ATI
Fundamental
sTestBank
, , ,
2021-2024
, , ,
Questions
andAnswers
, ,
,
, Rationale : Morphine can cause respiratory depression if given too much. Also you
, , , , , , , , , , , , ,
should ALWAYS ASSESS the patient first when a med error is performed to make sure
, , , , , , , , , , , , , , ,
med error doesn‟t put the client‟s health in risk.
, , , , , , , , ,
4. A nurse is preparing to administer diphenhydramine 20 mg orallyto a 6-year-old child who has
, , , , , , , , , , , , , , ,
difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the
, , , , , , , , , , , , , ,
following images shows the correct # of mL the nurse should administer? (Round the answer to the
, , , , , , , , , , , , , , , , ,
nearest whole number.)
, , ,
Clickonthesyringethat has8 mLofmed. , , , , , , , , ,
20 mgx(5mL/12.5mg)= 8 mL , , , , , ,
5. A nurse is caring for a 6-year-old child who has a newprescription forcefoxitin80 mg/kg/day
, , , , , , , , , , , , , , , ,
administered intravenouslyevery6 hour. The child weighs 20 kg. How much cefoxitinshouldthe
, , , , , , , , , , , , , , ,
nurseadministerwitheachdose?(Roundtheanswertothenearest whole number. Use a leading zero
, , , , , , , , , , , , , , , , ,
if it applies. Do not use a trailing zero.)
, , , , , , , , ,
Soitsayseachdose forthe finalanswer, but weare given80 mg/kg/day.
, , , , , , , , , , , , , ,
80x20= 1600 /4 (dose is givenevery6 hours aday) =400 mg
, , , , , , , , , , , , , , , ,
Rationale:80 mg x 20 kg= 1,600 → 1,600/4 xday(q6h)= 400 mg
, , , , , , , , , , , , , , , ,
6. Anurse ispreparingtoadminister IV fluidsto aclient. The nurse notessparks whenplugging in the
, , , , , , , , , , , , , , , , , ,
IVpump. Whichofthe followingactions should the nurse take first?
, , , , , , , , , , , ,
a. Labelthepump withadefective equipmentsticker. , , , , , , ,
b. Unplugthe pump. , ,
c. Obtainareplacement pump. , , ,
d. Notifiedthebiomedicaldepartment to fixthepump. , , , , , , ,
Rationale:Prioritization question.YOUWILL FIRSTUNPLUG the IV pump toavoid , , , , , , , , , , ,
causing a fire.
, , ,
7. A nurse iscaring foraclient who hasasurgical wound.Whichofthe followinglaboratory values
, , , , , , , , , , , , , , , , ,
places the client at risk for poor wound healing?
, , , , , , , , ,
a. Serumalbumin 3 g/dL , , ,
, b. Total lymphocytecount2400 mm3 , , , ,
c. HCT42% ,
d. HGB16g/dL ,
Rationale:Albumin in low.Normalrange is3.5to5.5 g/dL. Lowalbuminplaces the client , , , , , , , , , , , , , , ,
at risk forpoor wound healing. The other lab values are within normal limits.
, , , , , , , , , , , , ,
8. A nurseis preparingtocheck aclient'sbloodpressure.Whichofthe followingactions should the
, , , , , , , , , , , , , , , ,
nurse take? Chapter 27 Vitals signs page 244
, , , , , , , ,
a. Applythecuffabovetheclient‟santecubitalfossa. , , , , , , ,
b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the cuff
, , , , , , , , , , , , , , , , , , ,
should be 40 % of arm circumference
, , , , , , ,
c. Howtheclients sitwith hisarmrestingabove the levelofhis heart. - MUST BE AT HEART
, , , , , , , , , , , , , , , , , ,
LEVEL
,
d. Releasethepressureon the client's arm 5 to 6 mm per second. -pressure release should not be
, , , , , , , , , , , , , , , , , ,
more than 2 to 3 mm hg per second
, , , , , , , , ,
Rationale: ATI FUNDA says 40% of the arm circumference pg. 139. Release the pressure no , , , , , , , , , , , , , ,
faster than 2 to 3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in) above the antecubital
, , , , , , , , , , , , , , , , , , , ,
space with the brachial artery in line with the marking on the cuff.Apply theBP cuff2.5 cm (1
, , , , , , , , , , , , , , , , , , ,
in) above the antecubitalspace withthe brachialartery in line with the marking on the cuff.
, , , , , , , , , , , , , , , , ,
9. A nurseis preparingtoperform nasal tracheal suctioning for a client. Which of the following is an
, , , , , , , , , , , , , , , , ,
appropriate action for the nurse to take? Chapter53 Airway management page 563
, , , , , , , , , , , , ,
a. Holdthe suctioncatheter withthecleannon-dominant hand.
, , , , , , , ,
b. Applysuctioningfor20 to30seconds.- 10 -15 seconds is the maximum.
, , , , , , , , , , , ,
c. Placethecatheter ina locationthat isclean and dryfor later use new line.- NEVER EVER
, , , , , , , , , , , , , , , , ,
REUSE THESUCTION CATHETER . youthrow it awayafter being used.
, , , , , , , , , , ,
d. Use surgical asepsis when performing the procedure.- book say medical asepsis
, , , , , , , , , ,
which is maybe the same thing .
