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ATI PN FUNDAMENTAL PROCTORED NEWEST 2024
TEST BANK 470 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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. - ANSWER- d. Measure the
client's respiratory rate.
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.
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-
yearold 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
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the answer to the nearest whole number.) - ANSWER- Click on the
syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
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.) - ANSWER- 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
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. - ANSWER- b.
Unplug the pump.
Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV
pump to avoid causing a fire.
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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? Ch
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
d. HGB 16g/dL - ANSWER- a. Serum albumin 3 g/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.
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 clients 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 -
ANSWER- a. Apply the cuff above the clients antecubital fossa.
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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
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. - ANSWER- d.
Use surgical asepsis when performing the procedure.
Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of
suctioning. No longer than 10-15 seconds to avoid hypoxemia
(STERIL TECHNIQUE FOR TRACHEA)
. A nurse is documenting client care. Which of the following
abbreviations should the nurse use? ati book was not thorough so I had
ATI PN FUNDAMENTAL PROCTORED NEWEST 2024
TEST BANK 470 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
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. - ANSWER- d. Measure the
client's respiratory rate.
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.
A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-
yearold 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
,2|Page
the answer to the nearest whole number.) - ANSWER- Click on the
syringe that has 8 mL of med.
20 mg x (5mL/12.5mg) = 8 mL
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.) - ANSWER- 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
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. - ANSWER- b.
Unplug the pump.
Rationale: Prioritization question. YOU WILL FIRST UNPLUG the IV
pump to avoid causing a fire.
,3|Page
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? Ch
a. Serum albumin 3 g/dL
b. Total lymphocyte count 2400 mm3
c. HCT 42%
d. HGB 16g/dL - ANSWER- a. Serum albumin 3 g/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.
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 clients 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 -
ANSWER- a. Apply the cuff above the clients antecubital fossa.
, 4|Page
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
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. - ANSWER- d.
Use surgical asepsis when performing the procedure.
Rationale: ATI FUNDA. PG. 316 Use surgical asepsis for all types of
suctioning. No longer than 10-15 seconds to avoid hypoxemia
(STERIL TECHNIQUE FOR TRACHEA)
. A nurse is documenting client care. Which of the following
abbreviations should the nurse use? ati book was not thorough so I had
