ATI
Fundamental
s Test Bank
l l l
2024 -2025
l l l
Questions
andAnswers
l l
,
, lRationale l: lMorphine lcan lcause lrespiratory ldepression lif lgiven ltoo lmuch. lAlso
l you lshould lALWAYS lASSESS lthe lpatient lfirst lwhen la lmed lerror lis lperformed
l to lmake lsure lmed lerror ldoesn‟t lput lthe lclient‟s lhealth lin lrisk.
4. A lnurse lis lpreparing lto ladminister ldiphenhydramine l20 lmg lorally lto la l6-year-old lchild
l who lhas ldifficulty lswallowing lpills. lAvailable lis ldiphenhydramine l12.5 lmg/5 l mL loral
l syrup. lWhich lof lthe lfollowing limages lshows lthe lcorrect l# lof lmL lthe lnurse lshould
l administer? l(Round lthe lanswer lto lthe lnearest lwhole lnumber.)
Click lon lthe lsyringe lthat lhas l8 l mL lof lmed.
20 lmg lx l(5mL/12.5mg) l= l8 l mL
5. A lnurse lis lcaring lfor la l6-year-old lchild lwho lhas la lnew lprescription lfor lcefoxitin l80
l mg/kg/day ladministered lintravenously levery l6 lhour. lThe lchild lweighs l20 lkg. lHow lmuch
l cefoxitin lshould lthe lnurse ladminister lwith leach ldose? l(Round lthe lanswer lto lthe lnearest lwhole
l number. lUse la lleading lzero lif lit lapplies. lDo lnot luse la ltrailing lzero.)
So lit lsays leach ldose lfor lthe lfinal lanswer, lbut lwe lare lgiven l80 lmg/kg/day.
80 lx l20 l= l1600 l/ l4 l (dose l is l given leveryl6 l hours l a lday) l=400 l mg
lRationale:l80 l mg lx l20 lkg l= l1,600 l→ l1,600/4 l x lday l(q6h) l= l400 l mg
6. A lnurse lis lpreparing lto ladminister lIV lfluids lto la lclient. lThe lnurse lnotes lsparks lwhen
plugging lin lthe lIV lpump. lWhich lof lthe lfollowing lactions lshould lthe lnurse ltake lfirst?
l
a. Label lthe lpump lwith la ldefective lequipment lsticker.
b. Unplug lthe lpump.
c. Obtain la lreplacement lpump.
d. Notified lthe lbiomedical ldepartment lto lfix lthe lpump.
Rationale: lPrioritization lquestion. lYOU lWILL lFIRST lUNPLUG lthe lIV lpump lto
avoid lcausing la lfire.
l
7. A lnurse lis lcaring lfor la lclient lwho lhas la lsurgical lwound. lWhich lof lthe lfollowing
laboratory lvalues lplaces lthe lclient lat lrisk lfor lpoor lwound lhealing?
l
a. Serum lalbumin l3 lg/dL
, b. Total llymphocyte lcount l2400 lmm3
c. HCT l42%
d. HGB l16g/dL
Rationale: lAlbumin lin llow. lNormal lrange lis l3.5 lto l5.5 lg/dL. lLow lalbumin lplaces lthe
l client lat lrisk lforpoor lwound lhealing. lThe lother llab lvalues lare lwithin lnormal llimits.
8. A lnurse lis lpreparing lto lcheck la lclient's lblood lpressure. lWhich lof lthe lfollowing lactions
should lthe lnurse ltake? l Chapter l27 lVitals lsigns lpage l244
l
a. Apply lthe lcuff labove lthe lclient‟s lantecubital lfossa.
b. Use la lcuff lwith la lwidth lthat lis labout l60% lof lthe lclient's larm lcircumference. l- lwidth lof
l the lcuff lshould lbe l40 l% lof larm lcircumference
c. How lthe lclients lsit lwith lhis larm lresting labove lthe llevel lof lhis lheart. l- lMUST lBE
l AT lHEART lLEVEL
d. Release lthe lpressure lon lthe lclient's larm l5 lto l6 lmm lper lsecond. l- lpressure lrelease
should lnot lbe lmore lthan l2 lto l3 lmm lhg lper lsecond
l
Rationale: lATI lFUNDA lsays l40% lof lthe larm lcircumference lpg. l139. lRelease lthe
l pressure lno lfaster lthan l2 lto l3 lmm lHg lper lsecond. lApply lthe lBP lcuff l2.5 lcm l(1 lin)
l above lthe lantecubital lspace lwith lthe lbrachial lartery lin lline lwith lthe lmarking lon lthe
l cuff.Apply lthe lBP lcuffl2.5 lcm l(1 lin) labove lthe lantecubital lspace lwith lthe lbrachial lartery
l in lline lwith lthe lmarking lon lthe lcuff.
9. A lnurse lis lpreparing lto lperform lnasal ltracheal lsuctioning lfor la lclient. lWhich lof lthe
following lis lan lappropriate laction lfor lthe lnurse lto ltake? lChapter l53 lAirway lmanagement
l
l page l563
a. Hold lthe lsuction lcatheter lwith lthe lclean lnon-dominant lhand.
b. Applylsuctioning lfor l20 lto l30 lseconds.- l10 l-15 lseconds lis lthe lmaximum.
c. Place lthe lcatheter lin la llocation lthat lis lclean land ldry lfor llater luse lnew lline.-
l NEVER lEVER lREUSE lTHE lSUCTION lCATHETER l. l you lthrow lit lawayafter
l being lused.
d. Use lsurgical lasepsis lwhen lperforming lthe lprocedure.- lbook lsay lmedical
asepsis lwhich lis lmaybe lthe lsame lthing l.
l
Rationale:lsterile ltechnique lfor ltrachea
Fundamental
s Test Bank
l l l
2024 -2025
l l l
Questions
andAnswers
l l
,
, lRationale l: lMorphine lcan lcause lrespiratory ldepression lif lgiven ltoo lmuch. lAlso
l you lshould lALWAYS lASSESS lthe lpatient lfirst lwhen la lmed lerror lis lperformed
l to lmake lsure lmed lerror ldoesn‟t lput lthe lclient‟s lhealth lin lrisk.
