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ati PN COMPREHENSIVE,NUTRITION RETAKE ,MED-SURG PROCTORED, PHARMACOLOGY,NURSING CARE OF CHILDREN all in one BUNDLE
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ATI PN COMPREHENSIVE PREDICTOR FORM A,B AND C GRADED A 2023/2024
ATI PN COMPREHENSIVE PREDICTOR FORM A,B AND C GRADED A 2023/2024
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ATI RN Nursing Care of Children Proctored Exam 2019/ Questions & Answers GRADED A
ATI RN Nursing Care of Children Proctored Exam 2019/ Questions & Answers GRADED A
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Ati nutrition retake exam 2023 GRADED A EXAMS QUESTIONS AND ANSWERS DOWNLOAD TO SCORE A
Ati nutrition retake exam 2023 GRADED A EXAMS QUESTIONS AND ANSWERS DOWNLOAD TO SCORE A
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ATI Med-Surg Proctored Exam Question Bank correctly answered
ATI Med-Surg Proctored Exam Question Bank correctly answered ATI Med-Surg Proctored Exam Question Bank correctly answered ATI Med-Surg Proctored Exam Q... [Show More] uestion Bank correctly answered ATI Med-Surg Proctored Exam Question Bank correctly answered ATI Med-Surg Proctored Exam Question Bank correctly answered [Show Less]
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ATI RN Comprehensive Predictor 2019 Form A B C
ATI RN Comprehensive Predictor 2019 Form A B C FORM A 6. A nurse is caring for a client who is in active labor and requests pain manageme... [Show More] nt. Which of the following actions should the nurse take? A. Administer ondansetron. B. Place the client in a warm shower. C. Apply fundal pressure during contractions. D. Assist the client to a supine position. 7. a nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? A. Below-the knee amputation B. Fractured tibia C. 95% full-thickness body burn D. 10cm (4in) laceration to the forearm 8. a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Remove the client’s restraint every 4hr B. Document the client’s condition every 15 min C. Attach the restrain to the bed’s side rails D. Request a PRN restrain prescription for clients who are aggressive 9. A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? A. Acts as an advocate for the nursing unit. B. (Unable to read) for the unit C. Priorities staff request over client needs. D. Provides routine client care and documentation. 10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care. A. Serum sodium 144 mEq/ B. (Unable to read) C. Hba1c 10 % D. Random serum glucose 190 mg/dl. 11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? A. Chlamydia B. Human papillomavirus C. Candidiasis D. Herps simplex virus 12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should thenurse include in the teaching? A. Share personal opinions to help influence the group’s values B. Measure the accomplishments of the group against a previous group C. Yield in situations of conflicts to maintain group harmony D. Use modeling to help the clients improve their interpersonal skills 13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that (Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care? A. Provide chicken with cream sauce. B. Avoid serving fish with fins and scales. C. Provide unleavened bread. D. Avoid serving foods containing lamb. 14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment A. A chest x-ray reveals increased density in all fields. B. The client reports feeling less anxious. C. Diminished breath sounds are auscultated bilaterally D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. 15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of the following actions should the nurse do next. A. Monitor the client’s IV site for thrombophlebitis. B. Administer flumazenil to the client. C. Evaluate the client for further suicidal behavior. D. Initiate seizure precautions for the client. 16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? A. Hypotension B. Memory loss C. Slurred speech D. Elevated temperature 17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention 18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? A. Hgb 12.5 g/dl B. Platelets 250,000/mm3 C. Hct 40% D. WBC 14,000/mm3 19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? A. “The proxy should make health care decisions for the client regardless of the client’s ability to do so.” B. “The proxy can make financial decisions if the need arises.” C. “The proxy can make treatment decisions if the client is under anesthesia.” D. “The proxy should manage legal issues for the client.” 20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? A. Turn the client on their side. B. Administer an analgesic C. Administer antiemetic D. Monitor the client’s vital signs. 21. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first? A. Confirm the client’s perception of the event B. Notify the client’s support system C. Help the client identify personal strengths D. Teach the client relaxation techniques 22. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions should the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client’s peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client’s condition every 15 minutes. 23. A 24. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Which of the following client should the nurse delegate to the LPN? A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs. B. A client who sustained a concussion and has unequal pupils. C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction. D. A client who fractured his femur yesterday and is experiencing shortness of breath. 25. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? A. Place the client upright on a donut-shaped cushion B. Teach the client to shift his weight every 15 min while sitting C. Turn and reposition the client every 3 hr while in bed D. Assess pressure points every 24 hr 25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management (Unable to read) a safe option for the client? A. Naloxone hydrochloride. B. Spinal anesthesia. C. Pudendal block. D. Butorphanol tartrate. 26. C 27. A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the (Unable to read) (Most important?) [Show Less]
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ATI MED-SURG Proctored Exam (Exam solutions, with updated complete resources for 2022 ATI Exams)
ATI MED-SURG Proctored Exam (Exam solutions, with updated complete resources for 2022 ATI Exams) A nurse is reinforcing glycosylated hemoglobin (HbA... [Show More] 1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? "The HbA1c test should be performed 2 hr after I eat a meal that is high in carbohydrates."(The nurse should remind the client that carbohydrate consumption is not required for HbA1c testing.) "The HbA1c test can help detect the presence of ketones in my body."(The nurse should remind the client that urine testing can detect ketone bodies.) "I will have my HbA1c checked twice per year."(An HbA1c test provides the client's average glucose level for the preceding 3 months. The nurse should instruct the client to have her HbA1c tested twice yearly to manage her glucose.) "I will plan to fast before I have my HbA1c tested."(The nurse should remind the client that fasting is not required for HbA1C testing.) A nurse is examining a client’s IV site and notes a red line up his arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client’s manifestations indicate which of the following complications of IV therapy? Thrombophlebitis(The nurse should identify pain, warmth, and a red streak up the arm as indications of thrombophlebitis.) Infiltration(The nurse should identify swelling and cool skin at the IV site as indications of infiltration.) Hematoma(The nurse should identify swelling and bruising as indications of a hematoma that can develop by not holding enough pressure after discontinuing the IV.) Venous spasms(The nurse should identify cramping at or above the insertion site and numbness as indications of venous spasms.) A nurse is collecting data from a client and notices several skin lesion. Which of the following findings should the nurse report as possible melanoma? Scaly patches(The nurse should report scaly patches as possible basal or squamous cell carcinoma. Silvery white plaques(The nurse should report silvery white plaques as possible psoriasis.) Irregular borders(The nurse should report irregular borders of a skin lesion to the provider because it can indicate malignant melanoma.) Raised edges(The nurse should report raised edges of a skin lesion as possible basal cell carcinoma.) e) A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. Which of the following should the nurse include in the teaching? Administer an analgesic following wound care.(The nurse should remind the family member to administer an analgesic prior to wound care to prevent discomfort.) Irrigate the wound with povidone iodine.(The nurse should remind the family member to irrigate the wound with 0.9% sodium chloride.) Cleanse the wound with a cotton-tipped applicator.(The nurse should remind the family member to avoid using a cotton-tipped applicator to cleanse the wound because the fibers can become embedded in the wound, cause infection, and delay wound healing.) Report purulent drainage to the provider.(The nurse should remind the family member to report signs of infection, including purulent drainage.) A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client, which of the following findings should the nurse expect? Flaccid neck(The nurse should recognize that nuchal rigidity, rather than a flaccid neck, is a manifestation of meningitis.) Stooped posture with shuffling gait(The nurse should recognize that a stooped posture with shuffling gait is a manifestation of Parkinson's disease, not a manifestation of meningitis.) Red macular rash(The nurse should expect to find a red macular rash, sometimes called a petechial rash, which is a manifestation of meningococcal meningitis.) Masklike facial expression(The nurse should recognize that a masklike expression is a manifestation of Parkinson's disease, not a manifestation of meningitis.) A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? Increase fluid intake.(Fluid intake is beneficial for general health and wellness, and it helps to treat some disorders. Caffeine and alcohol intake can increase the client's risk of developing osteoporosis. However, fluid intake does not prevent bone loss.) Encourage range-of-motion exercises.(Range-of-motion exercises are beneficial for general health and wellness, and they help to maintain flexibility and prevent contractures. However, range-of- motion exercises do not prevent bone loss.) Massage bony prominences.(Massaging bony prominences should be avoided because it can traumatize deep tissues.) Encourage weight-bearing exercises.(Weight-bearing exercises, such as walking, can maintain bone mass by reducing bone demineralization, thus helping to prevent osteoporosis.) A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial gastrectomy for ulcers. Which of the following information should the nurse include in the teaching? Avoid liquids at mealtimes.(The nurse should remind the client to avoid drinking liquids at mealtimes to prevent the food from emptying into the small bowel too quickly.) Exclude eating starchy vegetables.(The nurse should remind the client to include starchy vegetables in the meal plan to slow gastric emptying.) Avoid eating high-protein meals.(The nurse should remind the client to eat high-protein meals to help slow gastric emptying.) Plan to increase intake of sweetened fruits.(The nurse should remind the client to exclude sweetened fruits from the diet to help slow gastric emptying.) A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should the nurse review prior to the procedure? Albumin(Albumin levels determine the amount of protein the liver produces in the body and is an indication of hepatic function and nutritional status. However, it is not impacted by contrast media used for cardiac catheterization. Therefore, the nurse does not need to review this laboratory level prior to a cardiac catheterization.) Phosphorus(Phosphorus is an electrolyte that combines with calcium to maintain bone health and is involved as an energy source in metabolism. However, it is not impacted by contrast media used for cardiac catheterization. Therefore, the nurse does not need to review this laboratory level prior to a cardiac catheterization.) TSH(TSH levels determine thyroid function. However, it is not impacted by contrast media used for cardiac catheterization. Therefore, the nurse does not need to review this laboratory level prior to a cardiac catheterization.) BUN(BUN levels indicate kidney function. Contrast media used during cardiac catheterization can cause renal failure. The nurse should review this laboratory level to determine if the client can tolerate the IV contrast dye during the procedure.) A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of the following should the nurse include in the teaching? Increase intake of fiber-rich foods.(The nurse should instruct the client to increase the amount of fiber- rich foods in his diet. Dried beans and brown rice are examples of fiber-rich foods.) Take a laxative every morning.(The nurse should instruct the client to initially take a laxative in the evening to stimulate the evacuation of stool. However, the nurse should instruct the client to use laxatives sparingly.) Maintain a fluid intake of 1200 mL per day.(The nurse should instruct the client to increase his fluid intake to 2,000 mL per day to maintain soft stools.) Limit activity to preserve energy.(The nurse should instruct the client to increase activity to stimulate the evacuation of stool.) A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions should the nurse take? Position pillows between the bony prominences.(The nurse should use positioning devices to keep bony prominences from being in direct contact with each other, which will prevent skin breakdown and pressure ulcer development.) Check for incontinence every 3 hr.(The nurse should check the client for incontinence at least every 2 hr to prevent skin breakdown.) Massage reddened areas of the skin.(The nurse should avoid massaging reddened areas of the skin, which can lead to the formation of a pressure ulcer by damaging underlying tissue.) Elevate the head of the bed to 45°.(The nurse should avoid elevating the head of the bed to an angle greater than 30°. An angle greater than 30° can cause shearing of the skin, which leads to tissue injury and pressure ulcer development.) A nurse is contributing to the plan of care for a client who has peripheral arterial disease (PAD) of the lower extremities. Which of the following interventions should the nurse include? Place moist heat pads on the extremities.(The nurse should avoid applying heat to the client's extremities to prevent injury due to decreased sensation.) Perform manual massage of the affected extremities.(The nurse should avoid massaging the client's lower extremities if the client is having pain from ischemia. A warm environment and keeping the client warm will help with circulation to the extremities and decrease pain through vasodilation.) Dangle the extremities off the side of the bed.(The nurse should include in the plan of care to have the client dangle the lower extremities off the side of the bed to aid in reducing pain by increasing arterial blood flow. The client should not raise the lower extremities above the level of the heart when resting in bed because it impairs arterial blood flow.) Apply support stockings before getting out of bed.(The nurse should avoid applying support stockings to the lower extremities because support stockings interfere with the arterial blood flow to the lower extremities.) A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use? Gown(The nurse should wear a gown when caring for a client who requires contact precautions.) Mask(The nurse should identify that a client who has Meningococcal pneumonia requires droplet precautions, which include wearing a mask when providing care within 3 feet of the client.) Sterile gloves(The performance of sterile dressing changes or tracheostomy care requires the nurse to wear sterile gloves. However, clean gloves are used to provide medical aseptic care.) Protective eyewearA nurse should wear protective eyewear when there is a risk for splashing, such as during the irrigation of a wound.) A nurse is assisting with the care of a client who has a cardiac catheterization via the right femoral artery. Which of the following actions should the nurse take to prevent postprocedure complications (Select all that apply?) Should wait at least 2 hours after eating before going to bed."(The client should wait to lie down or go to bed at least 2 hr after eating to minimize reflux.) "I should eat three meals a day without eating snacks between meals."(The client should eat four to six small meals per day rather than three large meals to minimize bloating and abdominal distention.) "I should season my food with garlic."(The client should avoid spicy foods, including garlic, to minimize reflux.) "I should drink my liquids through a straw."(The client should avoid drinking through a straw, which can promote belching and reflux.) A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize as the priority? Pruritus(The nurse should identify pruritus as an adverse effect of an epidural infusion. However, another finding is the priority.) Nausea(The nurse should identify nausea as an adverse effect of an epidural infusion. However, another finding is the priority.) Urinary retention(The nurse should identify urinary retention as an adverse effect of an epidural infusion. However, another finding is the priority. Dyspnea(When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority finding is dyspnea, which is a complication of the epidural infusion.) A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a client. Which of the understanding of the teaching? I should wait at least 2 hours after eating before going to bed."(The client should wait to lie down or go to bed at least 2 hr after eating to minimize reflux.) "I should eat three meals a day without eating snacks between meals."(The client should eat four to six small meals per day rather than three large meals to minimize bloating and abdominal distention.) Different ATI Exam Resource links, which help you to score better grade in exam. (Use the following link to download the documents) (Already High rated Documents) ATI PN MA [Show Less]
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ATI MED SURG PROCTORED EXAM
