ATI Fundamentals Exam
1. A nurse is caring for a client who has left lower atelectasis. in which of the
following positions should the nurse
place the client for postural drainage?
a. Supine and low-Fowler's position
b. Right lateral in Trendelenburg position
c. Side lying with the right side of the chest elevated
d. Prone with pillows under the extremities - b. Right lateral in Trendelenburg
position
2. 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"
d. "This test is used to check how your kidneys are working" - 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
3. 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. - 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.
4. 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
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 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
6. 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.
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump. - b. Unplug 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 laboratory values places the client
at risk for poor wound healing?
a. Serum albumin 3 g/dL
1. A nurse is caring for a client who has left lower atelectasis. in which of the
following positions should the nurse
place the client for postural drainage?
a. Supine and low-Fowler's position
b. Right lateral in Trendelenburg position
c. Side lying with the right side of the chest elevated
d. Prone with pillows under the extremities - b. Right lateral in Trendelenburg
position
2. 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"
d. "This test is used to check how your kidneys are working" - 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
3. 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. - 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.
4. 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
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 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
6. 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.
c. Obtain a replacement pump.
d. Notified the biomedical department to fix the pump. - b. Unplug 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 laboratory values places the client
at risk for poor wound healing?
a. Serum albumin 3 g/dL
