ATI RN Fundamental Proctored Exam With NGN Graded -Nurselytic

Correct Answer: 400

Rationale: The correct answer is 400 mL/hr.
To calculate the infusion rate in mL/hr, you first need to determine how many mL are being infused in 15 minutes. LR IV 100 mL over 15 minutes means 100 mL/15 minutes = 6.67 mL/min.
To convert this to mL/hr, you multiply by 60 (minutes in an hour), which gives 6.67 mL/min x 60 min/hr = 400 mL/hr.
Therefore, the nurse should set the infusion pump to deliver 400 mL/hr.
Incorrect choices:
A, B, C, D, E, F, G: These choices do not follow the correct calculation method and do not result in the accurate infusion rate of 400 mL/hr.

Correct Answer: B, C, E

Rationale: The correct findings to document as EPS for a client taking haloperidol are B, C, and E. Fine motor tremors are a common EPS manifestation, indicating potential Parkinsonism. Acute dystonias are sudden, involuntary muscle contractions, a characteristic EPS symptom. Uncontrollable restlessness, known as akathisia, is another EPS effect. Orthostatic hypotension (
A) is not typically associated with EPS but rather with antipsychotic-induced orthostatic hypotension. Decreased level of consciousness (
D) is not a typical EPS manifestation but may indicate sedation.

Correct Answer: C

Rationale: The correct answer is C: A bone scan that is scheduled for today. This information is crucial for the oncoming nurse to be aware of as it may impact the client's care plan and require specific preparations or monitoring. Including the client's input & output (
A) is important, but it may not be as time-sensitive as a scheduled procedure. The client's BP from the previous day (
B) is important but may not be as relevant for immediate care planning. The med routine from the med administration record (
D) is necessary information, but it is more appropriate for routine handovers rather than urgent updates.

Correct Answer: B

Rationale: The correct answer is B: Increased risk of imipramine hydrochloride toxicity. Cimetidine inhibits the metabolism of imipramine hydrochloride, leading to increased levels of imipramine in the body. This can result in a higher risk of imipramine toxicity, as the drug will not be efficiently cleared from the system. Increased levels of imipramine can lead to adverse effects such as drowsiness, confusion, and cardiac arrhythmias.


Choice A is incorrect because cimetidine's therapeutic effects are not affected by its interaction with imipramine.
Choice C is incorrect as there is no evidence to suggest that cimetidine's adverse effects are decreased by its interaction with imipramine.
Choice D is incorrect as the increased levels of imipramine due to cimetidine inhibition do not necessarily translate to increased therapeutic effects; instead, it leads to toxicity.

Correct Answer: A, C, E

Rationale:
Correct Answer: A, C, E


Rationale:
A: Obtaining culture specimens before initiating antimicrobials is crucial to identify the specific pathogen causing the infection and guide appropriate treatment.
C: Encouraging the client to limit activity and rest helps reduce metabolic demands, allowing the body to focus on fighting the infection and promoting healing.
E: Assisting the client with oral hygiene frequently is important to prevent further infection and maintain oral health, especially in older adults who may have compromised immune systems.

Summary:
B: Restricting the client's oral fluid intake is not appropriate as hydration is essential for maintaining fluid balance and aiding in infection recovery.
D: Allowing the client to shiver to dispel excess heat is not advised as it can lead to increased metabolic demands and potential complications.
F, G: No other choices are provided in the question.