1. The nurse is attempting to prompt the patient to elaborate on the reports of daytime fatigue. Which question should the nurse ask? “Is there anyt... [Show More] hing that you are stressed about right now that I should a. know?” b. “What reasons do you think are contributing to your fatigue?” c. “What are your normal work hours?” d. “Are you sleeping 8 hours a night?” ANS: B The question asking the patient what factors might be contributing to the fatigue will elicit the best open-ended response. Asking whether the patient is stressed and asking if the patient is sleeping 8 hours a night are closed- ended questions eliciting simple yes or no responses. Asking about normal work hours will elicit a matter-of- fact response and does not prompt the patient to elaborate on the daytime fatigue or ask about the contributing reasons. 2. A nurse is conducting a nursing health history. Which component will the nurse address? a. Nurse’s concerns b. Patient expectations c. Current treatment orders d. Nurse’s goals for the patient ANS: B Some components of a nursing health history include chief concern, patient expectations, spiritual health, and review of systems. Current treatment 1 orders are located under the Orders section in the patient’s chart and are not a part of the nursing health history. Patient concerns, not nurse’s concerns, are included in the database. Goals that are mutually established, not nurse’s goals, are part of the nursing care plan. 3. While the patient’s lower extremity, which is in a cast, is assessed, the patient tells the nurse about an inability to rest at night. The nurse disregards this information, thinking that no correlation has been noted between having a leg cast and developing restless sleep. Which action would have been best for the nurse to take? a. Tell the patient to just focus on the leg and cast right now. b. Document the sleep patterns and information in the patient’s chart. c. Explain that a more thorough assessment will be needed next shift. Ask the patient about usual sleep patterns and the onset of having d. difficulty resting. ANS: D The nurse must use critical thinking skills in this situation to assess first in this situation. The best response is to gather more assessment data by asking the patient about usual sleep patterns and the onset of having difficulty resting. The nurse should assess before documenting and should not ignore the patient’s report of a problem or postpone it till the next shift. 4. The nurse begins a shift assessment by examining a surgical dressing that is saturated with serosanguineous drainage on a patient who had open abdominal surgery yesterday (or 1 day ago). Which type of assessment approach is the nurse using? a. Gordon’s Functional Health Patterns b. Activity-exercise pattern assessment c. General to specific assessment d. Problem-oriented assessment ANS: D 2 The nurse is not doing a complete, general assessment and then focusing on specific problem areas. Instead, the nurse focuses immediately on the problem at hand (dressing and drainage from surgery) and performs a problem-oriented assessment. Utilizing Gordon’s Functional Health Patterns is an example of a structured database-type assessment technique that includes 11 patterns to assess. The nurse in this question is performing a specific problem-oriented assessment approach, not a general approach. The nurse is not performing an activity-exercise pattern assessment in this question. 5. Which statement by a nurse indicates a good understanding about the differences between data validation and data interpretation? a. “Data interpretation occurs before data validation.” b. “Validation involves looking for patterns in professional standards.” c. “Validation involves comparing data with other sources for accuracy.” “Data interpretation involves discovering patterns in professional d. standards.” ANS: C Validation, by definition, involves comparing data with other sources for accuracy. Data interpretation involves identifying abnormal findings, clarifying information, and identifying patient problems. The nurse should validate data before interpreting the data and making inferences. The nurse is interpreting and validating patient data, not professional standards. 6. Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient? The nurse determines to remove a wound dressing when the patient reveals the time of the last dressing change and notices old and new a. drainage. The nurse administers pain medicine due at 1700 at 1600 because the b. patient reports increased pain and the family wants something done. The nurse immediately asks the health care provider for an order of 3 c. potassium when a patient reports leg cramps. The nurse elevates a leg cast when the patient reports decreased d. mobility. ANS: A The only scenario that validates a patient’s report with a nurse’s observation is changing the wound dressing. The nurse validates what the patient says by observing the dressing. The rest of the examples have the nurse acting only from a patient and/or family reports, not the nurse’s assessment. 7. While completing an admission database, the nurse is interviewing a patient who states “I am allergic to latex.” Which action will the nurse take first? a. Immediately place the patient in isolation. b. Ask the patient to describe the type of reaction. c. Proceed to the termination phase of the interview. d. Document the latex allergy on the medication administration record. ANS: B The nurse should further assess and ask the patient to describe the type of reaction. The patient will not need to be placed in isolation; before terminating the interview or documenting the allergy, health care personnel need to be aware of what type of response the patient suffered. 8. A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse’s initial action in response to these observations? a. Proceed to the next patient’s room to make rounds. b. Determine the patient does not want any pain medicine. c. Ask the patient about the facial grimacing with movement. d. Administer the pain medication ordered for moderate to severe pain. ANS: C First, the nurse needs to clarify/verify what was observed with what the patient states. Proceeding to the next room is ignoring this visual cue. The nurse 4 cannot assume the patient does not want pain medicine just because he reports a 2 out of 10 on the pain scale. The nurse should not administer medication for moderate to severe pain if it is not necessary. 9. The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview? a. The patient’s room with the door closed b. The waiting area with the television turned off c. The patient’s room before administration of pain medication The waiting room while the occupational therapist is working on leg d. exercises ANS: A Distractions should be eliminated as much as possible when interviewing a patient with a hearing deficit. The best place to conduct this interview is in the patient’s room with the door closed. The waiting area does not provide privacy. Pain can sometimes inhibit someone’s ability to concentrate, so before pain medication is administered is not advisable. It is best for the patient to be as comfortable as possible when conducting an interview. Assessing a patient while another member of the health care team is working would be distracting and is not the best time for an interview to take place. 10. A new nurse is completing an assessment on an 80-year-old patient who is alert and oriented. The patient’s daughter is present in the room. Which action by the nurse will require follow-up by the charge nurse? a. The nurse makes eye contact with the patient. b. The nurse speaks only to the patient’s daughter. c. The nurse leans forward while talking with the patient. d. The nurse nods periodically while the patient is speaking. ANS: B Gathering data from family members is acceptable, but when a patient is able to interact, nurses need to include information from the older adult to complete the assessment. Therefore, the charge nurse must correct this misconception. When assessing an older adult, nurses need to listen carefully 5 and allow the patient to speak. Positive nonverbal communication, such as making eye contact, nodding, and leaning forward, shows interest in the patient. Thus, the charge nurse does not need to intervene or follow up. MULTIPLE RESPONSE 1. A nurse is completing an assessment. Which findings will the nurse report as subjective data? (Select all that apply.) a. Patient’s temperature b. Patient’s wound appearance c. Patient describing excitement about discharge d. Patient pacing the floor while awaiting test results e. Patient’s expression of fear regarding upcoming surgery ANS: C, E Subjective data include patient’s feelings, perceptions, and reported symptoms. Expressing feelings such as excitement or fear is an example of subjective data. Objective data are observations or measurements of a patient’s health status. In this question, the appearance of the wound and the patient’s temperature are objective data. Pacing is an observable patient behavior and is also considered objective data. MATCHING A nurse is completing an assessment using the PQRST to obtain data about the patient’s chest pain. Match the questions to the components of the PQRST that the nurse will be using. a. Where is the pain located? b. What causes the pain? c. Does it come and go? d. What does the pain feel like? e. What is the rating on a scale of 0 to 10? 1. Provokes 6 2. Quality [Show Less]
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ATI Med-Surg proctored Exam
ATI Med-Surg proctored Exam A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Wh... [Show More] ich of the following instructions should the nurse include in the teaching? 1) Take temperature once a day. 2) Wash the armpits and genitals with a gentle cleanser daily. 3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions? 1) Provide humidified oxygen. 2) Perform chest physiotherapy prior to suctioning. 3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway. 4) Hyperventilate the client with 100% oxygen before suctioning the airway.. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? 1) Rub the client's feet briskly for several minutes. 2) Obtain a pair of slipper socks for the client. 3) Increase the client's oral fluid intake. 4) Place a moist heating pad under the client's feet. A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? 1) Emesis of 100 mL 2) Oral temperature of 37.5° C (99.5° F) 3) Thick, red-colored urine 4) Pain level of 4 on a 0 to 10 rating scale A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? 1) Shivering 2) Infection 3) Burns 4) Hypervolemia A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? 1) "I will carry a complex carbohydrate snack with me when I exercise." 2) "I should exercise first thing in the morning before eating breakfast." 3) "I should avoid injecting insulin into my thigh if I am going to go running." 4) "I will not exercise if my urine is positive for ketones." A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first? 1) Cover the client's wound with a moist, sterile dressing. 2) Have the client lie supine with knees flexed. 3) Check the client's vital signs. 4) Inform the client about the need to return to surgery. A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? 1) Cool, clammy skin. 2) Hyperventilation 3) Increased blood pressure 4) Bradycardia A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching? 1) Avoid bending at the waist. 2) Remove the eye shield at bedtime. 3) Limit the use of laxatives if constipated. 4) Seeing flashes of light is an expected finding following extraction. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first? 1) Suggest that the client rests before eating the meal. 2) Request a dietary consult. 3) Check the client's vital signs. 4) Request an order for an antiemetic. A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found? 1) Sanguineous 2) Serous 3) Serosanguineous 4) Purulent A nurse is reinforcing discharge teaching to a client following arthroscopic surgery. To prevent postoperative complications which of the following actions should be reinforced during the teaching? 1) Administer an opioid analgesic to the client 30 min prior to initiating CPM exercises. 2) Place the client’s affected leg into the CPM machine with the machine in the flexed position. 3) Place the client into a high Fowler’s position when initiating the CPM exercises. 4) Align the joints of the CPM machine with the knee gatch in the client’s bed. A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.) 1) Dyspnea 2) Barrel chest 3) Clubbing of the fingers 4) Shallow respirations 5) Bradycardia A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the following actions should the nurse take first? 1) Take the client's temperature. 2) Place a dressing under the client's nose. 3) Notify the charge nurse. [Show Less]
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ATI Med Surg Proctored Exam (Latest 2022 – 2023)
A nurse is preparing to administer lactated Ringer's via continuos IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/m... [Show More] in should the nurse set the IV ump to administer? [Show Less]
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Med Surg B, RN Adult Med Surg A, ATI MED SURG, ATI A, ATI B, ATI C In-class activity
Med Surg B, RN Adult Med Surg A, ATI MED SURG, ATI A, ATI B, ATI C A nurse is providing teaching to a client who has a new prescription for psyllium. ... [Show More] Which of the following information should the nurse include in the teaching? - CORRECT ANSWER Drink 240 mL (8 oz) of water after administration A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client's condition is improving? - CORRECT ANSWER Glucose 272 mg/dL A nurse is admitting a client who has active TB. Which of the following types of transmission precautions should the nurse initiate? - CORRECT ANSWER Airborne A nurse is providing teaching to a client who has asthma about the use of a metered-dose inhaler. The nurse should identify that which of the following client actions indicates an understanding of the teaching? - CORRECT ANSWER Holding breath for 10 secs after inhaling A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia? - CORRECT ANSWER image of a smooth red tongue A nurse on a medsurg unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? - CORRECT ANSWER BUN A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's priority to report to the provider? - CORRECT ANSWER Restlessness A nurse is receiving report on a client who is postop following an open repair of Zenker's diverticulum. The nurse should anticipate the surgical incision to be in which of the following locations? - CORRECT ANSWER A A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? - CORRECT ANSWER Ibuprofen can cause gastrointestinal bleeding in older adult clients A nurse is planning a health promotional presentation for a group of African American clients at a community center. Which of the following disorders presents the greatest risk to this group? - CORRECT ANSWER Hypertension A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5mL. how many mL should the nurse administer? - CORRECT ANSWER 24 mL A nurse is checking the ECG rhythm strip for a client who has temporary pacemaker. The nurse notes a pacemaker artifact followed by a QRS complex. Which of the following actions should the nurse take? - CORRECT ANSWER Document that depolarization has occurred A nurse is providing discharge instructions to a client who has active TB. Which of the following information should the nurse include in the instructions? - CORRECT ANSWER Sputum specimens are necessary every 2 to 4 weeks until there are 3 negative cultures A nurse is providing preop teaching for a client who is scheduled for a mastectomy. Which of the following statements should the nurse make? - CORRECT ANSWER I will refer you to community resources that can provide support A nurse is assessing a client who is postop following a TURP and notes clots in the clients indwelling urinary catheter and a decrease in urinary output. Which of the following actions should the nurse take? - CORRECT ANSWER Irrigate the indwelling urinary catheter A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect? - CORRECT ANSWER Hair loss on the lower legs [Show Less]
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ATI MED SURG EXAM QUESTIONS AND ANSWERS 2022 GRADED A
ATI MED SURG EXAM QUESTIONS AND ANSWERS 2022 GRADED A A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Wh... [Show More] ich of the following actions should the nurse take? Maintain abduction of the affected extremity. A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching? "You will not be able to eat or drink after the procedure until you are able to cough." A nurse is assessing a client's understanding of a surgical procedure prior to witnessing their signature on the informed consent form. The nurse determines that the client does not understand what the procedure will involve. Which of the following actions should the nurse take? Contact the provider who will be performing the procedure. A nurse is providing discharge teaching to a client who has COPD. Which of the following instructions should the nurse include in the teaching? "Consume a diet that is high in calories." The nurse should instruct the client to avoid foods that are gas forming, such as cauliflower and cabbage. These foods can increase the client's abdominal discomfort. "Select desserts such as angel-food cake." A nurse is monitoring a client who has a traumatic brain injury. Which of the following findings should the nurse identify as a manifestation of Cushing's triad? Increase in blood pressure from 130/80 mm Hg to 180/100 mm Hg A nurse is teaching a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? "I am aware that my diabetes is caused by an autoimmune disorder." A nurse is caring for a client who has a small bowel obstruction and an NG tube in place. Which of the following actions should the nurse take? Maintain low intermittent suction. A nurse is assessing a client who has a chest tube connected to a closed water-seal drainage system. Which of the following findings should the nurse report to the provider? Constant bubbling in the water seal chamber A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.) "I will avoid crowds "I will take my temperature daily A nurse is preparing to administer propranolol to several clients. For which of the following clients should the nurse clarify the prescription with the provider before administration? A client who has a history of asthma A nurse is analyzing the ABG results of a client who is in respiratory acidosis. Which of the following mechanisms should the nurse identify as responsible for this acid-base imbalance? Retention of carbon dioxide A nurse is planning care for a client who has tuberculosis. Which of the following precautions should the nurse implement for this client? Airborne precautions A nurse is caring for a client who is 3 hr postoperative and exhibiting signs of hypovolemia. Which of the following findings should the nurse identify as a manifestation of hypovolemia? Rapid pulse rate A nurse is caring for a client who has a prescription for lactated Ringer's by continuous IV infusion to replace output from an NG tube. Which of the following findings should indicate to the nurse that this therapy is effective? Urine specific gravity 1.020 A nurse in an emergency department is caring for a client who is confused, has a temperature of 40° C (104° F), a BP of 74/52 mm Hg, and a diagnosis of exertional heat stroke. Which of the following actions should the nurse take first? Administer oxygen using a high-concentration mask. A nurse is providing teaching to a client about strategies to manage menopausal symptoms. Which of the following instructions should the nurse include in the teaching? "Use water-based lubricant during intercourse to reduce discomfort." A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching? Place a small pillow under the head while lying supine. A home health nurse is inspecting a client's residence for electrical hazards as part of the agency's quality improvement plan. Which of the following findings should the nurse identify as a safety hazard? An IV pump is plugged into an outlet near a sink. A nurse is providing teaching to a group of clients about the prevention of coronary artery disease. Which of the following information should the nurse include in the teaching? Walk 30 min daily at a comfortable pace. A nurse is performing a risk assessment for a client. Which of the following factors should the nurse identify as increasing the client's risk for falls? The client had cataract surgery 1 day ago. A nurse is planning care for a client who is receiving intermittent IV fluids via a peripherally inserted central catheter (PICC). Which of the following information should the nurse include in the client's plan of care? Assess the PICC infusion system systematically. A nurse is caring for a client who is receiving mechanical ventilation. Which of the following actions should the nurse implement to decrease the client's risk for ventilator-associated pneumonia (VAP)? (Select all that apply.) Monitor for oral secretions every 2 hr. Provide oral care every 2 hr. Assess the client daily for readiness of extubation. A nurse is providing teaching for a client who has constipation-predominant irritable bowel syndrome (IBS-C). Which of the following statements should the nurse include in the teaching? "Take psyllium in the evening." A nurse is planning care for a client who has a lump in their right breast. Which of the following findings increases the client's risk of developing breast cancer? Oral contraceptives were taken for the last 6 years A nurse is assessing a client who has an exacerbation of diverticular disease. In which of the following quadrants should the nurse anticipate the client to be experiencing abdominal pain? Left lower quadrant A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following statements by the client indicates an understanding of the teaching? "If my heart starts racing, my provider might need to adjust my dosage." A nurse is providing preoperative teaching about stool consistency to a client who will undergo a colectomy with the placement of an ileostomy. Which of the following information about stool consistency should the nurse include in the teaching? The stool will have a high volume of liquid. A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse plan to take? Plac [Show Less]
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2022 ATI Med-Surg proctored Exam(LATEST AND UPDATED)
