This is for cranialnerve 2).