4. A nurs3 is pr3paring to administ3r diph3nhydramin3 20 mg orally to a 6-y3ar-old child
whohas difficulty swallowing pills. Availabl3 is
... [Show More] diph3nhydramin3 12.5 mg/5 mL oral syrup.
Which of th3 following imag3s shows th3 corr3ct # of mL th3 nurs3 should administ3r?
(Round th3 answ3r to th3 n3ar3st whol3 numb3r.)
Click on th3 syring3 that has 8 mL of m3d.
20 mg x (5mL/12.5mg) = 8 mL
5. A nurs3 is caring for a 6-y3ar-old child who has a n3w pr3scription for c3foxitin 80
mg/kg/day administ3r3d intrav3nously 3v3ry 6 hour. Th3 child w3ighs 20 kg. How much
c3foxitin should th3 nurs3 administ3r with 3ach dos3? (Round th3 answ3r to th3 n3ar3st
whol3numb3r. Us3 a l3ading z3ro if it appli3s. Do not us3 a trailing z3ro.)
So it says 3ach dos3 for th3 final answ3r, but w3 ar3 giv3n 80 mg/kg/day.
80 x 20 = 1600 / 4 (dos3 is giv3n 3v3ry6 hours a day) =400 mg
Rational3: 80 mg x 20 kg = 1,600 1,600/4 x day (q6h) = 400 mg
6. A nurs3 is pr3paring to administ3r IV fluids to a cli3nt. Th3 nurs3 not3s sparks wh3n
pluggingin th3 IV pump. Which ofth3 following actions should th3 nurs3 tak3 first?
a. Lab3l th3 pump with a d3f3ctiv3 3quipm3nt stick3r.
b. Unplug th3 pump.
c. Obtain a r3plac3m3nt pump.
d. Notifi3d th3 biom3dical d3partm3nt to fix th3 pump.
Rational3: Prioritization qu3stion. YOU WILL FIRST UNPLUG th3 IV pump to avoid
causing a fir3.
7. A nurs3 is caring for a cli3nt who has a surgical wound. Which of th3 following
laboratoryvalu3s plac3s th3 cli3nt at risk for poor wound h3aling?
a. S3rum albumin 3 g/dL
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b. Total lymphocyt3 count 2400 mm3
c. HCT 42%
d. HGB 16g/dL
Rational3: Albumin in low. Normal rang3 is 3.5 to 5.5 g/dL. Low albumin plac3s
th3cli3nt at risk forpoor wound h3aling. Th3 oth3r lab valu3s ar3 within normal limits.
8. A nurs3 is pr3paring to ch3ck a cli3nt's blood pr3ssur3. Which of th3 following actions
shouldth3 nurs3 tak3? Chapt3r 27 Vitals signs pag3 244
a. Apply th3 cuff abov3 th3 cli3nt‟s ant3cubital fossa.
b. Us3 a cuff with a width that is about 60% of th3 cli3nt's arm circumf3r3nc3. - width of
th3cuffshould b3 40 % of arm circumf3r3nc3
c. How th3 cli3nts sit with his arm r3sting abov3 th3 l3v3l of his h3art. - MUST B3
ATH3ART L3V3L
d. R3l3as3 th3 pr3ssur3 on th3 cli3nt's arm 5 to 6 mm p3r s3cond. - pr3ssur3 r3l3as3
shouldnot b3 mor3 than 2 to 3 mm hg p3r s3cond
Rational3: ATI FUNDA says 40% of th3 arm circumf3r3nc3 pg. 139. R3l3as3 th3
pr3ssur3 no fast3r than 2 to 3 mm Hg p3r s3cond. Apply th3 BP cuff 2.5 cm (1 in) abov3
th3 ant3cubital spac3 with th3 brachial art3ry in lin3 with th3 marking on th3
cuff.Apply th3 BP cuff 2.5 cm (1 in) abov3 th3 ant3cubital spac3 with th3 brachial art3ry
in lin3 withth3 marking on th3 cuff.
9. A nurs3 is pr3paring to p3rform nasal trach3al suctioning for a cli3nt. Which of th3
followingis an appropriat3 action for th3 nurs3 to tak3? Chapt3r 53 Airway manag3m3nt
pag3 563
a. Hold th3 suction cath3t3r with th3 cl3an non-dominant hand.
b. Apply suctioning for 20 to 30 s3conds.- 10 -15 s3conds is th3 maximum.
c. Plac3 th3 cath3t3r in a location that is cl3an and dry for lat3r us3 n3w lin3.-
N3V3R3V3R R3US3 TH3 SUCTION CATH3T3R . you throw it awayaft3r b3ing
us3d.
d. Us3 surgical as3psis wh3n p3rforming th3 proc3dur3.- book say m3dical
as3psiswhich is mayb3 th3 sam3 thing .
Rational3:st3ril3 t3chniqu3 for trach3a
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Rational3: ATI FUNDA. PG. 316 Us3 surgical as3psis for all typ3s of suctioning.
Nolong3r than 10-15 s3conds to avoid hypox3mia
10. A nurs3 is docum3nting cli3nt car3. Which of th3 following abbr3viations should th3 nurs3
us3?ati book was not thorough so i had to go on diff3r3nt sit3s for charts - not confid3nt with
this,pl3as3 doubl3 ch3ck.
a. “SS” for sliding scal3
b. “BRP” for bathroom privil3g3s
c. “OJ” for orang3 juic3- do not
d. “SQ” for subcutan3ous- do not
11. MISSING
12. A nurs3 is coll3cting A blood pr3ssur3 r3ading from a cli3nt who is sitting in a chair
p3riodth3 nurs3 d3t3rmin3s that th3 cli3nts BP is 158/96 mmhg. which of th3 following actions
shouldth3 nurs3 tak3?
a. 3nsur3 that th3 width of th3 BP cuff is 50% of th3 cli3nt‟s upp3r arm circumf3r3nc3.
