ati-fundamentals-test-bank--questions-and-answers-100-verified

ATI
Fundamental
sTestBank
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2021-2024
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Questions
andAnswers
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,
,  Rationale : Morphine can cause respiratory depression if given too much. Also you
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v should ALWAYS ASSESS the patient first when a med error is performed to make sure
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v med error doesn‟t put the client‟s health in risk.
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4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has
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v difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the
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v following images shows the correct # of mL the nurse should administer? (Round the answer to the
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v nearest whole number.) v v




Click onthe syringe that has 8 mLof med. v v v v v v v v v




20 mg x(5mL/12.5mg) = 8 mL
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5. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80 mg/kg/day
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administered intravenouslyevery6 hour. The child weighs 20 kg. How much cefoxitin should the
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nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading
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v zero if it applies. Do not use a trailing zero.)
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 Soitsays eachdose forthe final answer, but we are given80 mg/kg/day.
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 80 x20 = (dose is givenevery6 hours aday) =400 mg
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Rationale:80 mg x 20 kg= 1,600 → 1,600/4 xday(q6h) = 400 mg
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6. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks whenplugging in the
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v IV pump. Which ofthe following actions should the nurse take first?
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a. Label the pump witha defective equipment sticker. v v v v v v v




b. Unplugthe pump. v v




c. Obtain a replacement pump. v v v




d. Notified thebiomedicaldepartment to fixthe pump. v v v v v v v




 Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid v v v v v v v v v v v




v causing a fire. v v




7. A nurse is caring for a client who has a surgical wound. Whichofthe following laboratory
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v values places the client at risk for poor wound healing?
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a. Serum albumin 3 g/dL v v v

, b. Total lymphocyte count 2400 mm3 v v v v




c. HCT42% v




d. HGB 16g/dL v




 Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Lowalbumin places the
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v client at risk forpoor wound healing. The other lab values are within normal limits.
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8. A nurse is preparing to check a client's blood pressure. Which of the following actions should the
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v nurse take? Chapter 27 Vitals signs page 244
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a. Apply the cuff above the client‟s antecubital fossa.
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b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the cuff
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should be 40 % of arm circumference
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c. How the clients sit with his arm restingabove the levelof his heart. - MUST BE AT
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v HEART LEVEL v




d. Release the pressure on the client's arm 5 to 6 mm per second. - pressure release should not be
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v more than 2 to 3 mm hg per second
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 Rationale: ATI FUNDA says 40% of the arm circumference pg. 139. Release the pressure
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no faster than 2 to 3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in) above the antecubital
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v space with the brachial artery in line with the marking on the cuff.Apply the BP cuff2.5 cm
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(1 in) above the antecubitalspace with the brachialartery in line with the marking on the cuff.
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9. A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the following is an
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appropriate action for the nurse to take? Chapter53 Airway management page 563
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a. Holdthe suctioncatheter with the clean non-dominant hand.
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b. Applysuctioning for 20 to30 seconds.- 10 -15 seconds is the maximum.
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c. Place the catheter ina locationthat is clean and dry for later use new line.- NEVER
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v EVER REUSE THESUCTION CATHETER . you throw it awayafter being used.
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d. Use surgical asepsis when performing the procedure.- book say medical asepsis
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v which is maybe the same thing . v v v v v v




 Rationale:sterile technique fortrachea v v v v