2022 ATI Med-Surg proctored Exam(LATEST AND UPDATED) ATI Med Surg Proctored Exam Latest Nursing Pharmacology (Keiser University) ... [Show More] 2022 ATI Med-Surg proctored Exam A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? 1) Take temperature once a day. 2) Wash the armpits and genitals with a gentle cleanser daily. 3) Change the litter boxes while wearing gloves. 4) Wash dishes in warm water. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions? 1) Provide humidified oxygen. 2) Perform chest physiotherapy prior to suctioning. 3) Prelubricate the suction catheter tip with sterile saline when suctioning the airway. 4) Hyperventilate the client with 100% oxygen before suctioning the airway.. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort? 1) Rub the client's feet briskly for several minutes. 2) Obtain a pair of slipper socks for the client. 3) Increase the client's oral fluid intake. 4) Place a moist heating pad under the client's feet. A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse report to the provider? 1) Emesis of 100 mL 2) Oral temperature of 37.5° C (99.5° F) 3) Thick, red-colored urine 4) Pain level of 4 on a 0 to 10 rating scale A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a prescription for a hypothermia blanket. The nurse should monitor the client for which of the following adverse effects of the hypothermia blanket? 1) Shivering 2) Infection 3) Burns 4) Hypervolemia A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? 1) "I will carry a complex carbohydrate snack with me when I exercise." 2) "I should exercise first thing in the morning before eating breakfast." 3) "I should avoid injecting insulin into my thigh if I am going to go running." 4) "I will not exercise if my urine is positive for ketones." A nurse notes a small section of bowel protruding from the abdominal incision of a client who is postoperative. After calling for assistance, which of the following actions should the nurse take first? 1) Cover the client's wound with a moist, sterile dressing. 2) Have the client lie supine with knees flexed. 3) Check the client's vital signs. 4) Inform the client about the need to return to surgery. A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? 1) Cool, clammy skin. 2) Hyperventilation 3) Increased blood pressure 4) Bradycardia A nurse is reinforcing discharge teaching with a client following a cataract extraction. Which of the following should the nurse include in the teaching? 1) Avoid bending at the waist. 2) Remove the eye shield at bedtime. 3) Limit the use of laxatives if constipated. 4) Seeing flashes of light is an expected finding following extraction. A nurse is caring for a client who has heart failure and has been taking digoxin 0.25 mg daily. The client refuses breakfast and reports nausea. Which of the following actions should the nurse take first? 1) Suggest that the client rests before eating the meal. 2) Request a dietary consult. 3) Check the client's vital signs. 4) Request an order for an antiemetic. A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found? 1) Sanguineous 2) Serous 3) Serosanguineous 4) Purulent A nurse is reinforcing [Show Less]
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ATI MedSurge EXAMS Quiz 1 - 36 37 38 39 1. A nurse is admitting a pati
ATI MedSurge EXAMS Quiz 1 - 36 37 38 39 1. A nurse is admitting a patient with an immunodeficiency to the medical unit. In planning the care of this patie... [Show More] nt, the nurse should assess for what common sign of immunodeficiency? a. Chronic diarrhea 2. A nurse is caring for a patient who has an immunodeficiency. What assessment finding should prompt the nurse to consider the possibility that the patient is developing an infection? a. Persistent diarrhea 3. The nurse is applying standard precautions in the care of a patient who has an immunodeficiency. What are key elements of standard precautions? Select all that apply. a. Using appropriate personal protective equipment b. Using safe injection practices c. Performing hand hygiene 4. A home health nurse is reinforcing health education with a patient who is immunosuppressed and his family. What statement best suggests that the patient has understood the nurse's teaching? a. “My family needs to understand that I'll probably need lifelong treatment.” 5. The nurse is preparing to administer IVIG to a patient who has an immunodeficiency. What nursing guideline should the nurse apply? a. Administer pretreatment medications as ordered 30 minutes prior to infusion. 6. A nurse has created a plan of care for an immunodeficient patient, specifying that care providers take the patient's pulse and respiratory rate for a full minute. What is the rationale for this aspect of care? a. These patients' blunted inflammatory responses can cause subtle changes in status. 7. A nurse is providing health education regarding self-care to a patient with an immunodeficiency. What teaching point should the nurse emphasize? a. The need for thorough oral hygiene 8. A patient's primary immunodeficiency disease is characterized by the inability of white blood cells to initiate an inflammatory response to infectious organisms. What is this patient's most likely diagnosis? a. Hyperimmunoglobulinemia E syndrome 9. A nurse is working with a patient who was diagnosed with HIV several months earlier. The nurse should recognize that a patient with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte cell count drops below what threshold? a. 200 cells/mm3 of blood 10. A patient has been diagnosed with AIDS complicated by chronic diarrhea. What nursing intervention would be appropriate for this patient? a. Obtain a stool culture to identify possible pathogens. 11. An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby is going to be born with HIV. What is the nurse's best response? a. “It's possible that your baby could contract HIV, either before, during, or after delivery.” 12. Since the emergence of HIV/AIDS, there have been significant changes in epidemiologic trends. Members of what group currently have the greatest risk of contracting HIV? a. Gay, bisexual, and other men who have sex with men 13. A hospital patient is immunocompromised because of stage 3 HIV infection and the physician has ordered a chest radiograph. How should the nurse most safely facilitate the test? a. Arrange for a portable x-ray machine to be used 14. A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors (NRTIs). What dietary counseling will the nurse provide based on the patient's medication regimen? a. Take this medication without regard to meals. 15. A nurse is performing the admission assessment of a patient who has AIDS. What components should the nurse include in this comprehensive assessment? Select all that apply. a. Current medication regimen b. Identification of patient's support system c. Immune system function d. History of sexual practices 16. A patient is in the primary infection stage of HIV. What is true of this patient's current health status? a. The patient is infected with HIV but lacks HIV-specific antibodies. 17. A nurse is aware of the need to assess patients' risks for anaphylaxis. What health care procedure constitutes the highest risk for anaphylaxis? a. Computed tomography with contrast solution 18. A patient with multiple food and environmental allergies tells the nurse that he is frustrated and angry [Show Less]
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ATI Med-Surg Proctored Exam Question Bank LATEST (UPDATED 2022 DOWNLOD TO SCORE A)
ATI Med-Surg Proctored Exam Question Bank LATEST (UPDATED 2022 DOWNLOD TO SCORE A) Pain Test Bank MULTIPLE CHOICE 1. Which question asked by the nu... [Show More] rse will give the most information about the patient’s metastatic bone cancer pain? a. “How long have you had this pain?” b. “How would you describe your pain?” c. “How much medication do you take for the pain?” d. “How many times a day do you take medication for the pain?” ANS: B 2. A patient who uses a fentanyl (Duragesic) patch for chronic cancer pain suddenly complains of rapid onset pain at a level 9 (0 to 10 scale) and requests “something for pain that will work now.” How will the nurse document the type of pain reported by this patient? a. Somatic pain b. Referred pain c. Neuropathic pain d. Breakthrough pain ANS: D 3. The nurse teaches a student nurse about the action of ibuprofen. Which statement, if made by the student, indicates that teaching was effective? a. “The drug decreases pain impulses in the spinal cord.” b. “The drug decreases sensitivity of the brain to painful stimuli.” c. “The drug decreases production of pain- sensitizing chemicals.” d. “The drug decreases the modulating effect of descending nerves.” ANS: C 4. A nurse assesses a patient with chronic cancer pain who is receiving imipramine (Tofranil) in addition to long-acting morphine. Which statement, if made by the patient, indicates to the nurse that the patient is receiving adequate pain control? a. “I’m not anxious at all.” b. “I sleep 8 hours every night.” c. “I feel much less depressed since I’ve been taking the Tofranil.” d. “The pain is manageable and I can accomplish my desired activities. ANS: D 5. A patient with chronic back pain has learned to control the pain with the use of imagery and hypnosis. The patient’s spouse asks the nurse how these techniques work. Which response by the nurse is best? a. “The strategies work by affecting the perception of pain.” b. “These techniques block the pain pathways of the nerves.” c. “Both strategies prevent transmission of painful stimuli to the brain.” d. “The therapies slow the release of chemicals in the spinal cord that cause pain.” ANS: A 6. A patient who is receiving sustained-release morphine sulfate (MS Contin) every 12 hours for chronic pain experiences level 9 (0 to 10 scale) breakthrough pain and anxiety. Which action by the nurse is best? a. Provide amitriptyline (Elavil) 10 mg orally. b. Administer lorazepam (Ativan) 1 mg orally. c. Offer ibuprofen (Motrin) 400 to 800 mg orally. d. Give immediate-release morphine 30 mg orally. ANS: D 7. A patient with chronic neck pain is seen in the pain clinic for follow-up. In order to evaluate whether the pain management is effective, which question is best for the nurse to ask? a. “Can you describe the quality of your pain?” b. “Has there been a change in the pain location?” c. “How would you rate your pain on a 0 to 10 scale?” d. “Does the pain keep you from doing things you enjoy?” ANS: D 8. A patient with second-degree burns has been receiving hydromorphone through patient- controlled analgesia (PCA) for a week. The patient wakes up frequently during the night complaining of pain. What action by the nurse is most appropriate? a. Administer a dose of morphine every 1 to 2 hours from the PCA machine while the patient is sleeping. b. Consult with the health care provider about using a different treatment protocol to control the patient’s pain. c. Request that the health care provider order a bolus dose of morphine to be given when the patient awakens with pain. d. Teach the patient to push the button every 10 minutes for an hour before going to sleep, even if the pain is minimal. ANS: B 9. The nurse assesses that a patient receiving epidural morphine has not voided for over 10 hours. What action should the nurse take initially? a. Monitor for withdrawal symptoms. b. Place an indwelling urinary catheter. c. Ask if the patient feels the need to void. d. Document this allergic reaction in the patient’s chart. ANS: C 10. When visiting a hospice patient, the nurse assesses that the patient has a respiratory rate of 11 breaths/minute and complains of severe pain. Which action is best for the nurse to take? a. Inform the patient that increasing the morphine will cause the respiratory drive to fail. b. Tell the patient that additional morphine can be administered when the respirations are 12. c. Titrate the prescribed morphine dose upward until the patient indicates adequate pain relief. d. Administer a nonopioid analgesic, such as a nonsteroidal antiinflammatory drug (NSAID), to improve patient pain control. ANS: C 11. The nurse is completing the medic [Show Less]
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ATI Pharmacology Proctored Test Bank (Full Rationale for answers) Grade A+
ATI Fundamentals Proctored Exam | Questions and Answers with Rationales | LATEST 2020/ 2021 ATI Fundamentals Proctored Exam | Questions and Answe... [Show More] rs with Rationales | LATEST 2020/ 2021 1. A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take when collecting the specimen? A. Instruct the client to defecate into the toilet bowl -incorrect: The nurse should have the client defecate into a bedpan or a container for stool collection. The toilet water can dilute and contaminate the liquid specimen. B. Transfer the specimen to a sterile container -incorrect: The nurse should place the stool specimen in a clean container using a tongue depressor. C. Refrigerate the collected specimen -incorrect: The nurse should send the collected stool specimen immediately to the laboratory after labeling the specimen properly to prevent contamination with microorganisms and keep the specimen from getting cold. D. Place the stool specimen collection container in a biohazard bag -The nurse should place the specimen collection container in a biohazard bag with the client label on the container and the bag for easy identification. This will also prevent contamination with microorganisms. 2. A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take? A. Hyper oxygenate the client before suctioning -The nurse should use a manual resuscitation bag to hyper oxygenate the client for several minutes prior to suctioning. B. Insert the catheter during exhalation -incorrect: The nurse should insert the catheter during inhalation C. Apply suction during insertion of the catheter -incorrect: Applying suction while inserting the catheter increases the risk of damage to the tracheal mucosa and removes oxygen from the airways. D. Apply suction for no more than 15 secs -incorrect: The nurse should apply suction for no more than 10 seconds 3. A nurse is providing teaching to a client regarding protein intake. Which of the following foods should the nurse include as an example of an incomplete protein? A. Eggs -incorrect: this is a complete protein, contains all of the essential amino acids necessary for the synthesis of protein in the body. B. Soybeans -incorrect: this is a complete protein, contains all of the essential amino acids necessary for the synthesis of protein in the body. C. Lentils -Incomplete proteins are missing 1 or more of the essential amino acids necessary for the synthesis of protein in the body. Examples of incomplete proteins include lentils, vegetables, grains, nuts, and seeds. D. Yogurt -incorrect: this is a complete protein, contains all of the essential amino acids necessary for the synthesis of protein in the body. 4. A nurse is caring for a client who was admitted to a long-term care facility for rehabilitation after a total hip arthroplasty. At which of the following times should the nurse begin discharge planning? A. One week prior to the client’s discharge -incorrect: Beginning to plan for the client’s discharge a week prior to the event might not allow sufficient time for planning. The nurse should begin discharge planning at the time of admission. B. Upon the client’s admission to the care facility -The nurse should begin discharge planning at the time that the client is admitted to the facility. C. Once the discharge date is identified -incorrect: Beginning to plan for the client’s discharge once the discharge date is identified might not allow sufficient time for planning. The nurse should begin discharge planning at the time of admission. D. When the client addresses the topic with the nurse -incorrect: Beginning to plan for the client’s discharge once the discharge date is identified might not allow sufficient time for planning. The nurse should begin discharge planning at the time of admission. 5. A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse plan to take? A. Insert the rectal tube 15.2 cm (6 in) -incorrect: The nurse should insert the rectal tube 7 to 10 cm (3 to 4 in) B. Wear sterile gloves to insert the tubing -incorrect: The nurse should wear clean (nonsterile) gloves to prevent contamination. C. Position the client on his left side -Positioning is an important aspect of administering an enema. Having the client lie on his left side facilitates the flow of the enema solution into the sigmoid and descending colon. D. Hold the solution bag 91 cm (36 inch) above the client’s rectum -incorrect: The nurse should hold the solution bag 30 cm (12 in) above the client’s rectum for a low enema and 45 cm (18 in) for a high enema. If the nurse holds the solution bag too high, the solution might run in too fast, causing discomfort and spasms that make retaining the enema more difficult. 5. A nurse is caring for a client who has bilateral cats on her hands. Which of the following actions should the nurse take when assisting the client with feeding? A. Sit at the bedside when feeding the client -The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the client with the nurse’s full attention during the feeding B. Order pureed foods -incorrect: Without any mouth or throat injuries that make chewing or swallowing difficult, the client should be served foods of an appropriate variety of textures. Pureed foods are for clients who cannot chew, have difficulty swallowing, or do not have teeth. C. Make sure feedings are provided at room temperature -incorrect: The nurse should ask the client if the food is the correct temperature D. Offer the client a drink of fluid after every bite -incorrect: If the client is unable to communicate, the nurse should offer the client fluids after every 3 or 4 mouthfuls. However, there is no indication that this client is unable to communicate. Therefore, the client should tell the nurse when she would like a drink. 6. A nurse is administering an IM injection to a 5-month-old infant. Which of the following injection sites should the nurse use? A. Deltoid -incorrect: The nurse can use the deltoid muscle for injecting small volumes of medication for children 18 months of age or older, but its proximity to several nerves and arteries make it a riskier choice. B. Ventrogluteal -incorrect: This is a safe site for IM injections for clients older than 7 months. C. Vastus lateralis -The nurse should use the vastus lateralis site over the anterior thigh for IM injections for infants and children. D. Dorsogluteal -incorrect: This site is unsafe to use because of its proximity to the sciatic nerve and the superior gluteal nerve and artery. 7. A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. Which of the following actions should the nurse take first? A. Apply a fecal collection system -incorrect: The nurse should apply a fecal collection system to divert the feces away from the area of skin irritation; however, there is another action the nurse should take first. B. Apply a barrier cream -incorrect: The nurse should apply a barrier cream to decrease skin breakdown in the perianal area from the feces; however, there is another action the nurse should take first. C. Cleanse and dry the area -incorrect: The nurse should cleanse and dry the perianal area to decrease skin irritation; however, there is another action the nurse should take first. D. Check the client’s perineum -The nurse should apply the nursing process priority-setting framework to plan care and prioritize nursing actions. Each step of the nursing process builds on the previous step, beginning with an assessment or data collection. Before the nurse can formulate a plan of action, implement a nursing intervention, or notify a provider of a change in the client’s status, the nurse must first collect adequate data from the client. Assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision. The priority nursing action is for the nurse to collect more data by assessing the area of irritation. [Show Less]
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ATI Pharmacology Proctored Test Bank (Full Rationale for answers) Grade A+
