ATI Fundamentals Proctored Exam Test
Bank 2022 complete solution
Rrationales
ATI F
[AUTHOR] 1
, TI Fundamentals Proctored Exam Test Bank 2022 complete solution with rationales
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 orally to a 6-year-old child
whohas 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
5. 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
wholenumber . 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
6. A nurse is preparing to administer IV fluids to a client . The nurse notes sparks when
pluggingin 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 .
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 .
7. A nurse is caring for a client who has a surgical wound . Which of the following
laboratoryvalues places the client at risk for poor wound healing?
a. Serum albumin 3 g/dL
[AUTHOR] 2
, TI Fundamentals Proctored Exam Test Bank 2022 complete solution with rationales
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 forpoor wound healing . The other lab values are within normal limits .
8. A nurse is preparing to check a client's blood pressure . Which of the following actions
shouldthe 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
thecuff 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
shouldnot 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
withthe marking on the cuff .
9. A nurse is preparing to perform nasal tracheal suctioning for a client . Which of the
followingis 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 .-
NEVEREVER 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
[AUTHOR] 3
, TI Fundamentals Proctored Exam Test Bank 2022 complete solution with rationales
Rationale: ATI FUNDA . PG . 316 Use surgical asepsis for all types of suctioning . No
longer than 10-15 seconds to avoid hypoxemia
10. 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
11. MISSING
12. A nurse is collecting A blood pressure reading from a client who is sitting in a chair period
the nurse determines that the clients BP is 158/96 mmhg . which of the following actions
shouldthe nurse take?
a. Ensure that the width of the BP cuff is 50% of the client‟s upper arm circumference .
Itsays 40%
b. Reposition the client Supine and recheck her BP . BP . → ORTHOSTATIC
HYPOTENSION
c. Recheck the clients BP and her other arm for comparison .
d. Request that another nurse check the the clients BP in 30 minutes . → 15 minutes
13. A nurse is caring for a client who has left lower atelectasis . in which of the
followingpositions should the nurse place the client for postural drainage? Chapter 53
Airway Management page 562
e. Supine and low-Fowler's position
f. Right lateral in Trendelenburg position
g. Side lying with the right side of the chest elevated
h. Prone with pillows under the extremities
[AUTHOR] 4