NEXT GENERATION RN ATI
FUNDAMENTALS OF NURSING
PROCTORED EXAM 2024/25 WITH NGN
GRADED A+ WITH VERIFIED QUESTIONS
AND DETAILED RATIONALES EXAM 4
Answer: 0.25
1. A physician orders digoxin 0.1 mg orally every
morning for a 6-month-old infant with heart failure.
Digoxin is available in a 400 mcg/ml concentration. Rationale: Use the following equations.
How many milliliters of digoxin should the nurse give?
To convert mg to mcg:
1,000 mcg/1 mg = X mcg/0.1 mg
X = 100 mcg.
To calculate drug dose:
Dose on hand/Quantity on hand = Dose desired/X
400 mcg/ml = 100 mcg/X
X = 0.25 ml.
Nursing process step: Implementation
Client needs category: Physiological integrity
Client needs subcategory: Pharmacological thera-
pies
Cognitive level: Application
D 3. 5 to 6 months
2. A nurse is checking an infant on a routine visit.
The infant coos and babbles after feeding in response D 4. 7 to 9 months
to the mother and nurse talking to him, but doesn’t
smack his lips or make “raspberries.” How old is the D 5. 10 to 12 months
infant?
D 1. 0 to 2 months
D 2. 3 to 4 months
TH E I N FANT 1
, Answer: 2
Rationale: An infant who coos and babbles in re-
sponse to someone talking to him is 3 to 4
months old. An infant this age also can respond to
the caregiv- er with a smile. A 0- to 2-month-old
infant listens to human voices and produces only
vowel sounds. A 5- to 6-month-old infant can
make “raspberries” and smack his lips as well as
recognize familiar names and sounds. A 7- to 9-
month-old infant responds to his name, imitates
sounds, and enjoys listening to simple books. A 10-
to 12-month-old infant may speak a few words
such as “bye-bye” or “ma-ma.”
Nursing process step: Data collection
Client needs category: Health promotion and
main- tenance
Client needs subcategory: None
Cognitive level: Application
TH E I N FANT 2
, 3. A nurse has received report on her clients and no-
tices that they are of varying ages. In order to prepare
Answer:
for the shift, the nurse reviews Erikson’s five stages of 2. Trust versus mistrust
psychosocial development. Place the stages listed be-
5. Autonomy versus shame and doubt
low in ascending chronological order starting with in-
fancy, according to Erikson’s definitions of infancy, tod- 1. Initiative versus guilt
dlerhood, preschool age, school age, and adolescence.
Use all the options. 3. Industry versus inferiority
1. Initiative versus guilt 4. Identity versus role confusion
2. Trust versus mistrust
Rationale: During the first stage of Erikson’s five
3. Industry versus inferiority stages of psychosocial development—trust versus mis-
trust (birth to age 1)—the child develops trust as the
4. Identity versus role confusion primary caregiver meets his needs. In the second
stage—autonomy versus shame and doubt (ages 1 to
5. Autonomy versus shame and doubt 3)—the child gains control of body functions and be-
comes increasingly independent. In stage 3—initiative
versus guilt (ages 3 to 6)—the child develops a con-
science and learns about the world through play. In
stage 4—industry versus inferiority (ages 6 to 12)—the
child enjoys working on projects with others, follows
rules, and forms social relationships. As body changes
begin to take place, the child enters stage 5—identity
versus role confusion (ages 12 to 19)—and becomes
preoccupied with how he looks, how others view him,
meeting peer expectations, and establishing his own
identity.
Nursing process step: Planning
Client needs category: Health promotion and main-
tenance
Client needs subcategory: None
Cognitive level: Comprehension
4. A nurse is caring for a 1-month-old infant who fell
from the changing table during a diaper change. Which
Answer: 1, 4, 6
signs and symptoms of increased intracranial pressure Rationale: Signs and symptoms of increased ICP in a
(ICP) is the nurse likely to determine in a 1-month-old 1-month-old include full, tense, bulging fontanels; a
infant? Select all that apply. high-pitched cry; and irritability. With increased ICP,
blood pressure rises while heart rate falls. The infant
□ 1. Bulging fontanels
may have a headache, but the nurse is unable to as-
□ 2. Decreased blood pressure certain this finding in an infant.
