Rational3 : Morphin3 can caus3 r3spiratory d3pr3ssion if giv3n too much. Also
you should ALWAYS ASS3SS th3 pati3nt first wh3n a m3d 3rror is
... [Show More] p3rform3d to
mak3sur3 m3d 3rror do3sn‟t put th3 cli3nt‟s h3alth in risk.
4. A nurs3 is pr3paring to administ3r diph3nhydramin3 20 mg orally to a 6-y3ar-old child
whohas difficulty swallowing pills. Availabl3 is 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
ATI Fundamentals Proctored Exam Test Bank 2021 - 2022
NURSING EXAM
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 [Show Less]