ATI Pharmacology Proctored Test Bank (Full Rationale for answers) Grade A+ ... [Show More] ATI Pharmacology Proctored Test Bank 1. 1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2.Calcium gluconate 3.Calcitonin (Miacalcin) 4. Large doses of vitamin D 2. 2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? 1. Milk 2.Water 3.Apple juice 4. Orange juice 3. 3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which of the following would indicate the presence of systemic toxicity from this medication? 1. Tinnitus 2.Diarrhea 3.Constipation 4. Decreased respirations 4. 4.) The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied: 1. Immediately before swimming 2.15 minutes before exposure to the sun 3. Immediately before exposure to the sun 4. At least 30 minutes before exposure to the sun 5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the client complains of local discomfort and burning. Which of the following is the most appropriate nursing action? 1. Notifying the registered nurse 2.Discontinuing the medication 3.Informing the client that this is normal 4. Applying a thinner film than prescribed to the burn site 3. Calcitonin (Miacalcin) Rationale: The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a result of acute hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone, decreases the plasma calcium level by inhibiting bone resorption and lowering the serum calcium concentration. 4. Orange juice Rationale: Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water will not assist in absorption. Orange juice contains a greater amount of vitamin C than apple juice. 1. Tinnitus Rationale: Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation and diarrhea are not associated with salicylism. 4. At least 30 minutes before exposure to the sun Rationale: Sunscreens are most effective when applied at least 30 minutes before exposure to the sun so that they can penetrate the skin. All sunscreens should be reapplied after swimming or sweating. 3. Informing the client that this is normal Rationale: Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms and is used to treat burns to reduce bacteria present in avascular tissues. The client should be informed that the medication will cause local discomfort and burning and that this is a normal reaction; therefore options 1, 2, and 4 are incorrect 6. 6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client, knowing that which of the following indicates that a systemic effect has occurred? 1.Hyperventilation 2.Elevated blood pressure 3.Local pain at the burn site 4.Local rash at the burn site 7. 7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed? 1. Platelet count 2.Triglyceride level 3.Complete blood count 4. White blood cell count 8. 8.) A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the client is taking which medication? 1. Vitamin A 2.Digoxin (Lanoxin) 3.Furosemide (Lasix) 4. Phenytoin (Dilantin) 9. 9.) The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas? 1. Back 2.Axilla 3. Soles of the feet 4. Palms of the hands 10. 10.) The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the client is being treated for: 1. Acne 2.Eczema 3.Hair loss 4. Herpes simplex 11. 11.) The health care provider has 1. Hypervent ilation Rationale: Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid, thereby causing acidosis. Clients receiving this treatment should be monitored for signs of an acid-base imbalance (hyperventilation). If this occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4 describe local rather than systemic effects. An elevated blood pressure may be expected from the pain that occurs with a burn injury. 2. Triglyceride level Rationale: Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured before treatment and periodically thereafter until the effect on the triglycerides has been evaluated. Options 1, 3, and 4 do not need to be monitored specifically during this treatment. 1. Vita min A Rationale: Isotretinoin is a metabolite of vitamin A and can produce generalized intensification of isotretinoin toxicity. Because of the potential for increased toxicity, vitamin A supplements should be discontinued before isotretinoin therapy. Options 2, 3, and 4 are not contraindicated with the use of isotretinoin. 2. Axilla Rationale : Topical corticosteroids can be absorbed into the systemic circulation. Absorption is higher from regions where the skin is especially permeable (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in which permeability is poor (back, palms, soles). 1. A cne Rationale : Azelaic acid is a topical medication used to treat mild to moderate acne. The acid appears to work by suppressing the growth of Propionibacterium acnes and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are incorrect. 3."The medication will permanently stain my skin." prescribed silver sulfadiazine (Silvadene) for the client with a partial- thickness burn, which has cultured positive for gram- negative bacteria. The nurse is reinforcing information to the client about the medication. Which statement made by the client indicates a lack of understanding about the treatments? 1. "The medication is an antibacterial." 2."The medication will help heal the burn." 4. "The medication should be applied directly to the wound." 12. 12.) A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication. During the infusion, the client complains of pain at the insertion site. During an inspection of the site, the nurse notes redness and swelling and that the rate of infusion of the medication has slowed. The nurse should take which appropriate action? 1. Notify the registered nurse. 2. Administer pain medication to reduce the discomfort. 3.Apply ice and maintain the infusion rate, as prescribed. 4. Elevate the extremity of the IV site, and slow the infusion. 13. 13.) The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed? 1. Echocardiography 2.Electrocardiography 3. Cervical radiography 4. Pulmonary function studies 3. "The medication will permanently stain my skin." Rationale: Silver sulfadiazine (Silvadene) is an antibacterial that has a broad spectrum of activity against gram-negative bacteria, gram-positive bacteria, and yeast. It is applied directly to the wound to assist in healing. It does not stain the skin. 1. Notify the registered 14. 14.) The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory value would the nurse specifically monitor during treatment with this medication? 1. Clotting time 2.Uric acid level 3.Potassium level 4. Blood glucose level 15. 15.) The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is assisting in caring for the client during its administration understands that which side effect is specifically associated with this medication? nurse. Rationale: When antineoplastic medications (Chemotheraputic Agents) are administered via IV, great care must be taken to prevent the medication from escaping into the tissues surrounding the injection site, because pain, tissue damage, and necrosis can result. The nurse monitors for signs of extravasation, such as redness or swelling at the insertion site and a decreased infusion rate. If extravasation occurs, the registered nurse needs to be notified; he or she will then contact the health care provider. 4. Pulmonary function studies Rationale: Bleomycin is an antineoplastic medication (Chemotheraputic Agents) that can cause interstitial pneumonitis, which can progress to pulmonary fibrosis. Pulmonary function studies along with hematological, hepatic, and renal function tests need to be monitored. The nurse needs to monitor lung sounds for dyspnea and crackles, which indicate pulmonary toxicity. The medication needs to be discontinued immediately if pulmonary toxicity occurs. Options 1, 2, and 3 are unrelated to the specific use of this medication. 2. Uric acid level Rationale: Busulfan (Myleran) can cause an increase in the uric acid level. Hyp [Show Less]
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ATI Pharmacology Practice Version 1, Pharmacology main ATI Practice version 2, ATI Pharmacology
ATI Pharmacology Practice Version 1, Pharmacology main ATI Practice version 2, ATI Pharmacology Practice version 3, ATI Pharmacology Practice version 4, Ph... [Show More] arm ATI Proctored exam version 5 [Show Less]
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ATI PHARM EXAM - ALL ANSWERED
A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a... [Show More] viral infection due to the risk of developing which of the following adverse effects? - CORRECT ANSWERReye's syndrome Reasoning: Aspirin should not be given to children or adolescents who have a viral infection, such as chickenpox or influenza, due to the risk of developing Reye's syndrome. A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? - CORRECT ANSWERPromotes RBC production Reasoning: Epoetin alfa stimulates erythropoiesis in the bone marrow to increase RBC production and reduce anemia. Anemia is common in clients who have chronic kidney failure, since erythropoietin is produced by the kidney. A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which of the following medications should the nurse plan to administer? - CORRECT ANSWERAcetaminophen Reasoning: Acetaminophen is an analgesic used for mild to moderate pain. It can be administered to a client who has peptic ulcer disease because it does not affect blood coagulation and does not increase the risk of gastrointestinal bleeding. A nurse is preparing to administer heparin 8,000 units subcutaneously every 8 hr. Available is heparin 10,000 units/1 mL. How many mL should the nurse administer per dose? - CORRECT ANSWER0.8 mL A nurse is preparing to administer an enteral tube feeding through an NG tube a 250 mL over 4 hr. the nurse should set the pump to deliver how many mL/hr? - CORRECT ANSWER63 mL/hr A nurse is preparing to administer amoxicillin 250 mg liquid suspension PO every 8 hr to an older adult client. The amount available is amoxicillin 50 mg/mL. How many should the nurse administer per dose? - CORRECT ANSWER5 mL A nurse is caring for a client who has a prescription for clopidogrel. The nurse should monitor the client for which of the following adverse effects? - CORRECT ANSWERBleeding Reasoning: Clopidogrel is an antithrombotic medication that inhibits platelet aggregation. It is used to prevent stenosis of coronary stents, myocardial infarctions, and strokes. The nurse should monitor for coffee ground emesis, black tarry stools, ecchymosis, or any indication of bleeding. A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone. The nurse should include a sever allergy to which of the following medications as a contraindication to ceftriaxone? - CORRECT ANSWERPiperacillin Reasoning: Clients who have a severe allergy to piperacillin, which is a penicillin, can have a cross sensitivity to ceftriaxone, a third-generation cephalosporin. Ceftriaxone is contraindicated for the client who has an allergy to cephalosporins or a severe allergy to penicillin. A nurse is providing teaching to a newly licenses nurse about metoclopramide. The nurse should include in the teaching that which of the following conditions is a contraindication to the medication? - CORRECT ANSWERIntestinal obstruction Reasoning: Metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting gastric emptying. It is contraindicated for a client who has an intestinal obstruction or perforation. A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression an is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? - CORRECT ANSWERAmantadine Reasoning: The client is experiencing parkinsonism, which is an adverse effect of the antipsychotic medication chlorpromazine. Amantadine is an antiparkinsonian medication used to treat the extrapyramidal manifestations that can occur with chlorpromazine therapy. A nurse is administering subcutaneous epinephrine for a client who is experiencing anaphylaxis. The nurse should monitor the client for which of the following adverse effects? - CORRECT ANSWERTachycardia Reasoning: Adverse effects of epinephrine, an adrenergic agonist, can include tachycardia and dysrhythmias as the result of cardiac stimulation. A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the need for further teaching? - CORRECT ANSWER"I should notify my provider immediately if my urine turns an orange color." Reasoning: Phenazopyridine is a urinary tract analgesic used to relieve pain and burning during urination. The medication can cause the client's urine to turn a reddish-orange color. This coloration is an expected effect of this medication, although it can stain clothing, and does not need to be reported to the provider. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to promote sleep. The nurse should plan to monitor the client for which of the following adverse effects? - CORRECT ANSWERDizziness Reasoning: Zolpidem can cause dizziness and daytime drowsiness. It can cause confusion in the older adult client. A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? - CORRECT ANSWERLevothyroxine Reasoning: Levothyroxine replaces thyroid hormone for a client who has hypothyroidism. Laboratory values for hypothyroidism include an increased TSH level and decreased total T3 and T4 levels. Clinical manifestations for hypothyroidism include fatigue, cold intolerance, and a decreased body temperature and pulse. A nurse is providing teaching to client who has a new prescription for hydrochlorothiazide 50 mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER"Take the hydrochlorothiazide in the morning." Reasoning: The client should take hydrochlorothiazide in the morning to allow for diuresis during the day and prevent nocturia. A nurse is caring for a client who is a 28 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? - CORRECT ANSWERNifedipine Reasoning: Nifedipine is [Show Less]
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ATI Pharmacology Proctored: Part 1 & 2 What class of medications typically contain the suffix "
ATI Pharmacology Proctored: Part 1 & 2 What class of medications typically contain the suffix "-olol"? - Beta Blockers What class of medications typicall... [Show More] y contain the suffix "-epam"? - Benzodiazepines What class of medications typically contain the suffix "-setron"? - 5-HT3 Antagonists What class of medications typically contain the suffix "-statin"? - HMG-CoA reductase What class of medications typically contain the suffix "-mab"? - Monoclonal antibodies What class of medications typically contain the suffix "-pril"? - ACE inhibitors HMG-CoA / AKA? - Statins Drugs within the Same Pharmacologic Class have which Similar Attributes? ***These attributes are SIMILAR or IDENTICAL in a Pharmacologic Class; if you know about one drug in a class, you will have some knowledge of the other drugs within the class.*** - - Indications - Mechanism of Action - Contraindications & Precautions - Interactions - Adverse Reactions & Side Effects Define drug "Loading Dose". - A large initial dose used when immediate drug response is desired. Define drug "Tachyphylaxis". - A rapid decrease in response to a drug. List the ten "Rights of Drug Administration". - - Client - Drug - Dose - Time - Route - Assessment - Refuse (to) - Education - Evaluation - Documentation ***CDDTR - A REED*** What is a "SMART" goal? - - Specific - Measurable - Achievable - Realistic - Timed In which way does a Cholinergic drug Affect the: - Eyes - Lungs - Heart - Blood Vessels - GI system - Bladder - Uterus - Salivary Gland - - Constricts Pupils - Constricts Bronchioles & Increases Secretions - Decreases HR - Dilates Blood Vessels - Increases Peristalsis - Constricts Bladder - - Increases Salivation In which way does an Adrenergic drug Affect the: - Eyes - Lungs - Heart - Blood Vessels - GI system - Bladder - Uterus - Salivary Gland - - Dilates Pupils - Dilates Bronchioles - Increases HR - Constricts Blood Vessels - Relaxes GI activity - Relaxes Bladder - Relaxes Uterine muscle - Decreased Salivation Adrenergic Drugs Stimulate which Nervous System? - Sympathetic Nervous System Sympathetic Nervous System / AKA? - "Fight or Flight" Cholinergic Drugs Stimulate which Nervous System? - Parasympathetic Nervous System Parasympathetic Nervous System / AKA? - "Rest & Digest" Define drug "Infiltration". - When medication leaks into the surrounding tissue rather than into the vein. Regarding drugs that affect the nervous system: What does the Suffix "-olytic" mean? - Blocking, "Anti-" What are the Adverse Effects of Atropine (an Anti-Cholinergic)? - - Can't See - Can't Spit - Can't Pee - Can't Sh*t In what Therapeutic Drug Classification are Barbiturates? - Sedative-Hypnotics AKA / "Downers" What class of medications typically contain the suffix "-barbital"? - Barbituates What is the Antidote for Barbituate Toxicity? - Activated Charcoal ***B*tches Get Coal*** What are common Indications for Barbituates? - - Epilepsy - Inability to Sleep In what Therapeutic Drug Classification are Benzodiazepines? - Anti- Anxiety & Hypnotics AKA / "Downers" How do Benzodiazepines work? - By keeping GABA going Define "GABA". - The bodies natural Anti-Anxiety Neurotransmitter What class of medications typically contain the suffix "-am"? - Benzodiazepines What is the Antidote for Benzodiazepine Toxicity? - Romazicon (flumazenil) What Care should be taken when Administering Romazicon (flumazenil)? - Highly Irritating to Veins; Avoid Extravasation. Define "Extravasation". - Leakage Outside the Intended Area. What Therapeutic Drug Classification is Phenytoin? - Anti-Seizure CAM / AKA? - Complimentary Alternative Medicine What Restriction is Important regarding MAOIs? - No Foods containing Tyramine; can cause Hypertensive Crisis. ***No Fermented/Processed Foods AKA / "Party Foods"*** Neuroleptics / AKA? - Anti-Psychotics What are the S/S of Neuroleptic Malignant Syndrome? - - Muscle Rigidity - Sudden High Fever - BP Fluctuations - Tachycardia [Show Less]
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ATI Pharmacology Proctor Exam
ATI Pharmacology Proctor Exam A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findin... [Show More] gs as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek's sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. "Discontinue the patch if you experience a headache." b. "Apply a new patch if you have chest pain." c. "Cover the patch with dry gauze when taking a shower." d. "Remove the patch prior to going to bed." A nurse is reviewing the laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? a. The client has a negative sputum culture b. The client tests negative for HIV c. The client has a positive purified protein derivative test d. The client's liver function test results are within the expected reference range A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client's legs and feet d. Administer epinephrine IM A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St. John's Wort b. Ginger root c. Black cohosh d. Coenzyme Q10 A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressure A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error d. The charge nurse A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus b. Cough c. Tachypnea d. Gastric bleeding A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right placing them in the order of performance. Use all the steps.) a. Obtain the client's apical heart rate 1 b. Remove the medication from the dispensing system 2 c. Open the medication package 3 d. Compare the client's wristband to the medication administration record 4 e. Document administration of the medication 5 A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication? a. Alcohol use disorder b. Chronic kidney disease c. Hepatitis B vaccine within the last week d. Diabetes mellitus A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? a. Encourage the client to dangle the legs while sitting in a chair b. Teach the client about foods low in sodium c. Determine medication adherence by the client d. Notify the provider of the client's weight gain A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection? a. Urticaria b. Bradycardia c. Pallor d. Dyspepsia A nurse is teaching a client who has angina a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? a. "Discard any tablets you do not use every 6 months." b. "Take one tablet each morning 30 minutes prior to eating." c. "Keep the tablets at room temperature in their original glass bottle." d. "Place the tablet between your cheek and gum to dissolve." A nurse is providing teaching to a client who has a new prescription for theophylline a sustained-released capsule. Which of the following statements by the client indicates an understanding of the teaching? a. "I can take my medication in the morning with my coffee." b. "I may sprinkle the medication in applesauce." c. "I should limit my fluid intake while on this medication." d. "I will need to have blood levels drawn." A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to client who has diabetes mellitus following actions should the nurse take first? a. Withdraw the regular insulin from the viral b. Withdraw the NPH insulin form the vial c. Inject air into the NPH vial d. Inject air into the regular insulin vial A nurse is preparing to administer subcutaneous heparin to a client. Which of the following should the nurse take? a. Massage the site after administering the medication b. Use a 21-gauge needle for the injection c. Aspirate before injecting the medication d. Insert the needle at least 5 cm (2 in) from the umbilicus A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema d. Insomnia A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? a. A client who has a referral for social services b. A client who is transdermal to radiology c. A client who is transferal to a step-down unit d. A client who has a consultation for physical therapy A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates the treat [Show Less]
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ATI PHARMACOLOGY Exam 4 – Updated 2022 REAL EXAM
