ATI PN FUNDAMENTAL PROCTORED NEWEST 2025 TEST BANK 270
QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A charge nurse smells smoke, enters the visitor restroom, and sees
flames in the trash can. What is the sequence of actions that the nurse
should take? (Move the steps into the box on the right, placing them in
the selected order of performance. Use all the steps.)
A. Close the fire doors on the unit.
B. Use a fire extinguisher to put out the fire.
,C. Evacuate clients from the area.
D. Pull the lever on the fire alarm box. - ...ANSWER...C. Evacuate
clients from the area.
The first action the nurse should take when using the RACE protocol
is to "rescue" or evacuate the clients from the area to prevent harm.
D. Pull the lever on the fire alarm box.
For the next step, "alarm," the nurse should activate the facility fire
alarm and call to report the fire to the facility emergency extension.
A. Close the fire doors on the unit.
For the third step, "confine," the nurse should close the unit fire doors to
prevent the fire from spreading.
B. Use a fire extinguisher to put out the fire.
For the final step, "extinguish," the nurse should use a fire extinguisher
to put out the fire by aiming the nozzle at the base of the fire and
using a sweeping motion.
A nurse is calculating the intake and output for a client over the last 8
hr. The client is receiving a continuous IV infusion at 150 mL/hr and
had 4 oz of juice and 0.5 L of water. How many mL of fluid should the
nurse document as the client's intake for the last 8 hr? (Round your
answer to the nearest whole number.)
mL - ...ANSWER...1820 mL
A nurse is caring for a client who has a prescription
for a potassium supplement. The client tells the nurse
that the pill is too large to swallow and refuses to
take it.
,The nurse offers to break the pill into two smaller pieces. The nurse is
demonstrating which of the following ethical principles?
A. Autonomy
B. Beneficence
C. Justice
D. Nonmaleficence - ...ANSWER...B. Beneficence
The nurse is demonstrating beneficence by acting in
the client's best interest to make it possible for the
client to
swallow the medication.
A charge nurse is reinforcing teaching with an
assistive personnel (AP) about performing pulse
oximetry. Which
of the following information should the nurse include in the teaching?
A. Select an alternate site to place the oximetry probe if the capillary
refill is less than 2 seconds.
B. Use an adhesive oximetry probe for a client who has a latex allergy.
C. Remove polish from the client's fingernail before applying the
oximetry probe.
D. Lubricate the tip of the oximetry probe. -
...ANSWER...C. Remove polish from the client's fingernail before
applying the oximetry probe.
The nurse should instruct the AP to remove the
client's fingernail polish on at least one finger before
placing the probe on that finger because the sensor
needs to detect a pulsating vascular bed to produce
a reading.
, A nurse is reinforcing dietary teaching with a client who has chronic
kidney disease and requires a low- potassium diet. Which of the following
food choices by the client demonstrates an understanding of the
teaching?
A. 1 cup of cantaloupe
B. 1 large baked potato
C. 4 oz of banana chips
D. 1 cup of applesauce - ...ANSWER...D. 1 cup of applesauce
The nurse should determine that applesauce is the best food choice
because 1 cup of applesauce contains 184 mg of potassium per
serving. Therefore, the client's food choice of applesauce demonstrates
an understanding of the teaching.
A nurse is preparing to administer oxygen to a client who has heart
failure and is having severe difficulty
breathing. Which of the following oxygen
delivery equipment should the nurse select to
highest concentration of oxygen to the client?
provide the
A. Nasal cannula
B. Simple face mask
C. Venturi mask
D. Nonrebreather mask - ...ANSWER...D. Nonrebreather mask
A nonrebreather mask provides the highest percentage of oxygen
concentration without intubation and mechanical ventilation.
QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A charge nurse smells smoke, enters the visitor restroom, and sees
flames in the trash can. What is the sequence of actions that the nurse
should take? (Move the steps into the box on the right, placing them in
the selected order of performance. Use all the steps.)
A. Close the fire doors on the unit.
B. Use a fire extinguisher to put out the fire.
,C. Evacuate clients from the area.
D. Pull the lever on the fire alarm box. - ...ANSWER...C. Evacuate
clients from the area.
The first action the nurse should take when using the RACE protocol
is to "rescue" or evacuate the clients from the area to prevent harm.
D. Pull the lever on the fire alarm box.
For the next step, "alarm," the nurse should activate the facility fire
alarm and call to report the fire to the facility emergency extension.
A. Close the fire doors on the unit.
For the third step, "confine," the nurse should close the unit fire doors to
prevent the fire from spreading.
B. Use a fire extinguisher to put out the fire.
For the final step, "extinguish," the nurse should use a fire extinguisher
to put out the fire by aiming the nozzle at the base of the fire and
using a sweeping motion.
A nurse is calculating the intake and output for a client over the last 8
hr. The client is receiving a continuous IV infusion at 150 mL/hr and
had 4 oz of juice and 0.5 L of water. How many mL of fluid should the
nurse document as the client's intake for the last 8 hr? (Round your
answer to the nearest whole number.)
mL - ...ANSWER...1820 mL
A nurse is caring for a client who has a prescription
for a potassium supplement. The client tells the nurse
that the pill is too large to swallow and refuses to
take it.
,The nurse offers to break the pill into two smaller pieces. The nurse is
demonstrating which of the following ethical principles?
A. Autonomy
B. Beneficence
C. Justice
D. Nonmaleficence - ...ANSWER...B. Beneficence
The nurse is demonstrating beneficence by acting in
the client's best interest to make it possible for the
client to
swallow the medication.
A charge nurse is reinforcing teaching with an
assistive personnel (AP) about performing pulse
oximetry. Which
of the following information should the nurse include in the teaching?
A. Select an alternate site to place the oximetry probe if the capillary
refill is less than 2 seconds.
B. Use an adhesive oximetry probe for a client who has a latex allergy.
C. Remove polish from the client's fingernail before applying the
oximetry probe.
D. Lubricate the tip of the oximetry probe. -
...ANSWER...C. Remove polish from the client's fingernail before
applying the oximetry probe.
The nurse should instruct the AP to remove the
client's fingernail polish on at least one finger before
placing the probe on that finger because the sensor
needs to detect a pulsating vascular bed to produce
a reading.
, A nurse is reinforcing dietary teaching with a client who has chronic
kidney disease and requires a low- potassium diet. Which of the following
food choices by the client demonstrates an understanding of the
teaching?
A. 1 cup of cantaloupe
B. 1 large baked potato
C. 4 oz of banana chips
D. 1 cup of applesauce - ...ANSWER...D. 1 cup of applesauce
The nurse should determine that applesauce is the best food choice
because 1 cup of applesauce contains 184 mg of potassium per
serving. Therefore, the client's food choice of applesauce demonstrates
an understanding of the teaching.
A nurse is preparing to administer oxygen to a client who has heart
failure and is having severe difficulty
breathing. Which of the following oxygen
delivery equipment should the nurse select to
highest concentration of oxygen to the client?
provide the
A. Nasal cannula
B. Simple face mask
C. Venturi mask
D. Nonrebreather mask - ...ANSWER...D. Nonrebreather mask
A nonrebreather mask provides the highest percentage of oxygen
concentration without intubation and mechanical ventilation.
