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ATI Fundamentals Exam East Wick College Questions

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Question 1 of 5

A nurse is caring for a client who requires a clear liquid diet. Which of the following foods should the nurse allow the client to have?

Correct Answer: C

Rationale: Grape juice is a clear liquid, suitable for a clear liquid diet. Sherbet, carrot juice, and skim milk are not.

Question 2 of 5

A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: The ventrogluteal site is ideal for a 3 mL IM injection, being safe and able to accommodate larger volumes.

Question 3 of 5

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

Correct Answer: B

Rationale: Injecting heparin into the abdomen above the iliac crest is the recommended site. Massaging risks bruising, and shorter, smaller-gauge needles are used.

Question 4 of 5

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dl, chloride 100 mEq/L, sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: Potassium level of 3.0 mEq/L is low, requiring replacement. Discontinuing TPN, administering glucagon, or checking for Chvostek’s sign are not indicated.

Question 5 of 5

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

Correct Answer: A

Rationale: Urine specific gravity of 1.034 indicates concentrated urine, a sign of dehydration.

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