4. A lnurse lis lpreparing lto ladminister ldiphenhydramine l20 lmg lorally lto la l6-year-old lchild
l who lhas ldifficulty lswallowing lpills. lAvailable lis ldiphenhydramine l12.5 lmg/5 l mL loral
l syrup. lWhich lof lthe lfollowing limages lshows lthe lcorrect l# lof lmL lthe lnurse lshould
l administer? l(Round lthe lanswer lto lthe lnearest lwhole lnumber.)
Click lon lthe lsyringe lthat lhas l8 l mL lof lmed.
20 lmg lx l(5mL/12.5mg) l= l8 l mL
5. A lnurse lis lcaring lfor la l6-year-old lchild lwho lhas la lnew lprescription lfor lcefoxitin l80
l mg/kg/day ladministered lintravenously levery l6 lhour. lThe lchild lweighs l20 lkg. lHow lmuch
l cefoxitin lshould lthe lnurse ladminister lwith leach ldose? l(Round lthe lanswer lto lthe lnearest lwhole
l number. lUse la lleading lzero lif lit lapplies. lDo lnot luse la ltrailing lzero.)
So lit lsays leach ldose lfor lthe lfinal lanswer, lbut lwe lare lgiven l80 lmg/kg/day.
80 lx l20 l= l1600 l/ l4 l (dose l is l given leveryl6 l hours l a lday) l=400 l mg
lRationale:l80 l mg lx l20 lkg l= l1,600 l→ l1,600/4 l x lday l(q6h) l= l400 l mg
6. A lnurse lis lpreparing lto ladminister lIV lfluids lto la lclient. lThe lnurse lnotes lsparks lwhen
plugging lin lthe lIV lpump. lWhich lof lthe lfollowing lactions lshould lthe lnurse ltake lfirst?
l
a. Label lthe lpump lwith la ldefective lequipment lsticker.
b. Unplug lthe lpump.
c. Obtain la lreplacement lpump.
d. Notified lthe lbiomedical ldepartment lto lfix lthe lpump.
Rationale: lPrioritization lquestion. lYOU lWILL lFIRST lUNPLUG lthe lIV lpump lto
avoid lcausing la lfire.
l
7. A lnurse lis lcaring lfor la lclient lwho lhas la lsurgical lwound. lWhich lof lthe lfollowing
laboratory lvalues lplaces lthe lclient lat lrisk lfor lpoor lwound lhealing?
l
a. Serum lalbumin l3 lg/dL
, b. Total llymphocyte lcount l2400 lmm3
c. HCT l42%
d. HGB l16g/dL
Rationale: lAlbumin lin llow. lNormal lrange lis l3.5 lto l5.5 lg/dL. lLow lalbumin lplaces lthe
l client lat lrisk lforpoor lwound lhealing. lThe lother llab lvalues lare lwithin lnormal llimits.
8. A lnurse lis lpreparing lto lcheck la lclient's lblood lpressure. lWhich lof lthe lfollowing lactions
should lthe lnurse ltake? l Chapter l27 lVitals lsigns lpage l244
l
a. Apply lthe lcuff labove lthe lclient‟s lantecubital lfossa.
b. Use la lcuff lwith la lwidth lthat lis labout l60% lof lthe lclient's larm lcircumference. l- lwidth lof
l the lcuff lshould lbe l40 l% lof larm lcircumference
c. How lthe lclients lsit lwith lhis larm lresting labove lthe llevel lof lhis lheart. l- lMUST lBE
l AT lHEART lLEVEL
d. Release lthe lpressure lon lthe lclient's larm l5 lto l6 lmm lper lsecond. l- lpressure lrelease
should lnot lbe lmore lthan l2 lto l3 lmm lhg lper lsecond
l
Rationale: lATI lFUNDA lsays l40% lof lthe larm lcircumference lpg. l139. lRelease lthe
l pressure lno lfaster lthan l2 lto l3 lmm lHg lper lsecond. lApply lthe lBP lcuff l2.5 lcm l(1 lin)
l above lthe lantecubital lspace lwith lthe lbrachial lartery lin lline lwith lthe lmarking lon lthe
l cuff.Apply lthe lBP lcuffl2.5 lcm l(1 lin) labove lthe lantecubital lspace lwith lthe lbrachial lartery
l in lline lwith lthe lmarking lon lthe lcuff.
9. A lnurse lis lpreparing lto lperform lnasal ltracheal lsuctioning lfor la lclient. lWhich lof lthe
following lis lan lappropriate laction lfor lthe lnurse lto ltake? lChapter l53 lAirway lmanagement
l
l page l563
a. Hold lthe lsuction lcatheter lwith lthe lclean lnon-dominant lhand.
b. Applylsuctioning lfor l20 lto l30 lseconds.- l10 l-15 lseconds lis lthe lmaximum.
c. Place lthe lcatheter lin la llocation lthat lis lclean land ldry lfor llater luse lnew lline.-
l NEVER lEVER lREUSE lTHE lSUCTION lCATHETER l. l you lthrow lit lawayafter
l being lused.
d. Use lsurgical lasepsis lwhen lperforming lthe lprocedure.- lbook lsay lmedical
asepsis lwhich lis lmaybe lthe lsame lthing l.
l
Rationale:lsterile ltechnique lfor ltrachea
