FUNDAMENTALS EXAM #1 ATI Questions
1. A nurse educator is revieing with a newly hired nurse the diferencies in
manifestations of a localized versus a systemic infection. The nurse indicates
understanding when she states that which of the following are manifestations of a
systmeic infection? (Slect all that apply.)
A. fever
B. malaise
C. edema
D. pain or tenderness
E. increase in pulse and repiratory rate - ANS -A. fever
B. malaise
E. increase in pulse and respiratory rate
A nurse educator is teaching a module on pharmacokinetics to a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates
an understanding of the first-pass effect?
A. "Some medications block normal receptor activity regulated by endogenous
compounds or receptor activity caused by other medications."
B. "Some medications may have to be administered by a nonenteral route to avoid
inactivation as they travel through the liver."
C. "Some medications leave the body more slowly and therefore have a greater risk for
medication accumulation and toxicity."
D. "Some medications have a wide safety margin, so there is no need for routine serum
medication level monitoring." - ANS -B. CORRECT: Some medications are inactivated
on their first pass through the liver and must be given by a nonenteral route to prevent
this inactivation. These medications are usually given by routes such as sublingual or
IV.
,A. INCORRECT: This statement describes an antagonist medication, not the first
pass-effect.
C. INCORRECT: This statement describes a long half life, not the first-pass effect.
D. INCORRECT: This statement describes a high therapeutic index, not the first-pass
effect.
A nurse educator is teaching newly licensed nurses about safe medication
administration. Which of the following statements indicates understanding? (Select all
that apply.)
-"I will observe for adverse effects."
-"I will monitor for therapeutic effects"
-"I will prescribe the appropriate dose"
-"I will change the dose if adverse effects occur."
-"I will refuse to give a medication if I believe it is unsafe" - ANS --"I will observe for
adverse effects"
-"I will monitor for therapeutic effects"
-I will refuse to give a medication if I believe it is unsafe"
A nurse has prepared a sterile field for assisting a provider with a chest tube injection.
Which of the following events should the nurse recognize as contaminating the sterile
field. (Select all that apply.)
A. The provider drops a sterile instrument onto the near side of the sterile field.
B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile
field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
, E. The client's hand brushes against the outer edge of the sterile field. - ANS -B. The
nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse has removed a sterile pack form its outside cover and placed it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first?
A. The flap closet to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body - ANS -D. The flap farthest from the body
A nurse in a provider's office is documenting findings following an examination
performed for a client new to the practice. Which of the following parameters should the
nurse include as part of the general survey? (select all that apply)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status - ANS -A, B, C
A nurse in a provider's office is performing a physical examination of an adult client.
Which part of the hands should the nurse use during palpation for optimal assessment
of skin temperature?
A. Palmar Surface
1. A nurse educator is revieing with a newly hired nurse the diferencies in
manifestations of a localized versus a systemic infection. The nurse indicates
understanding when she states that which of the following are manifestations of a
systmeic infection? (Slect all that apply.)
A. fever
B. malaise
C. edema
D. pain or tenderness
E. increase in pulse and repiratory rate - ANS -A. fever
B. malaise
E. increase in pulse and respiratory rate
A nurse educator is teaching a module on pharmacokinetics to a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates
an understanding of the first-pass effect?
A. "Some medications block normal receptor activity regulated by endogenous
compounds or receptor activity caused by other medications."
B. "Some medications may have to be administered by a nonenteral route to avoid
inactivation as they travel through the liver."
C. "Some medications leave the body more slowly and therefore have a greater risk for
medication accumulation and toxicity."
D. "Some medications have a wide safety margin, so there is no need for routine serum
medication level monitoring." - ANS -B. CORRECT: Some medications are inactivated
on their first pass through the liver and must be given by a nonenteral route to prevent
this inactivation. These medications are usually given by routes such as sublingual or
IV.
,A. INCORRECT: This statement describes an antagonist medication, not the first
pass-effect.
C. INCORRECT: This statement describes a long half life, not the first-pass effect.
D. INCORRECT: This statement describes a high therapeutic index, not the first-pass
effect.
A nurse educator is teaching newly licensed nurses about safe medication
administration. Which of the following statements indicates understanding? (Select all
that apply.)
-"I will observe for adverse effects."
-"I will monitor for therapeutic effects"
-"I will prescribe the appropriate dose"
-"I will change the dose if adverse effects occur."
-"I will refuse to give a medication if I believe it is unsafe" - ANS --"I will observe for
adverse effects"
-"I will monitor for therapeutic effects"
-I will refuse to give a medication if I believe it is unsafe"
A nurse has prepared a sterile field for assisting a provider with a chest tube injection.
Which of the following events should the nurse recognize as contaminating the sterile
field. (Select all that apply.)
A. The provider drops a sterile instrument onto the near side of the sterile field.
B. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile
field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
, E. The client's hand brushes against the outer edge of the sterile field. - ANS -B. The
nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
C. The procedure is delayed 1 hour because the provider receives an emergency call.
D. The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse has removed a sterile pack form its outside cover and placed it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first?
A. The flap closet to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body - ANS -D. The flap farthest from the body
A nurse in a provider's office is documenting findings following an examination
performed for a client new to the practice. Which of the following parameters should the
nurse include as part of the general survey? (select all that apply)
A. Posture
B. Skin lesions
C. Speech
D. Allergies
E. Immunization status - ANS -A, B, C
A nurse in a provider's office is performing a physical examination of an adult client.
Which part of the hands should the nurse use during palpation for optimal assessment
of skin temperature?
A. Palmar Surface
