ATI Fundamentals Test Bank I Updated Questions & Answers 100% Verified

ATI
Fundamental l




s Test Bank 20
l l l




21 -2024
l l




Questions an l




dAnswers
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,
, lRationalel:lMorphinelcanlcauselrespiratoryldepressionliflgivenltoolmuch.lAlsolyoulsh
ouldlALWAYSlASSESSlthelpatientlfirstlwhenlalmedlerrorlislperformedltolmakelsure
lmedlerrorldoesn‟tlputlthelclient‟slhealthlinlrisk.




4. Alnurselislpreparingltoladministerldiphenhydraminel20lmglorallyltolal6-year-
oldlchildlwholhasldifficultylswallowinglpills.lAvailablelisldiphenhydraminel12.5lmg/5l mLlorall
syrup.lWhichloflthelfollowinglimageslshowslthelcorrectl#loflmLlthelnurselshouldladminister?l(R
oundlthelanswerltolthelnearestlwholelnumber.)
Clicklonlthelsyringelthatlhasl8l mLloflmed.
20lmglxl(5mL/12.5mg)l=l8l mL


5. Alnurselislcaringlforlal6-year-
oldlchildlwholhaslalnewlprescriptionlforlcefoxitinl80lmg/kg/dayladministeredlintravenouslylev
eryl6lhour.lThelchildlweighsl20lkg.lHowlmuchlcefoxitinlshouldlthelnurseladministerlwithleachl
dose?l(Roundlthelanswerltolthelnearestlwholelnumber.lUselalleadinglzeroliflitlapplies.lDolnotlu
selaltrailinglzero.)
 Solitlsaysleachldosel forlthelfinallanswer,lbutlwelarelgivenl80l mg/kg/day.
 80lxl20l=l1600l/l4l (dosel isl givenleveryl6l hoursl alday)l=400l mg
lRationale:l80l mglxl20lkgl=l1,600l→l1,600/4l xldayl(q6h)l=l400l mg


6. AlnurselislpreparingltoladministerlIVlfluidsltolalclient.lThelnurselnoteslsparkslwhenlplugginglinl
thelIVlpump.lWhichloflthelfollowinglactionslshouldlthelnurseltakelfirst?
a. Labellthelpumplwithlaldefectivelequipmentlsticker.
b. Unpluglthel pump.
c. Obtainlalreplacementlpump.
d. Notifiedlthelbiomedicalldepartmentltolfixlthelpump.
 Rationale:lPrioritizationlquestion.lYOUlWILLlFIRSTlUNPLUGlthelIVlpumpltolavoidlc
ausinglalfire.


7. Alnurselislcaringlforlalclientlwholhaslalsurgicallwound.lWhichloflthelfollowingllaboratorylva
lueslplaceslthelclientlatlrisklforlpoorlwoundlhealing?
a. Serumlalbuminl3lg/dL

, b. Totalllymphocytelcountl2400lmm3
c. HCTl42%
d. HGBl16g/dL
 Rationale:lAlbuminlinllow.lNormallrangelisl3.5ltol5.5lg/dL.lLowlalbuminlplaceslthelcl
ientlatlrisklforpoorlwoundlhealing.lThelotherllablvalueslarelwithinlnormalllimits.


8. Alnurselislpreparingltolchecklalclient'slbloodlpressure.lWhichloflthelfollowinglactionslshouldlth
elnurseltake?l Chapterl27lVitalslsignslpagel244
a. Applylthelcufflabovelthelclient‟slantecubitallfossa.
b. Uselalcufflwithlalwidthlthatlislaboutl60%loflthelclient'slarmlcircumference.l-
lwidthloflthelcufflshouldlbel40l%loflarmlcircumference

c. Howlthelclientslsitlwithlhislarmlrestinglabovelthellevelloflhislheart.l-
lMUSTlBElATlHEARTlLEVEL

d. Releaselthelpressurelonlthelclient'slarml5ltol6lmmlperlsecond.l-
lpressurelreleaselshouldlnotlbelmorelthanl2ltol3lmmlhglperlsecond

 Rationale:lATIlFUNDAlsaysl40%loflthelarmlcircumferencelpg.l139.lReleaselthelpressure
lnolfasterlthanl2ltol3lmmlHglperlsecond.lApplylthelBPlcuffl2.5lcml(1lin)labovelthelantecub

itallspacelwithlthelbrachiallarterylinllinelwithlthelmarkinglonlthelcuff.ApplylthelBPlcuffl2.
5lcml(1lin)labovelthelantecubitallspacelwithlthelbrachiallarterylinllinelwithlthelmarkinglonlt
helcuff.


9. Alnurselislpreparingltolperformlnasalltracheallsuctioninglforlalclient.lWhichloflthelfollowinglisl
anlappropriatelactionlforlthelnurseltoltake?lChapterl53lAirwaylmanagementlpagel563
a. Holdlthelsuctionlcatheterlwithlthelcleanlnon-dominantlhand.
b. Applylsuctioninglforl20ltol30lseconds.-l10l-15lsecondslislthel maximum.
c. Placelthelcatheterlinlallocationlthatlislcleanlandldrylforllaterluselnewlline.-
lNEVERlEVERlREUSElTHElSUCTIONlCATHETERl.l youlthrowlitlawayafterlbein

glused.
d. Uselsurgicallasepsislwhenlperforminglthelprocedure.-
lbooklsaylmedicallasepsislwhichlislmaybelthelsamelthingl.

 Rationale:lsterileltechniquelforltrachea