ATI PHARMACOLOGY Exam 4 – Updated 2022 REAL EXAM 1. Pathogenicity is different than virulence in that pathogenicity can A lead to the ability of or... [Show More] ganisms to cause infection. B kill pathogens. C cause a disease when pathogens are present. D disrupt cell lining. A 2. A client has been prescribed oseltamivir after complaining of influenza-like symptoms. What information should the nurse provide for this client? Select All That Apply A This is an expensive medication B Get this prescription filled and begin taking the medication immediately C This medication is given by inhalation D This medication will be helpful if you have influenza or a cold E This medication will keep you from getting the flu B D 3. What is the pharmacodynamics of category of drugs known as bactericidal agents? A They disrupt the normal cell function B They will slow down the growth of the bacteria C They have high potency D They will kill the bacteria D 4. The client receives albuterol (Proventil) via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse? A "When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects." B "Because pills cannot help your illness; you must have inhaled medications for relief of symptoms." C "Because pills would produce too many side effects; you will have very few side effects with inhaled medications." D "Because this medication cannot be absorbed from your GI tract; the acid in your stomach would destroy it." A 5. The client had MRSA and received vancomycin intravenously (IV). During therapy, the nurse asses an upper body rash along with decreased urinary output. What is the nurse's priority action related to this finding ? A Hold the next dose of vancomycin and notify the HCP immediately B Obtain a stat X-ray and notify HCP C Administer an antihistamine and notify the HCP D Obtain a sterile urine specimen and notify HCP A A Assessing blood cultures for the presence of bacteria B Assessing changes in stool, white patches in the mouth, and urogenital itching or rash C Assessing renal and liver function tests D Assessing whether or not the client has adequate food and fluid intake B 7. The client receives acyclovir (Zovirax) for treatment of genital herpes. What is a priority assessment by the nurse? A Auditory and visual hallucinations B Increased serum creatinine C Respiratory distress D Thrombocytopenia B 8. The client has just begun highly active antiretoviral therapy (HAART) for the treatment of acquired immune deficiency syndrome (AIDS). Which teaching point is priority education for the client related to this therapy? A Medications must be taken for 3 years after viral load is not measurable. B The goal of highly active antiretroviral therapy (HAART) is to reduce plasma human immunodeficiency virus (HIV) ribonucleic acid (RNA) to the lowest possible level. C Taking medications as scheduled is vital to successful treatment. D Know which medications target which phases of the human immunodeficiency virus (HIV) replication cycle. C 9. Which of the following terms refers to the ability of an antimicrobial drug to harm the target microbe without harming the host? A. mode of action B. therapeutic level C. spectrum of activity D. selective toxicity D [Show Less]
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ATI Pharmacology Final Exam Study Guide Total is 100 Questions = 70 pharmacology + 30 Drug Dosage
ATI Pharmacology Final Exam Study Guide Total is 100 Questions = 70 pharmacology + 30 Drug Dosage Describe what the nurse should advise the client wh... [Show More] o is having nausea and upset stomach from erythromycin. Take this medication with food Define the following words: Intrinsic effect Hormones, enzymes, growth factors, and other chemicals made by the body that change the activity of cells. Side effect Drug side effects are expected, are mild, and do not occur in all patients. Adverse effect A drug effect that is more severe than expected and has the potential to damage tissue or cause serious health problems. It may also be called a toxic effect or toxicity and usually requires intervention by the prescriber. Therapeutic effect Desired effect (main effect) of a drug on specific body cells or tissues; same as intended action. Describe foods need to be avoided while taking a MAOI (Monoamine Oxidase Inhibitor). Foods with tyramine (Aged cheese, wine, cured meats); Processed food; aged food; anything that is found on pizza Identify medications that apply a protective coating to the stomach. Enteric Coating The drugs which most commonly cause stomach ulcers like aspirin, diclofenac and naproxen are frequently available with enteric coatings. Reversal agent for Dilaudid (Hydromorphone) NALOXONE (NARCAN) Reversal agent for Xanax (Alprazolam) Romazicon (Flumazenil) Reversal agent for opioids Naloxone Reversal agent for benzodiazepines Flumazenil Reversal agent for warfarin Vitamin K Reversal agent for Heparin Protamine Sulfate Education about side effects of Ritalin (Ritalin is a CNS stimulant sometimes used to treat narcolepsy; it causes increased general CNS stimulation to promote wakefulness and reduce the sudden sleepiness of narcolepsy.) Why do they take Ritalin- ADHD; ADD When is the best time to take it- in the morning; might cause insomnia (do not take at bedtime); it is a stimulus Check for tachycardia Common side effects of CNS stimulant drugs used for narcolepsy include hyperactivity, insomnia, restlessness, tremor, hypertension, palpitation, tachycardia, and loss of appetite (anorexia). Other side effects include nervousness, headache, upset stomach, diarrhea, mood swings, and depression. Nursing Interventions prior to the administration of metoprolol - Monitor for hypotension and bradycardia frequently during dose adjustment and during therapy. Hold if pulse is less than 60 bpm. - Administer with meals or directly after eating. Client teaching for spironolactone - Obtain baseline and periodic serum electrolytes, Complete Blood Count (CBCs), Blood Urea Nitrogen(BUN), serum, glucose, serum uric acid, and CO2. - Monitor BP and fluid/electrolyte imbalance [Show Less]
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ATI Pharmacology Final Exam Questions AND ANSWERS (5 STAR RATED REAL EXAM)
ATI Pharmacology Final Exam Questions AND ANSWERS (5 STAR RATED REAL EXAM) 1. When administering the drug senna to a patient, a health care provider mus... [Show More] t inform the patient of which of the following a. This drug is intended to lower blood pressure and is best used in combination with other antihypertensives b. This drug is not intended for long term use c. The patient must limit his/her fiber intake d. Advise patient to change positions slowly to limit the risk of orthostatic hypotension 2. When giving digoxin (Lanoxin) to a patient, the health care provider notices various signs and symptoms of an overdose. The health care provider knows to give which of the following to reverse digoxin toxicity a. Naloxone b. Vitamin K c. Digibind d. Fluemanzil 3. While providing an Angiotensin-converting enzyme (ACE) inhibitor, the patient asks what the action of the drug is. As a health care provider, you explain that the action of an ACE inhibitor is a. To lower blood pressure by blocking the conversion of angiotensin I to vasoconstrictor angiotensin II b. To inhibit reabsorption of sodium back into the body, ultimately increasing urine output and lowering blood pressure c. To decrease heart rate and blood pressure by competing with Beta1 and Beta2 receptors in the heart and lungs d. To lower blood glucose by stimulating the release of insulin 4. Which of the following types of insulin is “long-acting”? a. Lispro (Humalog) b. NPH (Humulin N) c. Regular insulin (Humulin R) d. Glargine (Lantus) 1. What is the therapeutic use of metformin? A. Lower blood pressure. B. To diminish seizure activity. C. The maintenance of a person’s blood glucose. D. Increase heart rate and decrease gastrointestinal secretions. 1. What is the correct definition for absorption of a drug? A. Movement of drug from site of administration to various tissues of the body. B. Describes the absorption, distribution, metabolism & excretion of drugs. C. These types of drugs can be taken over the counter. D. This addresses how various drugs affect different forms of the body. 2. What do you assess for in a patient who is on Valproate? Select all that apply. A. Suicidal thoughts B. Monitor for seizures. C. Bipolar disorder. D. Migraines. 3. What is true about food and drug precautions? Select all that apply. A. You must limit certain types of food or concurrent administration of certain types of drugs. B. Certain combinations of food and drugs can cause adverse reactions. C. Precautions may require limiting certain types of food or concurring drugs rather than restricting the drug itself. D. When one drug changes the way, another drug affects that drug. 1. ACE Inhibitors are used in the treatment of all EXCEPT: a. Hypertension b. Heart Failure c. Hypotension d. Diabetic nephropathy 2. Which of the following is used to treat migraine headaches? a. Beta-blockers b. Cholinesterase Inhibitors c. ACE inhibitors d. Anti-epileptic drugs (AEDs) 3. When administering a Serotonin Antagonist it is important to monitor for a. Intake and output b. Mental status changes c. Respiratory rate d. Anorexia 4. Which of the following is the antidote for Heparin? a. Protamine sulfate b. Vitamin K c. Naloxone d. Toradol 1. A patient has been taking hydrocodone, and opioid analgesic for their moderate pain, and they have taken over their prescribed dose. What should you give as the antidote if they experience toxicity? A. Naloxone B. N-acetylcysteine C. Atropine D. Digoxin immune Fab 1. A patient is being educated on taking levothyroxine, a drug used to balance thyroid activity. What should you include in their education? A. Don’t bother your health care professionals if you experience side effects B. Take this at the same time every day C. Thyroid tests are unnecessary while taking this drug D. It is okay to take this drug if you have recently had a myocardial infarction 1. A patient states he experiences anxiety and has panic attacks at least once a week. What might be helpful for this patient? A. Phenytoin (Dilantin) B. Lithium C. Alprazolam (Xanax) D. Spironolactone 1. Which of the following is NOT an opioid or NSAID? A. Morphine B. Ibuprofen C. Hydromorphone D. Acetaminophen 1) Why is it important to monitor ins and outs with patients using ACE inhibitors? A. To assess for renal impairment B. You must make sure the patient is receiving adequate fluid intake [Show Less]
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ATI Pharmacology Proctor 2019 EXAM QUESTIONS AND ANSWERS (REAL EXAM)
(REAL EXAM) 1. A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manif... [Show More] estation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse 2. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 3. A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. “Discontinue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Cover the patch with dry gauze when taking a shower.” d. “Remove the patch prior to going to bed.” 4. A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0 mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used to decrease the serum potassium level, so the PN should monitor the client's serum potassium level 5. A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? a. The client has a negative sputum culture b. The client tests negative for HIV c. The client has a positive purified protein derivative test d. The client’s liver function test results are within the expected reference range 6. A client is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client’s respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client’s legs and feet d. Administer epinephrine IM 7. A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St. John’s Wort b. Ginger root c. Black cohosh d. Coenzyme Q10 8. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension 9. *A nurse is assessing a client who is receiving heparin IV continuous IV. The client has an PPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate c. Decreased respiratory rate d. Increased blood pressure 10. A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error d. The charge nurse 11. A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following? a. Pruritus – Sign of allergic reaction to morphine b. Cough c. Tachypnea d. Gastric bleeding 12. A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) a. Obtain the client’s apical heart rate b. Remove the medication from the dispensing system c. Open the medication package d. Compare the client’s wristband to the medication administration record e. Document administration of the medication 13. A nurse is reviewing the medical record of an adult client who has a fever and a prescription for acetaminophen. Which of the following findings should the nurse identify as a contraindication for receiving this medication? a. Alcohol use disorder b. Chronic kidney disease c. Hepatitis B vaccine within the last week d. Diabetes mellitus 14. A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb.) since the last visit 2 days ago. Which of the following actions should the nurse take first? a. Encourage the client to dangle the legs while sitting in a chair b. Teach the client about foods low in sodium c. Determine medication adherence by the client d. Notify the provider of the client’s weight gain 15. A nurse is prepar [Show Less]
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ATI Nursing Care of Children Proctored exam, Practice A, Practice B 2019
What is a dictorial or authoritarian parenting style? - CORRECT ANSWER parents try to control the child's behaviors and attitudes through unquestioned ru... [Show More] les and expectations What is an authoriatitive parenting style? - CORRECT ANSWER also known as democratic, parents direct the child's behavior by setting rules and explaining the reson for each rule setting What is passive parenting? - CORRECT ANSWER parents are uninvolved, indifferent, and emotionally removed A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. describes that stress is inevitable B. emphasizes that change with one member affects the entire family C. provides guidance to assist families adapting to stress D. Defines consistencies in how families change - CORRECT ANSWER D. A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive - CORRECT ANSWER A A nurse is performimg family assessment. Which of the following should the nurse include? (select all that apply) A. medical history B. parents' education level C. child's physical growth D. Support systems E. Stressors - CORRECT ANSWER A, B, D, E What is the expected pulse rate of a newborn? - CORRECT ANSWER 80 to 180/min What is the expected pulse of a baby 1 week to 3 months? - CORRECT ANSWER 12 to 180/min What is the expected pulse of a child 3 months to 2 years? - CORRECT ANSWER 70 to 150/min What is the expected pulse of a child 2 to 10 years? - CORRECT ANSWER 60 to 110/min What is the expected pulse of a child 10 years and older? - CORRECT ANSWER 50 to 90/min What are the expected respirations fo a newborn to one year? - CORRECT ANSWER 30 to 35/min What are the expected respirations of a 1 to 2 year old? - CORRECT ANSWER 25 to 30/min What are the expected respirations of a 2 to 6 year old? - CORRECT ANSWER 21 to 25/min What are the expected respirations of a child 6 to 12 years old? - CORRECT ANSWER 19 to 21/min What are the expected respirations of a 12 year old and older? - CORRECT ANSWER 16 to 19/min What are the normal vitals of an infant? - CORRECT ANSWER HR: 80-180 RR: 30-35 BP: 65-80/40-50 Fontanels - CORRECT ANSWER should be flat and soft, posterior closes between 6 and 8 weeks, anterior closes between 12 and 18 months Teeth - CORRECT ANSWER 6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent teeth How long is the Moro reflex present? - CORRECT ANSWER until 4 months of age How long is the Tonic neck reflex present? - CORRECT ANSWER until 3 to 4 months of age How long does the Babinski reflex last? - CORRECT ANSWER usually until a year Expected findings of the olfactory (I) nerve in infants , children, and adolescents - CORRECT ANSWER Infants: difficult to test Children and Adolescents: indentifies smell through each nostril individually Expected findings of optic nerve (II)? - CORRECT ANSWER Infants: looks at face and tracks with eyes Children and adolescents: has intact visual acuity, peripheral vision, and color vision Expected findings for trigeminal nerve? - CORRECT ANSWER infants: has rooting and sucking relfex children and adolescents: is able to clencg teeth together and can detect touch on face with eyes closed A nurse is preparing to assess a preschool-age child. Which of the following is an appripirate action by the nurse to prepare the child? A. Allow the child to role play using miniature equipment B. use medical terminology to describe what will happen C. separate th child from her parents during examination D. keep medical equipment visible to the child - CORRECT ANSWER A A nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findings should the nurse report to the provider? A. temperature 37.2C (99.0F) B. Heart rate of 106/min C. Respirations 30/min D. Blood pressure 88/54 mmHg - CORRECT ANSWER C A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o clock position B. Tympanic membrane is red in color C. bone landmarks are not visible D. Cerumen is present bilaterally - CORRECT ANSWER D A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic necl - CORRECT ANSWER B A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (select all that apply) A. clencing the teeth together tightly B. recognizing a sour tast C. identifying smells through each nostril D. detecing facial touches when eyes closed E. Looking down and in with the eyes - CORRECT ANSWER A, D What happens to a baby's birth weight? - CORRECT ANSWER it should double by 6 months and triple by 1 year How do infants grow? - CORRECT ANSWER 1 inch per month (2.5cm) for 6 months, then by 12 months, height/length should be doubled When do the first teeth arupt? - CORRECT ANSWER between 6 and 10 months Gross and fine motor by 3 months - CORRECT ANSWER only have slight head lag Gross and fine motor by 4 months - CORRECT ANSWER should be able to roll from [Show Less]
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ATI Nursing Care of Children Proctored exam
ATI Nursing Care of Children Proctored exam, ATI Nursing Care of Children Practice A, RN Nursing Care of Children Practice 2019 A ATI, ATI RN Nursing Care ... [Show More] of Children Online Practice 2019 B [Show Less]
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ATI Nursing Care of Children Proctored exam (Edited)
A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following s... [Show More] hould the nurse include when discussing the developmental theory? A. describes that stress is inevitable B. emphasizes that change with one member affects the entire family C. provides guidance to assist families adapting to stress D. Defines consistencies in how families change - CORRECT ANSWER D A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive - CORRECT ANSWER A A nurse is performimg family assessment. Which of the following should the nurse include? (select all that apply) A. medical history B. parents' education level C. child's physical growth D. Support systems E. Stressors - CORRECT ANSWER A, B, D, E A nurse is preparing to assess a preschool-age child. Which of the following is an appripirate action by the nurse to prepare the child? A. Allow the child to role play using miniature equipment B. use medical terminology to describe what will happen C. separate th child from her parents during examination D. keep medical equipment visible to the child - CORRECT ANSWER A A nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findings should the nurse report to the provider? A. temperature 37.2C (99.0F) B. Heart rate of 106/min C. Respirations 30/min D. Blood pressure 88/54 mmHg - CORRECT ANSWER C A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o clock position B. Tympanic membrane is red in color C. bone landmarks are not visible D. Cerumen is present bilaterally - CORRECT ANSWER D A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic necl - CORRECT ANSWER B A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (select all that apply) A. clencing the teeth together tightly B. recognizing a sour tast C. identifying smells through each nostril D. detecing facial touches when eyes closed E. Looking down and in with the eyes - CORRECT ANSWER A, D A nurse is assessing a 12 months old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. closed anterior fontanel B. eruption of 6 teeth C. Birth weight doubled D. Birth length increased by 50 % - CORRECT ANSWER C A nurse is performing a developmental screening of a 10-month old infant. Which of the following fine motor skills should the nurse expect to find? (select all that apply) A. grasp a raddle by the handle B. try building a two-block tower [Show Less]
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ATI NURSING CARE OF CHILDREN PROCTORED EXAM
