ATI Custom Fundamentals Final Exam Fall 2023 | Nurselytic

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ATI Custom Fundamentals Final Exam Fall 2023 Questions

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Question 1 of 5

A charge nurse is providing an in-service to a group of nurses on the different levels of illness prevention. The nurse should include which of the following as an example of secondary prevention?

Correct Answer: B

Rationale: The correct answer is B because scheduling a mammogram for a client with a family history of breast cancer is an example of secondary prevention. Secondary prevention aims to detect and treat disease in its early stages to prevent complications. In this case, the client is being screened for breast cancer to detect any abnormalities early on.

A: Influenza vaccination is an example of primary prevention as it aims to prevent the onset of illness.
C: Not scheduling tests for an asymptomatic client does not fall under any level of illness prevention.
D: Scheduling an echocardiogram for a client with heart failure is an example of tertiary prevention, focusing on managing and treating existing conditions.

Question 2 of 5

A nurse is admitting a client who reports they are currently unemployed. Which of the following factors of the social determinants of health (SDOH) is challenging for the client?

Correct Answer: A

Rationale: The correct answer is A: Economic stability. Economic stability is a key factor in the social determinants of health (SDOH) as unemployment can lead to financial insecurity, limited access to healthcare, and increased stress levels impacting overall health outcomes. The other choices are incorrect because Neighborhood environment (
B), Education (
C), and Social and community context (
D) are also important SDOH factors, but in this scenario, the client's current unemployment status directly relates to economic instability and its negative impact on health.

Question 3 of 5

A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: The correct answer is D: Convert the client's weight to kilograms. This is the first step because the dose of cefadroxil is calculated based on the client's weight in kilograms.
To convert 98 lb to kg, divide the weight in pounds by 2.2 (1 kg = 2.2 lb).
Therefore, 98 lb ÷ 2.2 = 44.54 kg. Once the weight is converted to kilograms, the nurse can then calculate the dosage in milligrams (choice
B) by multiplying the weight in kg by 15 mg. The nurse would then calculate the dosage in milliliters (choice
C) by using the concentration of the medication (250 mg/5 mL). Rounding the amount to be administered to the nearest whole number (choice
A) would be the final step before administering the medication.

Question 4 of 5

A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?

Correct Answer: C

Rationale: The correct answer is C - The client's urine output has been 50 mL since surgery. This is important to report to the provider as it could indicate potential kidney dysfunction or inadequate fluid status postoperatively. Low urine output may be a sign of impaired renal function or inadequate fluid intake, which can lead to complications such as dehydration or acute kidney injury. It is crucial for the provider to be aware of this to intervene promptly.


Choice A is incorrect because serosanguineous drainage on the abdominal dressing is expected postoperatively.
Choice B is incorrect because the postoperative laboratory results of Hgb 15% and Hct 40% are within normal range.
Choice D is incorrect because a decrease in pain level post-morphine administration is an expected outcome.

Question 5 of 5

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D: Tell the client to blow her nose gently before the instillation. This step helps to clear any excess mucus or debris from the nasal passages, allowing the decongestant drops to be more effective. Assisting the client to a side-lying position (
A) is not necessary for nasal decongestant administration. Holding the dropper 2 cm above the naris (
B) could lead to inaccurate dosing. Instructing the client to stay in the same position for 2 min (
C) is not required for nasal decongestant drops.

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