, , , , , , ,
Rationale:steriletechnique fortrachea , , , ,
Fundamental
sTestBank
, , ,
2021-2024
, , ,
Questions
andAnswers
, ,
,
, Rationale : Morphine can cause respiratory depression if given too much. Also you
, , , , , , , , , , , , ,
should ALWAYS ASSESS the patient first when a med error is performed to make sure
, , , , , , , , , , , , , , ,
med error doesn‟t put the client‟s health in risk.
, , , , , , , , ,
4. A nurse is preparing to administer diphenhydramine 20 mg orallyto a 6-year-old child who has
, , , , , , , , , , , , , , ,
difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the
, , , , , , , , , , , , , ,
following images shows the correct # of mL the nurse should administer? (Round the answer to the
, , , , , , , , , , , , , , , , ,
nearest whole number.)
, , ,
Clickonthesyringethat has8 mLofmed. , , , , , , , , ,
20 mgx(5mL/12.5mg)= 8 mL , , , , , ,
5. A nurse is caring for a 6-year-old child who has a newprescription forcefoxitin80 mg/kg/day
, , , , , , , , , , , , , , , ,
administered intravenouslyevery6 hour. The child weighs 20 kg. How much cefoxitinshouldthe
, , , , , , , , , , , , , , ,
nurseadministerwitheachdose?(Roundtheanswertothenearest whole number. Use a leading zero
, , , , , , , , , , , , , , , , ,
if it applies. Do not use a trailing zero.)
, , , , , , , , ,
Soitsayseachdose forthe finalanswer, but weare given80 mg/kg/day.
, , , , , , , , , , , , , ,
80x20= 1600 /4 (dose is givenevery6 hours aday) =400 mg
, , , , , , , , , , , , , , , ,
Rationale:80 mg x 20 kg= 1,600 → 1,600/4 xday(q6h)= 400 mg
, , , , , , , , , , , , , , , ,
6. Anurse ispreparingtoadminister IV fluidsto aclient. The nurse notessparks whenplugging in the
, , , , , , , , , , , , , , , , , ,
IVpump. Whichofthe followingactions should the nurse take first?
, , , , , , , , , , , ,
a. Labelthepump withadefective equipmentsticker. , , , , , , ,
b. Unplugthe pump. , ,
c. Obtainareplacement pump. , , ,
d. Notifiedthebiomedicaldepartment to fixthepump. , , , , , , ,
Rationale:Prioritization question.YOUWILL FIRSTUNPLUG the IV pump toavoid , , , , , , , , , , ,
causing a fire.
, , ,
7. A nurse iscaring foraclient who hasasurgical wound.Whichofthe followinglaboratory values
, , , , , , , , , , , , , , , , ,
places the client at risk for poor wound healing?
, , , , , , , , ,
a. Serumalbumin 3 g/dL , , ,
, b. Total lymphocytecount2400 mm3 , , , ,
c. HCT42% ,
d. HGB16g/dL ,
Rationale:Albumin in low.Normalrange is3.5to5.5 g/dL. Lowalbuminplaces the client , , , , , , , , , , , , , , ,
at risk forpoor wound healing. The other lab values are within normal limits.
, , , , , , , , , , , , ,
8. A nurseis preparingtocheck aclient'sbloodpressure.Whichofthe followingactions should the
, , , , , , , , , , , , , , , ,
nurse take? Chapter 27 Vitals signs page 244
, , , , , , , ,
a. Applythecuffabovetheclient‟santecubitalfossa. , , , , , , ,
b. Use a cuff with a width that is about 60% of the client's arm circumference. - width of the cuff
, , , , , , , , , , , , , , , , , , ,
should be 40 % of arm circumference
, , , , , , ,
c. Howtheclients sitwith hisarmrestingabove the levelofhis heart. - MUST BE AT HEART
, , , , , , , , , , , , , , , , , ,
LEVEL
,
d. Releasethepressureon the client's arm 5 to 6 mm per second. -pressure release should not be
, , , , , , , , , , , , , , , , , ,
more than 2 to 3 mm hg per second
, , , , , , , , ,
Rationale: ATI FUNDA says 40% of the arm circumference pg. 139. Release the pressure no , , , , , , , , , , , , , ,
faster than 2 to 3 mm Hg per second. Apply the BP cuff 2.5 cm (1 in) above the antecubital
, , , , , , , , , , , , , , , , , , , ,
space with the brachial artery in line with the marking on the cuff.Apply theBP cuff2.5 cm (1
, , , , , , , , , , , , , , , , , , ,
in) above the antecubitalspace withthe brachialartery in line with the marking on the cuff.
, , , , , , , , , , , , , , , , ,
9. A nurseis preparingtoperform nasal tracheal suctioning for a client. Which of the following is an
, , , , , , , , , , , , , , , , ,
appropriate action for the nurse to take? Chapter53 Airway management page 563
, , , , , , , , , , , , ,
a. Holdthe suctioncatheter withthecleannon-dominant hand.
, , , , , , , ,
b. Applysuctioningfor20 to30seconds.- 10 -15 seconds is the maximum.
, , , , , , , , , , , ,
c. Placethecatheter ina locationthat isclean and dryfor later use new line.- NEVER EVER
, , , , , , , , , , , , , , , , ,
REUSE THESUCTION CATHETER . youthrow it awayafter being used.
, , , , , , , , , , ,
d. Use surgical asepsis when performing the procedure.- book say medical asepsis
, , , , , , , , , ,
which is maybe the same thing .
, , , , , , ,
Rationale:steriletechnique fortrachea , , , ,
