Question

A nurse is preparing to administer medication to a preschooler and must convert the child's weight from pounds to kilograms. The child weighs 30 lb. How many kilograms does the child weigh?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer 1

Correct Answers:

13.6

Rationale :

✴ To convert pounds to kilograms,

🔺Divide the weight in pounds by 2.2.

✔️ 30 lb ÷ 2.2 = 13.636 [rounding off)

👉🏻= 13.6 kg.

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Answer 2

Correct Answers:

Turn off the faucet with a clean paper towel after drying hands.

Rationale :

🟢 After washing and drying hands, the faucet should be turned off using a clean paper towel to avoid recontamination.

🟢 Touching the faucet with bare hands can transfer bacteria back onto clean skin.

🟢 This is a critical infection control measure in all healthcare settings.

🟢 Proper hand hygiene is the first line of defense against healthcare-associated infections (HAIs).

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Answer 3

Correct Answers:

A piston syringe.

Rationale :

🔵 A piston syringe (35-mL) with an appropriate gauge catheter is recommended for wound irrigation, especially in stage 3 pressure injuries.

🔵 This method provides adequate pressure (8–15 psi) to cleanse the wound without causing trauma.

🔵 Barrier ointments, cotton balls, and chilled solutions are not appropriate for irrigation of open wounds.

🔵 Wound irrigation helps reduce infection risk and remove exudate and debris.

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Answer 4

Correct Answers:

Client states, "I started to itch after taking that medication."

Rationale :

When documenting, nurses must use the client’s own words in quotation marks to record subjective data.

🟡 This ensures the documentation is accurate, clear, and legally appropriate.

🟡 Avoid making assumptions or interpretations (e.g., “rash from medication”) unless confirmed.

🟡 Clear documentation helps in identifying potential allergic reactions or adverse drug effects.

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Answer 5

Correct Answers:

"I will remove all stuffed animals from my baby's crib.”

Rationale :

🔴 Soft bedding, toys, and stuffed animals pose a suffocation and SIDS risk and should be removed from the infant's sleep area.

🔴 The safest sleep environment is a firm mattress with a fitted sheet only, and the baby should be placed on their back to sleep.

🔴 Pacifier use is actually protective against SIDS, and blankets should be avoided in favor of sleep sacks or wearable blankets.

🔴 This answer demonstrates the parent's understanding of safe sleep practices.

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Answer 6

Correct Answers:

Pallor with scaly skin.

Rationale :

🔹 Pallor and scaly skin are classic indicators of malnutrition, especially deficiencies in protein, vitamins A, C, and zinc.

🔹 These symptoms reflect poor skin integrity and nutrient absorption, often seen in clients who are undernourished.

🔹 The skin may become dry, rough, or flaky due to lack of essential fatty acids and hydration.

🔹 Malnutrition also reduces wound healing capacity and increases infection risk.

🔹 Pink mucous membranes and a BMI of 23 are within normal limits and do not indicate malnutrition.

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Answer 7

Correct Answers:

Headache.

Rationale :

🟢 Headache is a common adverse effect following a lumbar puncture due to leakage of cerebrospinal fluid at the puncture site.

🟢 The headache typically worsens when sitting or standing and improves when lying down.

🟢 This occurs because of changes in intracranial pressure after CSF loss.

🟢 Clients may need increased oral fluids, caffeine, or even a blood patch to seal the leak.

🟢 The nurse should monitor and report it if persistent or severe.

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Answer 8

Correct Answers:

Use warm water when bathing the client.

Rationale :

🔵 Using warm water (not hot) for bathing helps maintain skin moisture and prevents drying and irritation.

🔵 Clients with limited mobility are at increased risk of skin breakdown, especially over bony prominences.

🔵 Harsh scrubbing, hot water, and improper positioning can damage fragile skin tissue.

🔵 Reddened areas should never be massaged, as this could worsen tissue damage.

🔵 Regular gentle hygiene promotes skin integrity and comfort.

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Answer 9

Correct Answers:

The client has tenderness and warmth in their calf.

Rationale :

🟡 Tenderness and warmth in the calf suggest deep vein thrombosis (DVT), a potentially life-threatening complication.

🟡 DVT can lead to pulmonary embolism if the clot dislodges, making it the highest priority to report.

🟡 While fever and nausea are also concerning, DVT presents immediate risk of sudden decompensation.

🟡 Pain alone is expected postoperatively, but signs of vascular compromise are urgent.

🟡 Prompt diagnosis and treatment (e.g., anticoagulation) are essential.

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Answer 10

Correct Answers:

"It must be difficult facing this type of surgery.”

Rationale :

🔴 This statement uses therapeutic communication by acknowledging the client’s feelings and encouraging expression.

🔴 It shows empathy and invites the client to discuss their fears and anxiety without minimizing their experience.

🔴 Statements like “others have done fine” or offering a sleeping pill immediately can dismiss the client’s emotions.

🔴 Addressing emotional needs is essential for holistic preoperative care.

🔴 The nurse’s role includes listening and supporting psychological well-being.

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ATI PN Fundamentals~2020 NGN Exam1

No.

1 :
A nurse is preparing to administer medication to a preschooler and must convert the child's weight from pounds to kilograms. The child weighs 30 lb. How many kilograms does the child weigh?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2 :
A nurse is preparing to obtain a client's vital signs. Which of the following actions should the nurse take when washing their hands?

3 :
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use?

4 :
A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. Which of the following data should the nurse document in the client's medical record?

5 :
A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching?

6 :
A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?

7 :
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure?

8 :
A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?

9 :
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?

10 :
A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?

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ATI PN Fundamentals~2020 NGN Exam1

No.

1 : A nurse is preparing to administer medication to a preschooler and must convert the child's weight from pounds to kilograms. The child weighs 30 lb. How many kilograms does the child weigh?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2 : A nurse is preparing to obtain a client's vital signs. Which of the following actions should the nurse take when washing their hands?

3 : A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use?

4 : A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. Which of the following data should the nurse document in the client's medical record?

5 : A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching?

6 : A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?

7 : A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure?

8 : A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?

9 : A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?

10 : A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?

1 :
A nurse is preparing to administer medication to a preschooler and must convert the child's weight from pounds to kilograms. The child weighs 30 lb. How many kilograms does the child weigh?(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2 :
A nurse is preparing to obtain a client's vital signs. Which of the following actions should the nurse take when washing their hands?

3 :
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use?

4 :
A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. Which of the following data should the nurse document in the client's medical record?

5 :
A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching?

6 :
A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?

7 :
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure?

8 :
A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?

9 :
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?

10 :
A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?