ATI PN fundamentals 2023 Exam 2 | Nurselytic

Questions 59

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ATI PN fundamentals 2023 Exam 2 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?

Correct Answer: B

Rationale: Pouring over the field risks contamination from the bottle, breaching sterility.

Question 2 of 5

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

Correct Answer: C

Rationale: Documenting episiotomy details is critical for assessing postpartum healing and infection risk.

Question 3 of 5

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: Assessing for a communication board supports effective teaching for expressive aphasia.

Question 4 of 5

A nurse is preparing to administer ampicillin to a school-age child who weighs 55 lb. The provider prescribes 50 mg/kg/day in 4 equal doses. Available is ampicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 12.5 mL

Rationale: 55 lb = 25 kg; 25 kg × 50 mg/kg/day = 1250 mg/day; 1250 mg ÷ 4 = 312.5 mg/dose; 312.5 mg ÷ (125 mg/5 mL) = 12.5 mL.

Question 5 of 5

A nurse is assisting in the care of a client who just started receiving a blood transfusion 5 min ago. Which of the following findings should be reported first to the provider?

Correct Answer: B

Rationale: Dyspnea may indicate a severe transfusion reaction like TRALI, requiring urgent reporting.

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