What is a dictorial or authoritarian parenting style? - CORRECT ANSWER parents try to control the child's behaviors and attitudes through unquestioned ru... [Show More] les and expectations What is an authoriatitive parenting style? - CORRECT ANSWER also known as democratic, parents direct the child's behavior by setting rules and explaining the reson for each rule setting What is passive parenting? - CORRECT ANSWER parents are uninvolved, indifferent, and emotionally removed A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. describes that stress is inevitable B. emphasizes that change with one member affects the entire family C. provides guidance to assist families adapting to stress D. Defines consistencies in how families change - CORRECT ANSWER D A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive - CORRECT ANSWER A A nurse is performimg family assessment. Which of the following should the nurse include? (select all that apply) A. medical history B. parents' education level C. child's physical growth D. Support systems E. Stressors - CORRECT ANSWER A, B, D, E What is the expected pulse rate of a newborn? - CORRECT ANSWER 80 to 180/min What is the expected pulse of a baby 1 week to 3 months? - CORRECT ANSWER 12 to 180/min What is the expected pulse of a child 3 months to 2 years? - CORRECT ANSWER 70 to 150/min What is the expected pulse of a child 2 to 10 years? - CORRECT ANSWER 60 to 110/min What is the expected pulse of a child 10 years and older? - CORRECT ANSWER 50 to 90/min What are the expected respirations fo a newborn to one year? - CORRECT ANSWER 30 to 35/min What are the expected respirations of a 1 to 2 year old? - CORRECT ANSWER 25 to 30/min What are the expected respirations of a 2 to 6 year old? - CORRECT ANSWER 21 to 25/min What are the expected respirations of a child 6 to 12 years old? - CORRECT ANSWER 19 to 21/min What are the expected respirations of a 12 year old and older? - CORRECT ANSWER 16 to 19/min What are the normal vitals of an infant? - CORRECT ANSWER HR: 80-180 RR: 30-35 BP: 65-80/40-50 Fontanels - CORRECT ANSWER should be flat and soft, posterior closes between 6 and 8 weeks, anterior closes between 12 and 18 months Teeth - CORRECT ANSWER 6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent teeth How long is the Moro reflex present? - CORRECT ANSWER until 4 months of age How long is the Tonic neck reflex present? - CORRECT ANSWER until 3 to 4 months of age How long does the Babinski reflex last? - CORRECT ANSWER usually until a year Expected findings of the olfactory (I) nerve in infants , children, and adolescents - CORRECT ANSWER Infants: difficult to test Children and Adolescents: indentifies smell through each nostril individually Expected findings of optic nerve (II)? - CORRECT ANSWER Infants: looks at face and tracks with eyes Children and adolescents: has intact visual acuity, peripheral vision, and color vision Expected findings for trigeminal nerve? - CORRECT ANSWER infants: has rooting and sucking relfex children and adolescents: is able to clencg teeth together and can detect touch on face with eyes closed A nurse is preparing to assess a preschool-age child. Which of the following is an appripirate action by the nurse to prepare the child? A. Allow the child to role play using miniature equipment B. use medical terminology to describe what will happen C. separate th child from her parents during examination D. keep medical equipment visible to the child - CORRECT ANSWER A A nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findings should the nurse report to the provider? A. temperature 37.2C (99.0F) B. Heart rate of 106/min C. Respirations 30/min D. Blood pressure 88/54 mmHg - CORRECT ANSWER C A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o clock position B. Tympanic membrane is red in color C. bone landmarks are not visible D. Cerumen is present bilaterally - CORRECT ANSWER D A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic necl - CORRECT ANSWER B A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (select all that apply) A. clencing the teeth together tightly B. recognizing a sour tast C. identifying smells through each nostril D. detecing facial touches when eyes closed E. Looking down and in with the eyes - CORRECT ANSWER A, D What happens to a baby's birth weight? - CORRECT [Show Less]
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ATI NUTRITION PROCTORED EXAM REVIEW LATEST 2021/2022 QUESTIONS WITH VERIFIED ANSWERS
ATI NUTRITION PROCTORED EXAM REVIEW LATEST 2021/2022 QUESTIONS WITH VERIFIED ANSWERS A nurse is reinforcing diet teaching to a client who has typ... [Show More] e 2 DM. Which of the following should the nurse include in the teaching? Select all that apply. A. Carbs should comprise 55% of daily caloric intake B. Use hydrogenated oils for cooking C. Table sugar may be added to cereals D. Drink an alcoholic beverage w/meals E. Protein foods can be substituted for carb foods A nurse is reviewing dietary guidelines to include in the plan of care for a client who has type 2 DM. Which of the following guidelines should the nurse include? Select all that apply. A. Weight management B. Lipid profile C. Cultural needs D. Sleep patterns E. Personal preferences A nurse is teaching a client measures for healthy bones. Which of the following statements by the client requires additional teaching? A. "I will eat foods high in calcium." B. "I will increase my fluid intake." C. "I should participate in weight bearing exercises." D. "I should get my vitamin D from the sunlight." A nurse is conducting a nutritional class to a group of newly licensed nurses. Which of the following should be included in the teaching? A. Limit saturated fat to 10% of total caloric intake. B. Good bowel function requires 35 g/day of fiber for women. C. Limit cholesterol consumption to 400 mg/day D. Normal functioning cardiac systems depends on B-complex vitamins A nurse is discussing essential nutrients for normal functioning of the nervous system. Which of the following should be included in the teaching? Select all that apply. A. Calcium B. Thiamin C. Vitamin B6 D. Sodium E. Phosphorus A school nurse is teaching a group of students how to read food labels. Which of the following should be included in the teaching? Select all that apply. A. Total carbohydrates B. Total fat C. Calories D. Magnesium E. Dietary fiber A nurse is teaching a client who has cancer about appropriate food choices. The nurse determines that the client understands the information when she chooses which of the following snacks? Select all that apply. A. Peanut butter sandwich on whole wheat bread w/2% milk B. Popcorn w/soda C. Yogurt topped w/granola & a banana D. Meat lasagna w/buttered garlic bread E. Plain baked potato Which of the following food choices is appropriate for a pt. with GERD? Select all that apply. A. Baked salmon B. Skim milk C. Orange juice D. Decaffeinated tea E. Eggs and salsa For which disease/condition would the nurse teach the client about a gluten-free diet? A. A 54 year old man with pancreatitis. B. A 32 year old woman with celiac disease. C. A 22 year old man with diverticulitis. D. A 76 year old woman with breast cancer. A nurse is providing instructions to a client who has a new diagnosis of celiac disease. Which of the following food choices by the client indicates a need for further teaching? A. Potatoes B. Graham crackers C. Wild rice D. Canned pears A nurse is providing instructions to a client who reports constipation & has a prescription for a high-fiber, low-fat diet. Which of the following food choices by the client indicates understanding of the teaching? A. Peanut butter B. Peeled apples C. Hardboiled egg D. Brown rice A nurse is caring for a client post appy. The nurse verifies the postop prescription, which reads "discontinue NPO status; advance diet as tolerated." Which of the following are appropriate for the nurse to offer the client? Select all that apply. A. Applesauce B. Chicken broth C. Sherbet D. Wheat toast E. Cranberry juice A nurse is caring for a client who is on a full liquid diet due to dysphagia. Which of the following nursing actions is the highest priority? A. Add thickener to liquids. B. Educate the client about acceptable liquids. C. Perform a calorie count of consumed liquids. D. Offer high-protein liquid supplements. A nurse is performing dietary needs assessments for a group of clients. A blenderized liquid diet is appropriate for which of the following clients? Select all that apply. A. A client who has a wired jaw due to an MVA B. A client who is 24 hr postop following temporomandibular joint repair C. A client who has dif [Show Less]
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ATI NUTRITION PROCTORED EXAM STUDY GUIDE QUESTIONS WITH VERIFIED ANSWERS LATEST UPDATE 2021/2022
ATI NUTRITION PROCTORED EXAM STUDY GUIDE QUESTIONS WITH VERIFIED ANSWERS LATEST UPDATE 2021/2022 1. A nurse is teaching a group of older adult ... [Show More] clients about dietary needs. Which of the following statements should the nurse include in the teaching? A. Older adults should decrease their calorie intake B. Older adults should decrease their vitamin D intake C. Older adults should decrease their fiber intake D. Older adults should decrease their zinc intake. 2. A nurse is caring for a client who is receiving parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates the therapy is effective? A. Client has soft, formed bowel movements B. Client’s mucous membranes are pink C. Client reports ability to complete ADLs D. Client’s blood glucose level is within the expected reference range 3. A nurse is planning care for a client who is to have a mechanically altered diet following a stroke which of the following foods should nurse recommend to include in the client’s diet? A. Mashed potatoes B. Ice cream C. Ground meat D. Strawberries E. Raw broccoli 4. A nurse is teaching a client who has hemoglobin of 10 g/dl about dietary interventions. Which of the following menu selections by the client indicates an understanding of the teaching? A. Apple slices B. Cottage cheese C. Beef liver D. Baked potato 5. A nurse is caring for a client who is receiving chemotherapy and reports a loss of appetite. Which of the following strategies should the nurse recommend to increase the client’s protein intake? A. Grate cheese into soups B. Add mayonnaise to salads C. Use honey on toast D. Mix granola with fruits 6. A nurse is planning dietary teaching for a client who follows a vegetarian diet and needs to increase his iron intake. Which of the following food recommendations should the nurse include in the teaching? A. Raw cauliflower B. Carrot sticks C. Peanut butter D. Dried beans 7. A nurse is providing teaching about a gluten free diet to a client who has celiac disease. Which of the following foods should the nurse recommend the client include in his diet? A. Barley B. Corn C. Wheat germ D. Salami 8. A nurse is planning to reach a client who is recovering from an episode of acute diverticulitis and needs to eat foods that are high in fiber. Which of the following food choices should the nurse plan to recommend as having the highest fiber content? A. 3 oz turkey B. 1 cup low-fat, plain yogurt C. 1/2 cup cooked white rice D. 1/2 cup cooked peas 9. A nurse is providing dietary teaching to a client about sources of protein. The nurse should identify which of the following items as a complete protein? A. Gelatin B. Legumes C. Almonds D. Salmon 10. A nurse in the emergency department is assessing a young adult client who was administered a hypotonic IV fluid bolus for rehydration after collapsing at an athletic event. Which of the following dindings indicates the client is experiencing water intoxication? A. Weak pulses B. Hypernatremia C. Exaggerated reflexes D. Muscle weakness 11. A nurse is reviewing the laboratory results of a client who has bulimia nervosa. the nurse should notify the provider of which of the following results? A. Magnesium 1.6 B. Hgb 14 C. WBC 5200 D. Potassium 3.2 12. A nurse is caring for a client who is taking antibiotics and develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet? A. Ice cream B. Whole wheat bread C. Fresh orange sections D. Yogurt [Show Less]
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ATI Nutrition proctored EXAM QUESTIONS AND ANSWERS GRADED A
1. A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take? a.... [Show More] Measure the client’s gastric residual every 12 hr. b. Flush the clients’ tube with 30ml of water every 4 hr. c. Obtain the client’s electrolyte levels every 4 hr d. Keep the client’s head elevated at 15 during feeding 2. A nurse is caring for a client who has a major burn injury and is receiving total parenteral nutrition. Which of the following laboratory tests is the priority for the nurse to use to confirm the client is receiving adequate nutrition? a. Prealbumin b. Iron c. Folic Acid d. Magnesium 3. A nurse is assessing a client who reports muscle spasms in his calves and tingling in his hands. The client indicates consuming a low intake of milk products and green leafy vegetables. The nurse should identify that the client’s finding indicate a deficiency in which of the following sources of nutrition? a. Omega-3 fatty acids b. Iron c. d. Calcium e. Vitamin-C 4. A nurse is teaching a client about dietary changes needed for weight loss. Which actions should the nurse perform first? a. Educate the client about daily caloric requirements b. Show the client how to identify the fat content of packaged foods c. Provide the client with meal planning information d. Determine the client’s daily caloric intake 5. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant. Which of the following choices should the nurse recommend? a. Raw carrots b. Graham crackers c. Unsalted popcorn d. Skim Milk 6. A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommendations should the nurse include in the teaching? a. Increase phosphorous intake b. Increase potassium intake c. Limit protein shake d. Limit calcium intake 7. A nurse is caring for an older adult client who reports difficulty chewing due to ill-fitting dentures. Which of the following foods should the nurse recommend for the client? a. Roast beef b. Apple slices c. Tuna fish d. Dried fruit 8. A nurse is caring for a client who is receive parenteral nutrition and has a new prescription for probiotic therapy. Which of the following findings indicates the therapy is effective? a. Client has soft, formed bowel movements b. Client reports ability to complete ADLs. c. Client’s blood glucose level is within the expected reference range. d. Client’s mucous membranes are pink. 9. A nurse is teaching a client ways to manage anorexia while receiving radiation therapy. Which of the following instructions should the nurse include in the teaching? a. Consume nutrition-dense foods first b. Limit high-kilocalorie supplements to between meals c. Eat hot foods rather than cold foods d. Avoid overeating during good days 10. A nurse is teaching a client who has hypertension about a heart-healthy diet. Which of the following statements indicates that the client understands the teaching? a. I will get 15 percent of my total daily calories from saturated foods b. I will decrease the potassium in my diet c. I will eat five 8-ounce servings of fruit daily d. I will limit my daily sodium intake to 3 grams 11. A nurse is provide nutritional education to a client who is obese. The nurse should include in the information that which of the following gastrointestinal disorders is commonly associated with obesity? a. Crohn’s disease b. Celiac disease c. Gastroesophageal reflux disease d. Peptic ulcer disease 12. A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take? a. Offer mouth rinses with normal saline and water b. Instruct the client to drink liquids without a straw c. Serve foods while still at a hot temperature d. Serve foods without sauces or gravies 13. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients? a. A client who is postoperative following a laminectomy and is receiving IV PCA b. A client who has colon cancer and will undergo a hemicolectomy c. A client who has COPD and is going home with oxygen d. A client who has dysphagia and does not recognize his family 14. A nurse is providing education to a client who is experiencing dumping syndrome following gastric surgery. Which of the following statements by the client indicates an understanding of the teaching? a. I should drink additional fluids with my meals b. I should eat high fiber snacks between meals c. I should eat a protein source with each meal d. I can have caffeinated beverages in small amounts 15. A nurse is teaching a parent about recommended protein intake for a toddler. The nurse should identify that which of the following food selections is equivalent to 1 oz of protein a. 1 slice of bread b. ½ cup peas c. 1 scrambled egg d. 2 tbsp peanut butter 16. A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take? a. Recommend a total fiber intake of 12g each day b. Advise the client to add 500 calories per day to the diet c. Refer the client to a weight-loss support group d. Encourage the client to continue current daily calorie intake 17. A nurse is providing teaching to a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? a. I will keep my blood glucose levels between 200 and 212 miligram per deciliter b. Albumin in my urine is an indication of normal kidney function c. I will have ketones in my urine if my blood glucose is maintained at 190 miligrams per deciliter. d. I will keep my HbA1c at five percent 18. A nurse is caring for a client who is receiving chemotherapy treatments. The client states, “ I feel so nauseated after my treatments.” Which of the following instructions should the nurse provide the client? (select all that apply) a. Limit use of antiemetic until after first emesis d. Eat foods low in carbohydrates e. Sip fluids slowly throughout the day 19. A nurse is planning care for a toddler who has burns over 50% of total body surface area. Which of the following actions should the nurse include in the plan of care? a. Limit dietary protein b. Administer enteral feeding c. Administer insulin prior to meals d. Limit intake of vitamin C 20. A nurse is teaching about implementing a heart-healthy diet to a client who has coronary artery disease. Which of the following foods should the nurse recommend to the client? a. Broiled salmon b. Canned potato soup c. Processed cheese d. Baked ham 21. A nurse is teaching a client about strategies to prevent constipation. Which of the following statements by the client indicates an understanding of the teaching? a. I can skip a meal if I feel bloated b. Eating foods high in fiber will make elimination easier c. I should consume mineral oil once per day d. Drinking four to five glasses of water per day will prevent constipation 22. A nurse is planning eating strategies with a client who has nausea form equilibrium imbalance. Which of the following strategies should the nurse recommend? a. Encourage the client to eat even if nauseated b. Serve hot foods at mealtime c. Provide low fat carbohydrates with meals d. Limit fluid intake between meals 23. A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should [Show Less]
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ATI Nutrition A B EXAM QUESTIONS AND ANSWERS GRADED A
