Exam (elaborations)
FUNDAMENTALS EXAM 2: ATI (FUNDAMENTALS) (CH. 53, 48, 12, 13, 43, & 40) WITH CORRECT ANSWERS
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FUNDAMENTALS EXAM 2: ATI (FUNDAMENTALS) (CH. 53, 48, 12, 13, 43, & 40) WITH CORRECT ANSWERS
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FUNDAMENTALS EXAM 2: ATI(FUNDAMENTALS) (CH. 53, 48, 12, 13,
43, & 40) WITH CORRECT ANSWERS
Aanurseaisaassessingaaaclientawhoahasaanaacutearespiratoryainfection,aincreasingatheariskafo
rahypoxemia.aWhichaofatheafollowingafindingsaareaearlyaindicationsathatashouldaalertatheanur
seathatatheaclientaisadevelopingahypoxia?a(Selectaallathataapply)
a.aRestlessness
b.aTachypnea
c.aBradycardia
d.aConfusion
e.aHypertensiona-aans--a,ab,ad,ae
Aaprovideraisadischargingaaaclientawhoahasaaaprescriptionaforahomeaoxygenatherapyaviaanas
alacannula.aClientaandafamilyateachingabyatheanurseashouldaincludeawhichaofatheafollowingai
nstructions?a(Selectaallathataapply)
a.aApplyapetroleumajellyaaroundaandainsideatheanares
b.aRemoveatheanasalacannulaaduringamealtimes
c.aCheckatheapositionaofatheacannulaafrequently
d.aReportaanyanauseaaoradifficultyabreathing
e.aPosta"noasmoking"asignsainaprominentalocationsa-aans--c,ad,ae
Aanurseaisacaringaforaaaclientawhoaisahavingadifficultyabreathing.aTheaclientaisalyingainabedaan
daisaalreadyareceivingaoxygenatherapyaviaanasalacannula.aWhichaofatheafollowingainterventi
onsaisatheanurse'sapriority?
a.aIncreaseatheaoxygenaflow
b.aAssistatheaclientatoaFowler'saposition
c.aPromotearemovalaofapulmonaryasecretions
d.aObtainaaaspecimenaforaarterialabloodagasesa-aans--b
Aanurseaisapreparingatoaperformaendotrachealasuctioningaforaaaclient.aTheanurseashouldafoll
owawhichaofatheafollowingaguidelines?a(Selectaallathataapply)
a.aApplyasuctionawhileawithdrawingatheacatheter
b.aPerformasuctioningaonaaaroutineabasisaeverya2-3ahours
c.aMaintainamedicalaadeptsaduringasuctioning
d.aUseaaanewacatheteraforaeachasuctioningaattempt
e.aApplyasuctionafora10-15asecondsa-aans--a,ad,ae
Aanurseaisacaringaforaaaclientawhoahasaaatracheostomy.aWhichaofatheafollowingaactionsashou
ldatheanurseatakeawhenaprovidingatracheostomyacare?a(Selectaallathataapply)
a.aApplyatheaoxygenasourcealooselyaifatheaSpO2adecreasesaduringatheaprocedure
, b.aUseasurgicalaasepsisatoaremoveaandacleanatheainneracannula
c.aCleanatheaouteracannulaasurfacesainaaacircularamotionafromatheastomaasiteaoutward
d.aReplaceatheatracheostomyatiesawithanewaties
e.aCutaaaslitainagauzeasquaresatoaplaceabeneathatheatubeaholdera-aans--a,ab,ac
Aanurseaisapreparingatoaadministeramethylprednisolonea10amgabyaIVabolus.aTheaamountaav
ailableaisamethylprednisoloneainjectiona40mg/mL.aHowamanyamLashouldatheanurseaadmini
ster?a(Roundaansweratoatheanearestatenth.aDoanotauseaaatrailingazero.)a-aans--
0.3amLaIVabolus
AanurseaisapreparingatoaadministeralactatedaRinger'sa(LR)aIVa100amLaovera15amin.aTheanurs
eashouldasetatheaIVainfusionapumpatoadeliverahowamanyamL/hr?a(roundaansweratoatheaneare
stawholeanumber.aDoanotauseaaatrailingazero.)a-aans--400aml/hraIV
Aanurseaisapreparingatoaadministera0.9%asodiumachloridea(0.9%aNaCl)a250amLaIVatoainfusea
overa30amin.aTheadropafactoraofatheamanualaIVatubingaisa10agtt/mL.aTheanurseashouldaadjus
tatheamanualaIVainfusionatoadeliverahowamanyagtt/min?a(Roundaansweratoatheanearestawhol
eanumber.aDoanotauseaaatrailingazero.)a-aans--83agtt/minaIV
Aanurseaisapreparingatoaadministerametoprolola200amgaPOadaily.aTheaamountaavailableaisa
metoprolola100amg/tablet.aHowamanyatabletsashouldatheanurseaadminister?a(Roundatheaan
sweratoatheanearestawholeanumber.aDoanotauseaaatrailingazero.)a-aans--2atabletsadaily
Aanurseaisapreparingatoaadministeraketorolaca0.5amg/kgaIVabolusaeverya6ahratoaaaschool-
agedachildawhoaweighsa66alb.aTheaamountaavailableaisaketorolacainjectiona30mg/mL.aHowa
manyamLashouldatheanurseaadministeraperadose?a(Roundatheaansweratoatheanearestawholea
number.aDoanotauseaaatrailingazero.)a-aans--0.5amLaIV
Aanurseaisapreparingatoaadministeradextrosea5%ainawatera(DsW)a1,000amLaIVatoainfuseaover
a10ahr.aTheanurseashouldasetatheaIVainfusionapumpatoadeliverahowamanyamL/hr?a(Roundathe
aansweratoatheanearestawholeanumber.aDoanotauseaaatrailingazero.)a-aans--100amL/hraIV
Aanurseaisapreparingatoaadministeraacetaminophena320amgaPOaeverya4ahraPRNaforapain.aT
heaamountaavailableaisaacetaminophenaliquida160mg/5mL.aHowamanyamLashouldatheanurs
eaadministeraperadose?a(Roundaansweratoatheanearestatenth.aUseaaaleadingazeroaifaitaapplie
s.aDoanotauseaaatrailingazero.)a-aans--10amLaPO
Aanurseaisapreparingatoaadministeradextrosea5%ainalactatedaRinger'sa(DsLR)a1,000amLatoain
fuseaovera6ahr.aTheadropafactoraofatheamanualaIVatubingaisa15agtt/mL.aTheanurseashouldaadj
ustatheamanualaIVainfusionatoadeliverahowamanyagtt/min?a(Roundatheaansweratoatheanearest
awholeanumber.aDoanotauseaaatrailingazero.)a-aans--42agtt/minaIV
Aanurseaisacaringaforaaaclientawhoafellaataaanursingahome.aTheaclientaisaorientedatoaperson,apl
ace,aandatimeaandacanafollowadirections.aWhichaofatheafollowingaactionsashouldatheanurseat
akeatoadecreaseatheariskaofaanotherafall?a(selectaallathataapply)
a.aPlaceaaabeltarestraintaonatheaclientawhenatheyaareasittingaonatheabedsideacommode
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