ATI Fundamentals Proctored Exam Test Bank ATI Fundamentals Proctored Exa m Question Bank( All Versions Latest updated 2022 -2023) (250 Q & ANSWERS) 2. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse? a. “This test will indicate if you are at risk for developing blood clots b. “This test will determine if your heart is performing properly” ◗ Rationale : Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure your kidney function c. “This test is used to check how your kidneys are working” . 3. 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. ◗ Rationale : morphine OD = pulmonary edema fills lungs w/ fluid leading cause of death for OD ◗ 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. 4. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6 -year-old child who has difficulty swallowing pills. Available is diphenhydramine 12.5 mg/5 mL oral syrup. Which of the following images shows the correc t # of mL the nurse should administer? (Round the answer to the nearest whole number.) Click on the syringe that has 8 mL of med. 20 mg x (5mL/12.5mg) = 8 mL NURSING EXAM Downloaded by: Theodoree | munedenis957@gmail.com Distribution of this document is illegal 5. 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.) 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 Rationale : 80 mg x 20 kg = 1,600 1,600/4 x day (q6h) = 400 mg 6. 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. Rationale : Prioritization question. YOU WILL FIRST UNPLUG the IV pump to avoid causing a fire. 7. 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? a. Serum albumin 3 g/dL b. Total lymphocyte count 2400 mm3 c. HCT 42% d. HGB 16g/dL Rationale : Albumin in low. Normal range is 3.5 to 5.5 g/dL. Low albumin places the client at risk forpoor wound healing. The other lab values are within normal limits. 8. 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 client‟s antecubital fossa.
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