ATI Nutrition A B EXAM QUESTIONS AND ANSWERS GRADED A 1. A nurse is caring for a client who expresses a desire to lose weight. Which of the follow... [Show More] ing actions should the nurse take first? a. Recommend checking weight once weekly. b. Obtain a 24-hr dietary recall. c. Assist with creating an exercise plan. d. Initiate a plan for diet modification. 2. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? a. Consume high-fat cheese to replace meats when on a vegetarian diet. b. A vegetarian diet is high in vitamin B12 • c. Fewer calories are required when on a vegetarian diet. d. Include two servings per day of nuts when on a vegetarian diet. 3. A nurse is caring for a client who has acute inflammatory bowel disease. Which of the following nutritional supplements should the nurse anticipate providing to this client? a. Hydrolyzed formula b. Polymeric formula c. Milk-based supplement formula d. Modular product supplement formula 4. A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching? a. "I am including vegetables as starch items in my carbohydrate count." b. "I am limiting the number of carbohydrates to four carbohydrate choices or 60 grams per day." c. "I know the serving size can affect the number of carbohydrates I eat." d. "I know the carbohydrate count is dependent on the calories in the food item." 5. A nurse is providing dietary teaching for a client who has osteoporosis. The nurse should instruct the client that which of the following foods has the highest amount of calcium? a. 1 cup avocado b. 2 tablespoons peanut butter c. ½ cup roasted sunflower seeds d. ½ cup roasted almonds 6. A nurse is discussing dietary factors to assist in blood pressure management for a client who has hypertension. Which of the following client statements indicates an understanding of the teaching? a. "I can drink up to three glasses of wine each day." b. "I should choose whole grain pastas when selecting my foods." c. "I should decrease my consumption of foods high in potassium." d. "I can use low-sodium salt substitutes when I cook my food." 7. A nurse is caring for a client who has a new prescription for parenteral nutrition (PN) containing a mixture of dextrose, amino acids, and lipids. Prior to administration of the PN, the nurse should report which of the following food allergies to the provider? a. Gelatin b. Peanuts c. Shellfish d. Eggs 8. A nurse is teaching a client who has chronic kidney disease about limiting dietary calcium intake. Which of the following food choices should the nurse include in the teaching as having the highest amount of calcium? a. 1 cup low-fat yogurt b. 1 oz cheddar cheese c. 1 egg d. ½ cup spinach 9. A home health nurse is providing dietary teaching to the guardians of a 3-year-old child. Which of the following statements by the guardians should the nurse identify as understanding of the teaching? a. "I will offer my child a cup of peanut butter to dip her celery in." b. "I can leave her grapes whole, so she can practice getting them with her fork." c. "I can give her popcorn as a snack to provide a serving of whole grains." d. "I will put low-fat milk in her cup for her to drink." 10. A nurse is caring for an adolescent who has type 1 diabetes mellitus. Which of the following actions should the nurse take to assess for Somogyi phenomenon? a. Monitor blood glucose levels during the night. b. Check for urinary ketones at the same time each day for 1 week. c. Perform an oral glucose tolerance test after administering a dose of insulin. d. Compare current glycosylated hemoglobin level with the level at time of diagnosis 11. A nurse is reviewing the introduction of solid foods with the guardian of a 4-month-old infant. Which of the following statements by the guardian indicates an understanding of the teaching? a. "My baby should consume 2 tablespoons of solid food at each feeding." b. "The majority of my baby's calories should come from solid food." c. "I will give my baby one bottle of fruit juice each day." d. "I will introduce a new solid food every 5 days." 12. A nurse in a long-term care facility is monitoring a client during mealtime who has Parkinson's disease. Which of the following findings should the nurse identify as the priority? a. The client eats all of their cake and a few bites of bread. b. The client drools while eating. c. The client's hand trembles when they holds their spoon. d. The client chooses to sit alone during the meal. 13. A home health nurse is reviewing the medical record of a client who had an open reduction internal fixation of the tibia. Which of the following findings should the nurse identify as a risk factor for impaired wound healing? a. The client's hemoglobin is 15 g/dl. b. The client's peripheral pulses are +3 distal to the affected extremity. c. The client consumes 1,000 kcal daily. d. The client takes zinc supplements. 14. A nurse is providing teaching to a client who has diabetes mellitus and an HbA1c of 8.7%. Which of the following statements by the client indicates an understanding of this laboratory value? a. "I should have gone to my exercise class yesterday." b. "This shows that my result is finally within a normal range." c. "This shows that I have not been following my diet." d. "I should have my blood work done first thing in the morning." 15. A nurse is teaching a client about stress management. Which of the following statements by the client indicates an understanding of the teaching? a. "I will take a long walk every evening." b. "I will keep a daily diet and activity log." c. "I will avoid eating 1 hour before bedtime." d. "I will drink a full glass of water with each meal." 16. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is prescribed an oral diet. The client asks the nurse why the TPN is being continued since he is now eating. Which of the following responses should the nurse make? a. "Your blood glucose levels need to be within a normal range before the parenteral nutrition can be stopped." b. You should consume at least 60 percent of your calories orally before the parenteral nutrition can be discontinued." c. "You should have a weight gain of at least 1 kilogram per day before the therapy is stopped." d. "Your bowel movements need to be regular before the therapy can be discontinued." 17. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter. The pharmacist informs the nurse that there will be a delay in delivering the next bag of TPN solution. Which of the following actions should the nurse take? a. Slow the rate of the current infusion. b. Infuse 0.9% sodium chloride when the current infusion ends. c. Infuse dextrose 10% in water when the current infusion ends. d. Remove the tubing and flush the access device when the current infusion ends 18. A nurse is assessing a client who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia? a. Diaphoresis b. Bradycardia c. Abdominal cramps d. Acetone breath 19. A nurse is planning dietary teaching for a client who has dumping syndrome following a gastrectomy. Which of the following interventions should the nurse include in the client's plan of care? a. Use simple sugars to sweeten foods. b. Remain upright for 1 hr following meals. c. Limit eating to three large meals per day. [Show Less]
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ATI Nutrition Proctored Exam Question and Answers 2022
ATI Nutrition Proctored Exam Question and Answers 2022
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ATI Comprehensive Predictor Exam 2022 GRADED A CORRECTLY ANSWERED QUESTIONS {DOWNLOAD}
ATI Comprehensive Predictor Exam 2022 GRADED A CORRECTLY ANSWERED QUESTIONS {DOWNLOAD}
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ATI Comprehensive Predictor Exam COMPLETE EXAM QUESTION AND ANSWERS GRADED A2022/2022 {DOWNLOAD}
ATI Comprehensive Predictor Exam COMPLETE EXAM QUESTION AND ANSWERS GRADED A2022/2022 {DOWNLOAD} A nurse in an emergency department completes an assessmen... [Show More] t on an adolescent client that has conduct disorder. The client threatened suicide to teacher at school. Which of the following statements should the nurse include in the assessment? a) Tell me about your siblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol d) Tell me about your school schedule (ANS- c) Tell me how often do you drink alcohol A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to intervene? a) Holding the newborn in an en face position b) Asking the father to change the newborn's diaper c) Requesting the nurse take the newborn nursery so she can rest d) Viewing the newborn's actions to be uncooperative (ANS- d) Viewing the newborn's actions to be uncooperative A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the medication is effective? a) Weight loss (this drug acts as T4 and will normalize the effects of hypothyroidism) b) Decreased blood pressure c) Absence of seizures d) Decrease inflammation (ANS- a) Weight loss (this drug acts as T4 and will normalize the effects of A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching? a) Contact provider if the cord still turns black (it's going to turn black) b) Clean the base of the cord with hydrogen peroxide daily (clean with neutral pH cleanser) c) Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection) d) The cord stump will fall off in five days (cord falls off in 10-14 days) (ANS- c) Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection) A nurse is assessing a client in the PACU. Which of the following findings indicates decreased cardiac output? a) Shivering b) Oliguria c) Bradypnea d) Constricted pupils (ANS- b) Oliguria A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority? a) A client that has massive head trauma b) A client has full thickness burns to face and trunk c) A client with indications of hypovolemic shock d) A client with open fracture of the lower extremity (ANS- c) A client with indications of hypovolemic shock A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first? a) A client who has illeal conduit and mucus in the pouch b) Client pleasant arteriovenous additional vibration palpated c) A client whose chronic kidney disease with cloudy diasylate outflow d) A client was transurethral resection of the prostate with a red tinged urine in the bag (ANS- c) A client whose chronic kidney disease with cloudy diasylate outflow A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention? a) Place's cardiac monitoring b) Monitor the clients oxygen saturation level c) Provide standby assist with the client from bed d) Encourage foods high in potassium (ANS- c) Provide standby assist with the client from bed A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect? a) Feta hypoxia b) Abrupto placentae c) Post maturity d) Head Compression (ANS- d) Head Compression A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory values as in an indication for hemodialysis? a) glomerular filtration rate of 14 mL/ minute b) BUN 16 mg/DL c) serum magnesium 1.8 m [Show Less]
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ATI RN VATI Comprehensive Predictor 2019 Form A B AN C
ATI RN VATI Comprehensive Predictor 2019 Form A B AN C FORM A 1. A nurse is caring for a client who is taking alprazolam. Which of the following ... [Show More] prescriptions should the nurse clarify with the provider? A. Digoxin B. Lorazepam C. Atomoxetine D. Ceftriaxone 2. A nurse is assessing a client who is postoperative following abdominal surgery. The client states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which of the following actions should the nurse take? A. Extend the client’s legs above heart level B. Place the client in low fowlers position. C. Instruct the client to perform the Valsalva maneuver D. Apply a dry gauze dressing to the incision. 3. A nurse is caring for a client who is receiving radiation therapy through a sealed implant. Which of the following actions should the nurse take? Wear a lead apron when providing care for the client. 4. A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take? A. Apply the tourniquet 15cm (6 in) above the insertion site B. Check for pulsation at sited proximal to the tourniquet C. Anchor the vein by stretching the skin 2.5 cm (1 in) proximal to the insertion site D. Wipe the skin dry before inserting the catheter 5. A nurse is administering medications to a client who has dysphagia and a new prescription for divalproex sodium extended-release tablets. Which of the following actions should the nurse take? Administer the medication with applesauce 6. A nurse is completing a dietary assessment for a client who is Jewish and observes kosher dietary practices. Which of the following behaviors would the nurse expect to fine? A. Leavened bread maybe eaten during Passover. B. Shellfish is commonly consumed in the diet. C. Meat and dairy products are eaten separately. D. Fasting from meat occurs during Hanukkah. 7. A nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the arm stage of general adaptation syndrome and should expect which of the following findings. Tachycardia 8. A nurse is caring for a client who has a femur fracture and is on bedrest with Buck’s extension traction. which of the following actions should the nurse take? A. Inspect the client’s skin under the device every 8 hours 9. A charge nurse is creating assignments for the next shift for several nurses and one of them is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? A. A 60-year-old client who is recovering from shingles B. A 20-year-old client who is HIV positive C. A 40-year-old client who is suspected of having tuberculosis D. An 80-year-old client who has alcoholic pancreatitis and is being treated for impetigo 10. A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position. C. The infusion pump for administering continuous feeding is turned off. D. Interior feeding bag and tubing are not dated. 11. A nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of the teaching? A. If I stop abruptly I cannot use a nicotine replacement. B. After 6 months, my risk of heart disease is the same as that of a nonsmoker C. I will set a specific date to stop smoking D. I will use high carbohydrate snacks as a substitute for cigarette. 12. A nurse has been caring for a female client who has bruises on her arms that are a result of physical abuse by her partner. The client states, [Show Less]
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ATI Comprehensive Fundamentals Retake 2019 Graded A+(DOWNLOAD TO SCORE A).
What do nurses use when preparing change-of-shift report? - CORRECT ANSWER Standard handoff communication tools, such as Introduction, Situation, Backgr... [Show More] ound, Assessment, Recommendation (ISBAR) to facilitate transfers and discharges. When should discharge planning begin? - CORRECT ANSWER On admission with every patient. Discharge documentation should include - CORRECT ANSWER Type of discharge, date & time of discharge, who went with the client & transportation, where the client went, summary of clients current condition at discharge, description of any unresolved difficulties and disposition of valuables, medications brought from home & prescriptions. Documentation & abbreviations and symbols - CORRECT ANSWER Being accurate & concise is an important element of documentation. Only abbreviations & symbols approved by The Joint Commission and the facility are acceptable. A nurse is discussing the HIPPA privacy rule with nurses during new employee orientation. Which of the following information should the nurse include? - CORRECT ANSWER Family members should provide a code prior to receiving client health information, communication of a client can occur at the nurse's station, a client can request a hard copy of their records and a nurses may photocopy a client's medical record for transfer to another facility. A nurse is receiving a providers prescription for morphine by telephone for a client who is reporting moderate to severe pain. What are the appropriate nursing actions? - CORRECT ANSWER Repeat the details of the prescription back to the provider, have another nurse listen to the telephone prescription and obtain the providers signature on the prescription within 24 hours. A problem is an ethical dilemma when - CORRECT ANSWER I. A review of scientific data is not enough to solve it II. It involves a conflict between two moral imperatives III. The answer will have a profound effect on the situation and the client Ethical dilemmas are problems that - CORRECT ANSWER involve more than one choice and stem from differences in the values and beliefs of decision makers Autonomy - CORRECT ANSWER the right to makes one's own personal decisions, even when those decisions might not be in the that person's best interest. Beneifience - CORRECT ANSWER positive actions to help others (do good) Fidelity - CORRECT ANSWER agreement to keep promises Justice - CORRECT ANSWER fairness in care delivery and use of resources Nonmaleficence - CORRECT ANSWER avoidance of harm or injury (do no harm) Admission inventory of personal items include - CORRECT ANSWER clothing, jewelry, money, credit cards, assistive devices, medications, cell phones and other technology devices, and religious articles... Nurses should discourage keeping valuables at the bedside. The nurse will document what related to personal items? - CORRECT ANSWER The nurse will document communication with the client related to items left within the room and valuables locked in the facility's safe. Assault (International Tort) - CORRECT ANSWER The conduct of one person makes another person fearful and apprehensive. Example: a nurse threatens to place an NG tube in a client who is refusing to eat. Battery (International Tort) - CORRECT ANSWER Intentional & wrongful physical contract with a person that involves an injury of offensive contact. Example: A nurse restrains a client and administers an injection against her wishes. False Imprisonment (International Tort) - CORRECT ANSWER A person is confined or retained against his will. The nurses uses restraints on a competent client to prevent his leaving the health care facility. What should the nurse teach older clients about home safety? - CORRECT ANSWER To place electrical cords & extension cords against a wall behind furniture and use a nonskid mat in the tub or shower & place a shower chair in the shower and a beside commode if needed. The client who has heat stroke will have what sign? - CORRECT ANSWER Hypotension One of the nurse's responsibility for a client in restraints is to make sure... - CORRECT ANSWER the restraints are loose enough for range of motion & that there is enough room to fit two fingers between the restraints & the client. What is the priority action for a patient with a history of falls? - CORRECT ANSWER Complete a fall risk assessment. What blood glucose level requires immediate action? - CORRECT ANSWER 70 mg/dL of less What are manifestations of hypoglycemia? - CORRECT ANSWER Mild shakiness, mental confusion, sweating, palpitations, headache, lack of coordination, blurred vision, seizures, and coma. [Show Less]
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ATI comprehensive practice B, ATI Comprehensive Final Quiz,
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy... [Show More] has been effective? - CORRECT ANSWER hemoglobin 14.9 g/dL a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? - CORRECT ANSWER a middle adult client who has unstable vital signs a nurse is caring for a client who has fluid volume overload. which of the following tasks should the nurse delegate to an assistive personnel? - CORRECT ANSWER measure the client's daily weight a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer? - CORRECT ANSWER 18 g a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint? - CORRECT ANSWER Moving the leg away from the midline of the body (off to the side, not to the front) a nurse is caring for a client who has hyperthyroidism. which of the following findings should the nurse expect? - CORRECT ANSWER tremors tachycardia, diaphoresis, weight loss, insomnia, exopthalmia hypothyroidism has dry corase hair, bradycardia, and periorbital edema a nurse is assessing a school age child who has bacterial meningitis. which of the following findings should the nurse expect? - CORRECT ANSWER nuchal rigidity also weight loss a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take? - CORRECT ANSWER auscultate the apical pulse at least 1 min a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to perform which of the following actions? - CORRECT ANSWER instruct the client to avoid coughing during the procedure a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse? - CORRECT ANSWER the child exhibits discomfort while walking a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet? - CORRECT ANSWER fiber - reduce diarrhea and inflammation a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine following a total knee arthroplasty. which of the following actions should the nurse take? - CORRECT ANSWER Turn off the CPM machine during mealtime promote client comfort and dietary intake a nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? - CORRECT ANSWER radial vein of the inner arm a nurse is developing a client education program about osteoporosis for older adult clients. the nurse should include which of the following variables as a risk factor for osteoporosis? - CORRECT ANSWER sedentary lifestyle also, small framed body with a thin build, estrogen deficiency a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles on the trunk and extremities. which of the following interventions should the nurse identify as the priority? - CORRECT ANSWER initiate transmission based precautions a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which of the following actions should the nurse take first? - CORRECT ANSWER change the position of the client a home health care nurse is developing a teaching plan for a client who has a new ileostomy. which of the following instructions should the nurse include? - CORRECT ANSWER empty the appliance when it is one third to one half full a nurse is reviewing the laboratory report of a client who has end stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? - CORRECT ANSWER sodium 148 mEq/L a nurse is caring for four clients. which of the following tasks should the nurse delegate to an assistive personnel? - CORRECT ANSWER Arrange the lunch tray for a client who has a hip fracture a nurse is preparing a client for a paracentesis. which of the following actions should the nurse take? - CORRECT ANSWER instruct the client to void a nurse has received change of shift report on four assigned clients. for which of the following clients should the nurse intervene to prevent a potential food and medication interaction? - CORRECT ANSWER a client who is receiving an MAOI and is requesting a cheeseburger for dinner a nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. which of the following actions should the nurse plan to take? - CORRECT ANSWER allow for frequent rest periods throughout the day a nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. the client reports bladder spasms, and the nurse observes a decreased urinary output. which of the following actions should the nurse take? - CORRECT ANSWER irrigate the catheter with 0.9% sodium chloride irrigation a nurse is assessing a client who has COPD. which of the following findings should the nurse expect? - CORRECT ANSWER pH 7.31 a nurse in a community center is providing an educational session to a group of client about ovarian cancer. which of the following manifestations of ovarian cancer should the nurse include in the teaching? - CORRECT ANSWER abdominal bloating increa [Show Less]
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ATI Comprehensive Fundamentals Retake 2019 Graded A+(DOWNLOAD TO SCORE A) (1).docx
