Questions 104

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ATI Nursing 4650 Comprehensive Exam Questions

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Question 1 of 5

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

Correct Answer: A

Rationale: Drying the newborn's skin is the priority to prevent hypothermia, which is a significant risk for neonates due to heat loss through evaporation.

Question 2 of 5

A nurse is preparing to administer amoxicillin 30 mg/kg/day divided equally every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 5.6 mL

Rationale: Calculation: 33 lb / 2.2 = 15 kg; 30 mg/kg/day × 15 kg = 450 mg/day; 450 mg / 2 doses = 225 mg/dose; 225 mg ÷ (200 mg/5 mL) = 5.625 mL, rounded to 5.6 mL per dose.

Question 3 of 5

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

Correct Answer: D

Rationale: Talking the client through tasks one step at a time provides clear, structured guidance, which is beneficial for clients with Alzheimer's disease to reduce confusion and support task completion.

Question 4 of 5

A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Correct Answer: B,C,A,D

Rationale: The RACE protocol prioritizes rescuing clients, activating the alarm, confining the fire, and extinguishing it if safe.

Question 5 of 5

A nurse is preparing to infuse a 250-mL unit of packed RBCs over 2 hr. The drop factor of the manual IV tubing is 15 gtts/mL. The nurse should adjust the flow rate to deliver how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 2

Rationale: The calculation involves dividing the total volume (250 mL) by the infusion time (120 minutes) and multiplying by the drop factor (15 gtts/mL). Simplified, this yields approximately 2 gtts/minute after rounding to the nearest whole number.

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