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ATI RN Fundamentals Exam 6
Total Questions : 57
Showing 25 questions, Sign in for moreA nurse is calculating the 8-hr fluid intake for a client who is receiving IV fluids and a clear liquid diet. The client had 880 mL of dextrose 5% in water IV bolus, a 6 oz cup of tea, 4 oz of apple juice, 8 oz of water, 3 oz of flavored gelatin, and 6 oz of broth.
What should the nurse document as the client's 8-hr fluid intake? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
Explanation
To calculate the 8-hr fluid intake, convert all the measurements to milliliters (mL).
1 oz = 30 mL, so 6 oz of tea = 180 mL, 4 oz of apple juice = 120 mL, 8 oz of water = 240 mL, 3 oz of flavored gelatin = 90 mL, and 6 oz of broth = 180 mL.
Add up all the fluid intake from IV fluids and clear liquids: 880 + 180 + 120 + 240 + 90 + 180 = 1690 mL.
Round the answer to the nearest whole number: 1690 mL.
The nurse should document 1690 mL as the client's 8-hr fluid intake.
The parent of a toddler is concerned that his child has suddenly become disinterested in certain foods. Which of the following statements is the appropriate response by the nurse?
A nurse is caring for a client who has diabetes mellitus. Which of the following statements by the client indicates a need for further teaching about diabetic foot care?
A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following is an appropriate action for the nurse to take?
A nurse is preparing to administer carbamazepine to a client who has an NG tube. The provider orders 800 mg each day in two divided doses. Carbamazepine oral suspension is available in 20 mg/mL doses. How many mL should the nurse administer with each dose?
(Round the answer to the nearest whole number. Use a leading zero when applicable. Do not use a trailing zero.)
Explanation
To calculate the amount of carbamazepine oral suspension needed for each dose, divide the total daily dose by the concentration of the suspension and then by the number of doses per day.
- 800 mg / 20 mg/mL / 2 = 20 mL
The nurse should administer 20 mL of carbamazepine oral suspension with each dose.
A nurse is teaching a client who can bear weight on only one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct this client to use?
A nurse is caring for a client who has been diagnosed with breast cancer. After months of treatment, the client refuses to undergo further radiation therapy. Which of the following actions by the nurse is appropriate?
A nurse is caring for a client who has diabetes mellitus. Which of the following statements by the client indicates a need for further teaching about diabetic foot care?
A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following client statements indicates a need for further instruction?
A nurse is caring for a client who has a new prescription for a medication that she thinks may be harmful to the client. After seeking clarification from the provider, the nurse still feels that it is unsafe. Which of the following actions should the nurse take?
A nurse is caring for a client who is unconscious. Which of the following actions is appropriate for the nurse to take when providing the client's oral care?
A nurse is assessing a client who reports nausea and vomiting for 2 days. Which of the following indicates fluid volume deficit?
A nurse is planning care for an older adult client who has urinary incontinence. Which of the following interventions should the nurse include in the client's plan of care?
A home health nurse is providing teaching to an older adult client who is at risk for falls.
Which of the following statements by the client indicates a need for further teaching?
A nurse in a hospital setting is preparing to administer a partial dose of a prefilled opioid analgesic parenterally. Which of the following is an appropriate action by the nurse?
A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the following instructions should the nurse give the client before beginning the procedure?
A nurse is caring for a client who has a dysrhythmia. Which of the following techniques is appropriate for the nurse to use to assess for a pulse deficit?
A nurse is teaching an assistive personnel (AP) how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene?
A nurse is planning to provide instruction to a group of older adult clients about measures to promote health and prevent disease. Which of the following information should the nurse include in the teaching? (Select all that apply.)
A nurse is preparing a client for a central line dressing change. Which of the following actions should the nurse take as part of the procedure?
A nurse is observing a client who has right-sided weakness ambulate using a cane. Which of the following actions by the client should alert the nurse that further teaching is necessary?
A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation, the nurse should:
To plan culturally competent care, a nurse should consider that:
A nurse is assessing a client's incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?
A nurse is performing an assessment of an older adult client in an assisted living facility.
Which of the following findings is the highest priority for the nurse to address when planning care?
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