lOMoAR cPSD| 19500986
ATI FUNDAMENTALS RETAKE
QUESTIONS AND CORRECT
ANSWERS|GRADE A+.
, lOMoAR cPSD| 19500986
1. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level
checked. The client asks the nurse to explain the laboratory test. Which of the following is an
appropriate response by the nurse?
a. “This test will indicate if you are at risk for developing blood clots
b. “This test will determine if your heart is performing properly”
c. “This test will provide information about the function of your liver”
◗ Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver
◗ Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN
measure your kidney function
d. “This test is used to check how your kidneys are working”
.
2. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally
administers the whole 10 mg from the single-dose vial. Which of the following actions should
the nurse take first?
a. Notify the client’s provider.
b. Report the incident to the pharmacy.
c. Complete an incident report.
d. Measure the client’s respiratory rate.
◗ Rationale: morphine OD = pulmonary edema fills lungs w/ fluid leading cause of death for OD
◗ 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.
3. A nurse is preparing to administer diphenhydramine 20 mg orally to 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.)
Click on the syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
4. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80
mg/kg/day administered intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin
should the nurse administer with each dose? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
◗ So it says each dose for the final answer, but we are given 80 mg/kg/day.
◗ 80 x 20 = (dose is given every 6 hours a day) = 400 mg
◗ Rationale: 80 mg x 20 kg = 1,600 1,600/4 x day (q6h) = 400 mg
, lOMoAR cPSD| 19500986
5. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when
plugging in the IV pump. Which of the following actions should the nurse take first?
a. Label the pump with a defective equipment sticker.
b. Unplug the pump.
, lOMoAR cPSD| 19500986
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump.
◗ Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire.
6. A nurse is caring for a client who has a surgical wound. Which of the following laboratory values
places the client at risk for poor wound healing?
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
d. HGB 16g/dL
◗ Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the client at
risk for poor wound healing. The other lab values are within normal limits.
7. A nurse is preparing to check a client's blood pressure. Which of the following actions should the
nurse take?
Chapter 27 Vitals signs page 244
a. Apply the cuff above the client’s antecubital fossa.
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. How the clients sit with his arm resting above the level of his heart. - MUST BE AT HEART LEVEL
d. Release the pressure on 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 the BP cuff 2.5 cm (1 in) above the
antecubital space with the brachial artery in line with the marking on the cuff.
8. A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the following is an
appropriate action for the nurse to take? Chapter 53 Airway management page 563
a. Hold the suction catheter with the clean non-dominant hand.
b. Apply suctioning for 20 to 30 seconds. - 10 -15 seconds is the maximum.
c. Place the catheter in a location that is clean and dry for later use new line. - NEVER
EVER REUSE THE SUCTION CATHETER . you throw it away after being used.
d. Use surgical asepsis when performing the procedure. - book say medical asepsis which is
maybe the same thing .
◗ Rationale: sterile technique for trachea
◗ Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of suctioning. No longer than
10-15 seconds to avoid hypoxemia
9. A nurse is documenting client care. Which of the following abbreviations should the nurse
use?ati book was not thorough so i had to go on different sites for charts - not confident with this,
please double check.
a. “SS” for sliding scale
b. “BRP” for bathroom privileges
c. “OJ” for orange juice- do not
d. “SQ” for subcutaneous- do not
ATI FUNDAMENTALS RETAKE
QUESTIONS AND CORRECT
ANSWERS|GRADE A+.
, lOMoAR cPSD| 19500986
1. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level
checked. The client asks the nurse to explain the laboratory test. Which of the following is an
appropriate response by the nurse?
a. “This test will indicate if you are at risk for developing blood clots
b. “This test will determine if your heart is performing properly”
c. “This test will provide information about the function of your liver”
◗ Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver
◗ Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN
measure your kidney function
d. “This test is used to check how your kidneys are working”
.
2. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally
administers the whole 10 mg from the single-dose vial. Which of the following actions should
the nurse take first?
a. Notify the client’s provider.
b. Report the incident to the pharmacy.
c. Complete an incident report.
d. Measure the client’s respiratory rate.
◗ Rationale: morphine OD = pulmonary edema fills lungs w/ fluid leading cause of death for OD
◗ 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.
3. A nurse is preparing to administer diphenhydramine 20 mg orally to 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.)
Click on the syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
4. A nurse is caring for a 6-year-old child who has a new prescription for cefoxitin 80
mg/kg/day administered intravenously every 6 hour. The child weighs 20 kg. How much cefoxitin
should the nurse administer with each dose? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
◗ So it says each dose for the final answer, but we are given 80 mg/kg/day.
◗ 80 x 20 = (dose is given every 6 hours a day) = 400 mg
◗ Rationale: 80 mg x 20 kg = 1,600 1,600/4 x day (q6h) = 400 mg
, lOMoAR cPSD| 19500986
5. A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when
plugging in the IV pump. Which of the following actions should the nurse take first?
a. Label the pump with a defective equipment sticker.
b. Unplug the pump.
, lOMoAR cPSD| 19500986
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump.
◗ Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire.
6. A nurse is caring for a client who has a surgical wound. Which of the following laboratory values
places the client at risk for poor wound healing?
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
d. HGB 16g/dL
◗ Rationale: Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the client at
risk for poor wound healing. The other lab values are within normal limits.
7. A nurse is preparing to check a client's blood pressure. Which of the following actions should the
nurse take?
Chapter 27 Vitals signs page 244
a. Apply the cuff above the client’s antecubital fossa.
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. How the clients sit with his arm resting above the level of his heart. - MUST BE AT HEART LEVEL
d. Release the pressure on 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 the BP cuff 2.5 cm (1 in) above the
antecubital space with the brachial artery in line with the marking on the cuff.
8. A nurse is preparing to perform nasal tracheal suctioning for a client. Which of the following is an
appropriate action for the nurse to take? Chapter 53 Airway management page 563
a. Hold the suction catheter with the clean non-dominant hand.
b. Apply suctioning for 20 to 30 seconds. - 10 -15 seconds is the maximum.
c. Place the catheter in a location that is clean and dry for later use new line. - NEVER
EVER REUSE THE SUCTION CATHETER . you throw it away after being used.
d. Use surgical asepsis when performing the procedure. - book say medical asepsis which is
maybe the same thing .
◗ Rationale: sterile technique for trachea
◗ Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of suctioning. No longer than
10-15 seconds to avoid hypoxemia
9. A nurse is documenting client care. Which of the following abbreviations should the nurse
use?ati book was not thorough so i had to go on different sites for charts - not confident with this,
please double check.
a. “SS” for sliding scale
b. “BRP” for bathroom privileges
c. “OJ” for orange juice- do not
d. “SQ” for subcutaneous- do not