□ 3. Increased pulse Nursing process step: Data collection
□ 4. High-pitched cry Client needs category: Physiological integrity
□ 5. Headache Client needs subcategory: Physiological adaptation
□ 6. Irritability Cognitive level: Analysis
TH E I N FANT 3
FUNDAMENTALS OF NURSING
PROCTORED EXAM 2024/25 WITH NGN
GRADED A+ WITH VERIFIED QUESTIONS
AND DETAILED RATIONALES EXAM 4
Answer: 0.25
1. A physician orders digoxin 0.1 mg orally every
morning for a 6-month-old infant with heart failure.
Digoxin is available in a 400 mcg/ml concentration. Rationale: Use the following equations.
How many milliliters of digoxin should the nurse give?
To convert mg to mcg:
1,000 mcg/1 mg = X mcg/0.1 mg
X = 100 mcg.
To calculate drug dose:
Dose on hand/Quantity on hand = Dose desired/X
400 mcg/ml = 100 mcg/X
X = 0.25 ml.
Nursing process step: Implementation
Client needs category: Physiological integrity
Client needs subcategory: Pharmacological thera-
pies
Cognitive level: Application
D 3. 5 to 6 months
2. A nurse is checking an infant on a routine visit.
The infant coos and babbles after feeding in response D 4. 7 to 9 months
to the mother and nurse talking to him, but doesn’t
smack his lips or make “raspberries.” How old is the D 5. 10 to 12 months
infant?
D 1. 0 to 2 months
D 2. 3 to 4 months
TH E I N FANT 1
, Answer: 2
Rationale: An infant who coos and babbles in re-
sponse to someone talking to him is 3 to 4
months old. An infant this age also can respond to
the caregiv- er with a smile. A 0- to 2-month-old
infant listens to human voices and produces only
vowel sounds. A 5- to 6-month-old infant can
make “raspberries” and smack his lips as well as
recognize familiar names and sounds. A 7- to 9-
month-old infant responds to his name, imitates
sounds, and enjoys listening to simple books. A 10-
to 12-month-old infant may speak a few words
such as “bye-bye” or “ma-ma.”
Nursing process step: Data collection
Client needs category: Health promotion and
main- tenance
Client needs subcategory: None
Cognitive level: Application
TH E I N FANT 2
, 3. A nurse has received report on her clients and no-
tices that they are of varying ages. In order to prepare
Answer:
for the shift, the nurse reviews Erikson’s five stages of 2. Trust versus mistrust
psychosocial development. Place the stages listed be-
5. Autonomy versus shame and doubt
low in ascending chronological order starting with in-
fancy, according to Erikson’s definitions of infancy, tod- 1. Initiative versus guilt
dlerhood, preschool age, school age, and adolescence.
Use all the options. 3. Industry versus inferiority
1. Initiative versus guilt 4. Identity versus role confusion
2. Trust versus mistrust
Rationale: During the first stage of Erikson’s five
3. Industry versus inferiority stages of psychosocial development—trust versus mis-
trust (birth to age 1)—the child develops trust as the
4. Identity versus role confusion primary caregiver meets his needs. In the second
stage—autonomy versus shame and doubt (ages 1 to
5. Autonomy versus shame and doubt 3)—the child gains control of body functions and be-
comes increasingly independent. In stage 3—initiative
versus guilt (ages 3 to 6)—the child develops a con-
science and learns about the world through play. In
stage 4—industry versus inferiority (ages 6 to 12)—the
child enjoys working on projects with others, follows
rules, and forms social relationships. As body changes
begin to take place, the child enters stage 5—identity
versus role confusion (ages 12 to 19)—and becomes
preoccupied with how he looks, how others view him,
meeting peer expectations, and establishing his own
identity.
Nursing process step: Planning
Client needs category: Health promotion and main-
tenance
Client needs subcategory: None
Cognitive level: Comprehension
4. A nurse is caring for a 1-month-old infant who fell
from the changing table during a diaper change. Which
Answer: 1, 4, 6
signs and symptoms of increased intracranial pressure Rationale: Signs and symptoms of increased ICP in a
(ICP) is the nurse likely to determine in a 1-month-old 1-month-old include full, tense, bulging fontanels; a
infant? Select all that apply. high-pitched cry; and irritability. With increased ICP,
blood pressure rises while heart rate falls. The infant
□ 1. Bulging fontanels
may have a headache, but the nurse is unable to as-
□ 2. Decreased blood pressure certain this finding in an infant.
□ 3. Increased pulse Nursing process step: Data collection
□ 4. High-pitched cry Client needs category: Physiological integrity
□ 5. Headache Client needs subcategory: Physiological adaptation
□ 6. Irritability Cognitive level: Analysis
TH E I N FANT 3