Itsays 40%
b. R3position th3 cli3nt Supin3 and r3ch3ck h3r BP. BP. →
ORTHOSTATICHYPOT3NSION
c. R3ch3ck th3 cli3nts BP and h3r oth3r arm for comparison.
d. R3qu3st that anoth3r nurs3 ch3ck th3 th3 cli3nts BP in 30 minut3s. → 15 minut3s
13. A nurs3 is caring for a cli3nt who has l3ft low3r at3l3ctasis. in which of th3
followingpositions should th3 nurs3 plac3 th3 cli3nt for postural drainag3? Chapt3r 53
Airway Manag3m3nt pag3 562
e. Supin3 and low-Fowl3r's position
f. Right lat3ral in Tr3nd3l3nburg position
g. Sid3 lying with th3 right sid3 ofth3 ch3st 3l3vat3d
h. Pron3 with pillows und3r th3 3xtr3miti3s
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14. A nurs3 isr3c3iving th3 pr3scription for a cli3nt who is 3xp3ri3ncing dysphagia following
astrok3. Which of th3 following pr3scriptions should th3 nurs3 clarify?
a. Di3titian consult
b. Sp33ch th3rapy r3f3rral
c. Oral suction at th3 b3dsid3
d. Cl3ar liquids- liquids must b3 THICK. Cl3ar liquids can caus3 aspiration
Rational3: ATI MS. Pg. 83 food l3v3ls for dysphagia includ3 pur33d, m3chanically
alt3r3d, advanc3d/m3chanically soft, and r3gular.
15. A nurs3 is administ3ring a larg3 volum3 3n3ma to a cli3nt. Id3ntify th3 s3qu3nc3 ofst3ps
th3nurs3 should follow aft3r pr3paration and lubricating th3 3n3ma s3t.(ati funds vid3o
3n3ma)
1. Administ3r th3 3n3ma solution.(2)
2. R3mov3 th3 3n3ma tub3 from th3 cli3ntsr3ctum.(4)
3. Wrap th3 3nd of th3 3n3ma tub3 with a disposabl3 tissu3.(5)
4. Ins3rt th3 3n3ma tub3 into th3 cli3nt'sr3ctum.(1)
5. Clamp th3 3n3ma tub3.(3)
nurs3 is ins3rting an NG tub3 for a cli3nt who r3quir3s gastric
d3compr3ssion. Which of th3following actions should th3 nurs3 tak3 to v3rify
prop3r plac3m3nt of th3 tub3?
a. Plac3 th3 3nd ofth3 NG tub3 in wat3r to obs3rv3 for bubbling.
b. Auscultat3 2.5 cm(1 in) abov3 th3 umbilicus whil3 inj3cting 15 mL ofst3ril3 wat3r.
AIRNOT WAT3R OR BY ASPIRATING GASTRIC FOR PH.
c. Ass3ss th3 cli3nt's gag r3fl3x.
d. M3asur3 th3 pH of th3 gastric aspirat3.
17. A nurs3 is t3aching a group of n3wly lic3ns3d nurs3s about th3 Brad3n Scal3. Which of
th3following r3spons3s by th3 n3wly lic3ns3d nurs3 indicat3s an und3rstanding of th3
t3aching?
a. “Th3 cli3nt‟s ag3 is part of th3 m3asur3m3nt.” - rational3 is sam3 as b.
b. “Th3 scal3 m3asur3s six 3l3m3nts.”
Rational3: Th3 six 3l3m3nts ar3 1. S3nsory P3rc3ption, 2. Moistur3, 4. activity, 5.
mobility,6. nutrition , 7. friction and sh3ar.
ATI Fundamentals Proctored Exam Test Bank 2021 - 2022
NURSING EXAM
c. “Th3 high3r th3 scor3, th3 high3r th3 pr3ssur3 ulc3r risk.”- th3 high3r th3 scor3 th3
b3tt3rchanc3 th3 pati3nt has ofNOT g3tting an ulc3r . scor3 of 12 or l3ss is high risk.
Anything abov3 18 is h3althy.
d. “3ach 3l3m3nt has a rang3 from1 to 5 points.”- 3ach 3l3m3nts is scor3d from 1-4 actually
.
18. A nurs3 is caring from a cli3nt who has a trach3ostomy. Which of th3 following
actionsshould th3 nurs3 tak3?
a. Cl3an th3 skin around th3 stoma with normal salin3.
b. S3cur3 th3 trach3ostomy ti3s with on3 fing3r to fit snugly und3rn3ath. → 2 snug
fing3rswidths und3r n3ck strap
c. Soak th3 out3r cannula in warm tap wat3r. ST3RIL3 NS
d. Us3 a cotton tip applicator to cl3an th3 insid3 in th3 inn3r cannula. 3an th3 insid3 with th3 faci
Rational3 : according to POTT3R, funda pg. 866 using NS-saturat3d cotton-tipp3d
st3ril3 swabs and 4x4 gauz3, cl3an 3xpos3d out3r cannula surfac3s and soma
und3rfac3plat3, 3xt3nding 5-10cm(2-4in) in all dir3ctions from stoma. [Show Less]