ATI PN Fundamentals Proctored exam with
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A nurse is planning care for an adult client who has fluid volume excess. Which of the
following interventions should the nurse plan to include to monitor the client's weight?
A. Calibrate the scales weekly
B. Use a different scale each time
C. Weigh the client on arising
D. Weigh the client without clothing - C (Weigh the client on arising)
A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take?
A. Place the client in a lateral position with the head turned to the side before beginning
the procedure
B. Use the thumb and index finger to keep the client's mouth open
C. Rinse the client's mouth with an alcohol-based mouthwash following the procedure
D. Cleanse the client's mucous membranes with lemon-glycerin sponges - A (Place
the client in a lateral position with the head turned to the side before beginning the
procedure)
A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he could resume lower-intensity activities of daily
living. Which of the following activities should the nurse recommend to the client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes - D (Washing dishes)
, A nurse is caring for a client who has a terminal illness. The client is restless and reports
severe pain but refuses the prescribed opioid pain medication. Which of the following
actions should the nurse take first?
A. Ask why the client is refusing the pain medication
B. Administer a PRN antianxiety medication
C. Help the client change positions
D. Offer the client a heat or cold pack to place on painful areas - A (Ask why the client is
refusing the pain medication)
A nurse is assessing a client who is postoperative. Which of the following findings
should the nurse identify as an indication that the client is experiencing pain?
A. Diarrhea
B. Pupillary constriction
C. Flushing
D. Grimacing - D (Grimacing)
A nurse is caring for a client who has a deficiency of vitamin D. Which of the following
foods should the nurse recommend the client include in his diet?
A. Whole milk
B. Chicken
C. Oranges
D. Dried peas - A (Whole milk)
A nurse is preparing to administer 700 mL of 0.9% sodium chloride IV to a child to
infuse over 24 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse
should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the
numeric value only, round the answer to the nearest whole number, and use a leading
zero if applicable. Do not use a trailing zero.) - 29
(To solve using ratio and proportion and "desired over have" methods:
Step 1: What is the unit of measurement the nurse should calculate? gtt/min
Step 2: What is the volume the nurse should infuse? 700 mL
Step 3: What is the total infusion time? 24 hr
Step 4: Should the nurse convert the units of measurement? Yes (hours are not equal to
minutes)
1 hr/ 60 min = 24 hr/ X min
X = 1,440 min
Step 5: Set up the equation and solve for X.
Volume (mL)/Time (min) x Drop factor (gtt/mL) = X
700 mL/1440 min x 60 gtt/mL = X gtt/min
29.1666 = X
verified questions and Verified Answers
latest updated
A nurse is planning care for an adult client who has fluid volume excess. Which of the
following interventions should the nurse plan to include to monitor the client's weight?
A. Calibrate the scales weekly
B. Use a different scale each time
C. Weigh the client on arising
D. Weigh the client without clothing - C (Weigh the client on arising)
A nurse is providing oral care for a client who is unconscious. Which of the following
actions should the nurse take?
A. Place the client in a lateral position with the head turned to the side before beginning
the procedure
B. Use the thumb and index finger to keep the client's mouth open
C. Rinse the client's mouth with an alcohol-based mouthwash following the procedure
D. Cleanse the client's mucous membranes with lemon-glycerin sponges - A (Place
the client in a lateral position with the head turned to the side before beginning the
procedure)
A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he could resume lower-intensity activities of daily
living. Which of the following activities should the nurse recommend to the client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes - D (Washing dishes)
, A nurse is caring for a client who has a terminal illness. The client is restless and reports
severe pain but refuses the prescribed opioid pain medication. Which of the following
actions should the nurse take first?
A. Ask why the client is refusing the pain medication
B. Administer a PRN antianxiety medication
C. Help the client change positions
D. Offer the client a heat or cold pack to place on painful areas - A (Ask why the client is
refusing the pain medication)
A nurse is assessing a client who is postoperative. Which of the following findings
should the nurse identify as an indication that the client is experiencing pain?
A. Diarrhea
B. Pupillary constriction
C. Flushing
D. Grimacing - D (Grimacing)
A nurse is caring for a client who has a deficiency of vitamin D. Which of the following
foods should the nurse recommend the client include in his diet?
A. Whole milk
B. Chicken
C. Oranges
D. Dried peas - A (Whole milk)
A nurse is preparing to administer 700 mL of 0.9% sodium chloride IV to a child to
infuse over 24 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse
should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the
numeric value only, round the answer to the nearest whole number, and use a leading
zero if applicable. Do not use a trailing zero.) - 29
(To solve using ratio and proportion and "desired over have" methods:
Step 1: What is the unit of measurement the nurse should calculate? gtt/min
Step 2: What is the volume the nurse should infuse? 700 mL
Step 3: What is the total infusion time? 24 hr
Step 4: Should the nurse convert the units of measurement? Yes (hours are not equal to
minutes)
1 hr/ 60 min = 24 hr/ X min
X = 1,440 min
Step 5: Set up the equation and solve for X.
Volume (mL)/Time (min) x Drop factor (gtt/mL) = X
700 mL/1440 min x 60 gtt/mL = X gtt/min
29.1666 = X
