ATI Fundamentals Proctored Exam With Correct Questions And Answers

A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty
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swallowing pills. Available is diphenhydramine 12.5mg/5ml oral syrup. Which of the following images
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indicates the correct number of mL the nurse should administer? (round answer to the nearest whole
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number.)
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DOSAGE CALCULATION - 8ml J J J




A nurse is admitting a client who is malnourished. The client states, "My wedding ring is loose and I'm
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worried I will lose it if it falls off."Which of the following is an appropriate response by the nurse?
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a. " I will place it in your drawer so it won't get lost."
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b. I can pin it to your hospital gown so you won't lose it."
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c. "I will hold onto it until a family member can take it home."
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d. I can put it in a locked storage unit for you - d
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A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which of the
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following clinical situations should the nurse apply restraints?
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a. If the client is pacing in the hallway
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b. As a part of a fall prevention program
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c. At the request of the client's family
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d. When the client poses a threat to self - d
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To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight
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catheterization on a client. In which of the following roles is the nurse manager functioning?
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a. Case manager
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b. Client educator
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c. Client care provider
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d. Client advocate - d
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A charge nurse in a long-term care facility is preparing an educational program about delirium for newly
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hired nurses. Which of the following statements should the nurse plan to include?
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,a. "Delirium does not affect a client's perception of her environment."
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b. "Delirium does not affect a client's sleep cycle."
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c. "Delirium has an abrupt onset."
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d. "Delirium has a slow progression." - c
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A nurse is speaking with a client who has recently received a diagnosis of a chronic illness. The client states, "
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The doctor must be wrong. I can't be that sick". The nurse should inform the client that their reaction is an
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example of which of the following expected responses to grief?
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a. Acceptance
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b. Denial J




c. AngerJ




d. Depression - b
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A Nurse on a medical-surgical unit is providing care for four clients. The nurse should identify which of the
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following situations as an ethical dilemma?
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a. A surgeon who removed the wrong kidney during a surgical procedure refuses to take responsibility for
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her actions
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b. A client who has Crohn's disease reports that his prescription drug plan will not pay for his medications.
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c. A client who has a new colostomy refuses to take instructions from the ostomy therapist because she
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"doesn't like him."
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d. the family of a client who has a terminal illness asks the provider not to tell the client the diagnosis - d
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A nurse is teaching a client about performing breast self-examinations. Which of the following statements
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by the clients indicates an understanding of the teaching?
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a. "I should perform my self-exam the week that my period starts"
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b. "I should make different patterns on each breast when I do my self-exam."
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c. "I should use the palm of my hand to apply pressure to each breast."
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d. "I should make circular motions with my fingertips under my arms." - d
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A nurse is preparing to transfer a client who is partially weight bearing from the bed to the chair. Which of
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the following actions should the nurse take?
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,a. Keep his knees straight when moving the client
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b. Position the chair next to the bed as a 90 degree angle
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c. Stand with his feet together when lifting the client
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d. Have the client bear weight on her stronger leg - d
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A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription for
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ondansetron 4mg IV bolus every 6hr PRN for nausea and vomiting. Identify the sequence of steps the nurse
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should follow to administer the medication. ( Move the steps into the box on the right, placing them in the
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order of performance. Use all the steps.)
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- Select the injection port of the IV tubing closest to the client.
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- Cleanse the injection port with an antiseptic swab.
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- Aspirate for blood return.
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- Inject the medication.
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- perform hand hygiene - 1. perform hand hygiene
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2. select the injection port of the IV tubing closest to the client
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3. cleanse the injection port with an antiseptic swab
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4. aspirate for blood return
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5. inject the medication
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A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin.
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Which of the following statements but the client indicates an understanding of the teaching
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a. I should wait 3 minutes after mixing the insulin to inject it
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b. I should draw up the NPH insulin before regular insulin
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c. I should inject air into the vial of regular insulin first
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d. I should roll the vial of NPH insulin between my hands before drawing it up - d
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A nurse is assessing the body temperature of an adult client using a temporal artery thermometer. Which of
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the following actions should the nurse take? (Select all that apply)
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a. Slide the probe across the clients forehead
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b. Pull the clients pinna up & back
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, c. Hold the client's hair aside while performing the procedure
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d. Document the client's temperature with "AX" next to the value
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e. Move the probe in a circular motion - a, c
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A nurse is preparing to insert a peripheral IV catheter into the client's arm. Which of the following actions
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should the nurse take to help dilate the vein?
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a. Stroke the skin near the vein in an upward position
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b. Dangle the client's arm over the edge of the bed
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c. Apply a cool compress to the vein for 10 min
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d. Instruct the client to flex their arm with the hand open - b
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A nurse is preparing to suction a client's tracheostomy tube. Which of the following actions should the
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nurse plan to take?
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a. Apply intermittent suction during catheter insertion
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b. Suction the client's airway for 20 seconds with each pass
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c. Hyperoxygenate the client manually for 30 to 60 seconds before suctioning
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d. decrease suction pressure to 150 mm Hg if the O2 sat levels drop during suctioning - a
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A nurse is assessing a client who received morphine for severe pain 30 mins ago. Which of the following
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finding is the nurse's priority?
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a. Last bowel movement was 3 days ago
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b. Reports pain of 8 on a scale of 0 to 10
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c. Distended bladder
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d. Respiratory rate 7/min - d
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A nurse is caring for a client who has been treated multiple times for STIs. Which of the following responses
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should the nurse take?
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a. "You must have too many sexual partners"
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b. "Why do you keep letting this happen?"
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c. "Let's explore why this might be re-occuring"
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