A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressin... [Show More] g for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who is postoperative d. Providing postmortem care to a client - CORRECT ANSWER d. Providing postmortem care to a client A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements? A. I take ginkgo biloba for a headache B. I take echinacea to control my cholesterol C. I use ginger when I get car sick D. I use garlic for my menopausal symptoms - CORRECT ANSWER I use ginger when I get car sick A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? A. Wear a mask when working within 3 feet of the client B. Administer metronidazole C. Don protective eyewear before entering the room. D. Place the client in a negative airflow room. - CORRECT ANSWER Wear a mask when working within 3 feet of the client A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tube. Which of the following actions should the nurse take? A. Attach the restraints securely to the side rails of the client's bed. B. Apply the restraints to allow as little movement as possible C.Allow room for two fingers to fit between the clients skin and the restraints d. remove the restraints every 4 hours - CORRECT ANSWER Allow room for two fingers to fit between the clients skin and the restraints A nurse is admitting a client who has tuberculosis. Which of the following types of transmission precautions should the nurse plan to initiate? A. Droplet B. Airborne c. protective environment d. contact - CORRECT ANSWER Airborne A nurse in a well-child clinic receives a telephone call from a parent who states that their child accidentally swallowed paint thinner. The child is awake and alert. Which of the following responses should the nurse make? A. Have your child drink one large glass of water. B. Hang up and call a poison control center hotline. C. Bring your child into the clinic later today. D. Induce vomiting in your child with syrup of ipecac. - CORRECT ANSWER Have your child drink one large glass of water A nurse is documenting a client's medical record. Which of the following entries should the nurse record. A. Oral temperature slightly elevated at 0800 B. Administered pain medication C. Incision without redness or drainage D. Drank adequate amounts of fluid with meals. - CORRECT ANSWER Administered pain medication A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? A. Place the client in a side-lying position. B. Brush the clients teeth daily C. Apply mineral oil to the client's lips D. Rinse the client's mouth with an alcohol-based mouthwash - CORRECT ANSWER Place the client in a side-lying position A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify which of the following situations is an example of negligence? A. A nurse administers a medication without first identifying the client. B. An assistive personnel discusses client care in the facility cafeteria with visitors present. C. A nurse begins a blood transfusion without obtaining consent. D. An assistive personnel prevents a client from leaving the facility. - CORRECT ANSWER A nurse begins a blood transfusion without obtaining consent A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection. Which of the following actions should the nurse take? A. Wear sterile gloves when collecting the specimen. B. Offer the client oral hygiene after the collection C. Collect the specimen in the evening. D Collect 1 ml of sputum. - CORRECT ANSWER Offer the client oral hygiene after the collection A nurse is assessing an older client. Which of the following findings should the nurse expect? a. Decreased sense of balance b. Increased nighttime sleeping c. Heightened sense of pain d. Nighttime urinary incontinence - CORRECT ANSWER Decreased sense of balance A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (select all that apply) a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma " b. "Place a piece a gauze over the stoma while changing the pouch" c. "Use povidone-iodine to clean around the stoma" d. "Empty the ostomy pouch when it becomes one-third full of contents" e. expect the stoma to turn a purple-blue color as its heals" - CORRECT ANSWER Cut the opening of the pouch 1⁄8 of an inch larger than the stoma Place a piece a gauze over the stoma while changing the pouch Use povidone-iodine to clean around the stoma Empty the ostomy pouch when it becomes one-third full of contents A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse. Which of the following actions should the nurse take? a. "Request that an assistive personnel interpret the information for the client" b. "Use proper medical terms when giving information to the client" c. "Offer written information in the client's language" d. "Avoid using gestures when speaking to the client" - CORRECT ANSWER Offer written information in the client's language A nurse is teaching a client about home care equipment. Which of the following information should the nurse include in the teaching? (select all that apply) a. "Avoid using wool blankets when receiving oxygen" b. check the O2 delivery rate at least once a day c. align the middle of the ball in the flow meter with the line of the prescribed flow rate d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source" e. "Lay the oxygen tank flat when storing" - CORRECT ANSWER Avoid using wool blankets when receiving oxygen check the O2 delivery rate at least once a day align the middle of the ball in the flow meter with the line of the prescribed flow rate A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime? a. Provide a late supper. b. Offer a wet washcloth for the client to wash her face c. Perform range-of-motion exercises d. Prepare hot cocoa or tea for the client - CORRECT ANSWER Provide a late supper A nurse on a medical-surgical unit is receiving a change-of-shift report for four clients. Which of the following clients should the nurse see first? a. A client who has acute abdominal pain of 4 on a scale from 0 to 10 b. A client who has pneumonia and an oxygen saturation of 96% c. A client who has new onset of dyspnea 24hr after a total hip arthroplasty • d. A client who has a urinary tract infection and low-grade fever - CORRECT ANSWER A client who has new onset of dyspnea 24hr after a total hip arthroplasty A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL emesis, 40mL voided urine, and 20mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) DOSAGE CALCULATION - CORRECT ANSWER 700 mL A nurse is discussing incident reports with a group of newly licensed nurses. The nurse should include that which if the following requires the completion of an incident report? a. A client's prescribed laboratory testing was not obtained b. A client withdrew consent for a procedure c. An oncoming nurse arrived to work late d. A nurse transfused a unit of packed RBCs in 2 hr. - CORRECT ANSWER A client's prescribed laboratory testing was not obtained A nurse is caring for a client who has a new prescription for negative-pressure therapy for a chronic wound. The nurse is unfamiliar with the procedure. Which of the following resources should the nurse consult to learn more about the intervention. a. The client's plan of care b. The nurse practice act c. The material safety data sheet d. The policy and procedure manual - CORRECT ANSWER The policy and procedure manual A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take? a. Cover the area of percussion with a towel. b. Instruct the client to exhale quickly during vibration c. Schedule postural drainage after meals d. Perform percussion over the lower back - CORRECT ANSWER Perform percussion over the lower back A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old child who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml oral syrup. Which of the following images indicates the correct number of mL the nurse should administer? (round answer to the nearest whole number.) DOSAGE CALCULATION - CORRECT ANSWER 8ml A nurse is admitting a client who is malnourished. The client states, "My wedding ring is loose and I'm worried I will lose it if it falls off."Which of the following is an appropriate response by the nurse? a. " I will place it in your drawer so it won't get lost." b. I can pin it to your hospital gown so you won't lose it." c. "I will hold onto it until a family member can take it home." d. I can put it in a locked storage unit for you - CORRECT ANSWER I can put it in a locked storage unit for you A charge nurse is teaching a group of newly licensed nurses about the use of restraints. In which of the following clinical situations should the nurse apply restraints? a. If the client is pacing in the hallway b. As a part of a fall prevention program c. At the request of the client's family d. When the client poses a threat to self - CORRECT ANSWER When the client poses a threat to self To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning? a. Case manager b. Client educator c. Client care provider d. Client advocate - CORRECT ANSWER Client advocate A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include? a. "Delirium does not affect a client's perception of her environment." b. "Delirium does not affect a client's sleep cycle." c. "Delirium has an abrupt onset." d. "Delirium has a slow progression." - CORRECT ANSWER Delirium has an abrupt onset A nurse is speaking with a client who has recently received a diagnosis of a chronic illness. The client states, " The doctor must be wrong. I can't be that sick". The nurse should inform the client that their reaction is an example of which of the following expected responses to grief? a. Acceptance b. Denial c. Anger d. Depression - CORRECT ANSWER Denial A Nurse on a medical-surgical unit is providing care for four clients. The nurse should identify which of the following situations as an ethical dilemma? a. A surgeon who removed the wrong kidney during a surgical procedure refuses to take responsibility for her actions b. A client who has Crohn's disease reports that his prescription drug plan will not pay for his medications. c. A client who has a new colostomy refuses to take instructions from the ostomy therapist because she "doesn't like him." d. the family of a client who has a terminal illness asks the provider not to tell the client the diagnosis - CORRECT ANSWER the family of a client who has a terminal illness asks the provider not to tell the client the diagnosis A nurse is teaching a client about performing breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching? a. "I should perform my self-exam the week that my period starts" b. "I should make different patterns on each breast when I do my self-exam." c. "I should use the palm of my hand to apply pressure to each breast." d. "I should make circular motions with my fingertips under my arms." - CORRECT ANSWER I should make circular motions with my fingertips under my arms A nurse is preparing to transfer a client who is partially weight bearing from the bed to the chair. Which of the following actions should the nurse take? a. Keep his knees straight when moving the client b. Position the chair next to the bed as a 90 degree angle c. Stand with his feet together when lifting the client d. Have the client bear weight on her stronger leg - CORRECT ANSWER Have the client bear weight on her stronger leg A nurse is caring for a client following a laparoscopic cholecystectomy. The client has a prescription for ondansetron 4mg IV bolus every 6hr PRN for nausea and vomiting. Identify the sequence of steps the nurse should follow to administer the medication. ( Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) - Select the injection port of the IV tubing closest to the client. - Cleanse the injection port with an antiseptic swab. - Aspirate for blood return. - Inject the medication. - perform hand hygiene - CORRECT ANSWER 1-perform hand hygiene 2-select the injection port of the IV tubing closest to the client 3-cleanse the injection port with an antiseptic swab 4-aspirate for blood return 5-inject the medication A nurse is teaching a client who has diabetes mellitus about mixing regular and NPH insulin. Which of the following statements but the client indicates an understanding of the teaching a. I should wait 3 minutes after mixing the insulin to inject it b. I should draw up the NPH insulin before regular insulin c. I should inject air into the vial of regular insulin first d. I should roll the vial of NPH insulin between my hands before drawing it up - CORRECT ANSWER I should roll the vial of NPH insulin between my hands before drawing it up [Show Less]
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ATI Comprehensive Predictor Exam (QUESTIONS AND ANSWERS COMPLETE WITH RATIONALES) (LATEST)
ATI Comprehensive Predictor Exam (QUESTIONS AND ANSWERS COMPLETE WITH RATIONALES) (LATEST) | (Complete Solution Guides) MAIN VERSION PRIORITY ONE ... [Show More] ATI Comprehensive Predictor Exam (QUESTIONS AND ANSWERS COMPLETE WITH RATIONALES) (LATEST) | (Complete Solution Guides) MAIN VERSION PRIORITY ONE 1. Missing 2. A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care? a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first) b. Give cromolyn nebulizer solution every 6 hr (for asthma) c. Apply a warm compress to the operative site every 4 hr d. Administer analgesics on a scheduled basis for the first 24 hr Rationale Fundamentals ATI PDF p229: Managing acute severe pain with short-term (24 to 48 hr) around-the-clock administration of opioids is preferable to following a PRN schedule. ATI PEDS 144 Maintain NPO. Administer IV fluids and antibiotics as prescribed. NO cromolyn nebulizer stated on ATI. 3. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has sinus arrhythmia and is receiving cardiac monitoring b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8% c. A client who has epidural analgesia and weakness in the lower extremities d. A client who has a hip fracture and a new onset of tachypnea Rationale Med Surg ATI PDF p457: s/s of fat embolism (dyspnea, increased RR, decreased O2, headache, decreased LOC r/t low O2 levels, respiratory distress, tachycardia, confusion, chest pain), Hip and pelvis fractures are common causes, can occur after injury usually within 12-48 hrs 4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse tak e? a. Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to promote absorption; avoid oily or broken skin) b. Wear gloves to apply the patch to the client’s skin c. Apply the patch within 1 hr of removing it from the protective pouch (apply immediately) d. Remove the previous patch and place it in a tissue (fold patch in half with sticky sides pressed together) Rationale https://medlineplus.gov/druginfo/meds/a601084.html: How to apply patch Rationale ATI Skills Module Medication Administration: Topical medications include lotions, creams, ointments, patches, and paste. Because topical medications are absorbed by the skin, wear gloves when applying them to protect yourself against accidental exposure Shaving may cause skin irritation and change the absorption of the drug. 5. A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? a. A client who was just given a glass of orange juice for a low blood glucose level b. A client who is schedule for a procedure in 1 hr (can wait) c. A client who has 100 mL fluid remaining in his IV bag (can wait) d. A client who received a pain medication 30 min ago for postoperative pain Rationale Med Surg ATI PDF p529: assess for improvement or worsening of hypoglycemia. Repeat the administration of carbohydrates if not within normal limits, and recheck blood glucose in 15 min. Risk for seizure & coma if condition worsens. 6. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? a. A history of gastroesophageal reflux disease b. Receiving a high osmolarity formula c. Sitting in a high-Fowler’s position during the feeding d. A residual of 65 mL 1hr postprandial Rationale ATI MS p309: Complications: Aspiration of gastric secretion Causes: Reflux of gastric fluids into the esophagus can be aspirated into the trachea. 7. A nurse is reviewing the laboratory results for a client who has Cushing’s disease. The nurse should expect the client to have an INCREASED in which of the following laboratory values? a. Serum glucose level- increased b. Serum calcium level-decreased c. Lymphocyte count- decreased immune system. d. Serum potassium level- decreased Rationale ATI MS PDF p518: Cushing disease→ everything is UP except Potassium & Calcium: DECREASED. 8. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity. Which of the following actions should the nurse take? P . 235 pharm ch 30 a. Position the client supine b. Prepare an IV bolus of dextrose 5% in water c. Administer methylergonovine IM d. Administer calcium gluconate IV Rationale ATI PHARM PDF p398: Calcium gluconate is given for magnesium sulfate toxicity. Always have an injectable form of calcium gluconate available when administering magnesium sulfate by IV. 9. A charge nurse is teaching new staff members about factors that increase a client’s risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence? a. Experiencing delusions b. Male gender c. Previous violent behavior d. A history of being in prison Rationale ATI MH p185: Risk factors also include: past history of aggression, poor impulse control, and violence. Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent angry reactions with cognitive disorders). Rationale ATI COMMUNITY p50: Individual Assessment for Violence 10. A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field? a. Place the cap from the solution sterile side up on clean surface b. Open the outermost flap of the sterile kit toward the body→ flap AWAY from the body's first c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5 cm (1-inch) border around any sterile drape or wrap that is considered contaminated. d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level; should be ABOVE waist level Rationale POTTER & PERRY SKILLS & TECH p187: Remove sterile seal and cap from bottle in upward motion. 11. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? a. Eat a light snack before bedtime b. Stay in bed at least 1 hr if unable to fall asleep c. Take a 1 hr nap during the day d. Perform exercises prior to bedtime 12. A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the nurse take first? a. Educate the client about current medical diagnosis b. Refer the client to a meal delivery program c. Identify environmental hazards in the home d. Arrange for client transportation to follow-up appointments Rationale Priority: Assess first. 13. A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should the nurse ask the client? a. “Can you tell me who visited you today?” b. “What high school did you graduate from?” c. “Can you list your current medications?” d. “What did you have for breakfast yesterday?” Rationale ATI How to assess “remote memory”? Have patient state a verifiable fact (e.g. birthdate). OR ask the client to state a fact from their past that is verifiable. Memory of events that occurred in the distant past. 14. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include in the teaching? P .528 med surg ch 82 a. HbA1c level greater than 8%- 6.5 - 8 is the target reference. > 8 means NON COMPLIANT b. Blood glucose level greater than 200 mg/dL at bedtime c. Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPOGLYCEMIC d. HbA1c level less than 7% 15. A nurse is caring for a client who is receiving phenytoin for management of grand mal seizures and has a new prescription for isoniazid and rifampin. Which of the following should the nurse conclude if the client develops ataxia and incoordination? a. The client is experiencing an adverse reaction to rifampin b. The client’s seizure disorder is no longer under control c. The client is showing evidence of phenytoin toxicity d. The client is having adverse effects due to combination antimicrobial therapy Rationale: http://www.webmd.com/drugs/2/drug-4157/dilantin-oral/details#interactions Rationale ATI Pharm p96: Phenytoin complications include ataxia, sedation & cognitive impairment (http://emedicine.medscape.com/article/816447-clinical#b4 also states that this is an indication of phenytoin toxicity); According to my Davis Drug Guide book, progressive s/s of phenytoin toxicity include ataxia, nystagmus, confusion, nausea, slurred speech & dizziness. 16. A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which of the following manifestations requires immediate action by the nurse? a. Increase in frequency of swallowing→ may indicate bleeding b. Moderate sanguineous drainage on the drip pad c. Bruising to the face→ side effect d. Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative) Rationale “Requires immediate action” choose the worst possibility that could lead to. ABC 17. A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions should the nurse include in the plan of care? a. Give scheduled doses of acetaminophen every 6 hr b. Monitor the child’s cardiac status c. Administer antibiotics via intermittent IV bolus for 24 hr d. Provide stimulation with children of the same age in the playroom Rationale ATI PDF p: PEDS p. 120 Monitor VS, cardiac status. Maintain cardiac monitoring. Assess for HF ( decrease urine output, gallop heart rhythm, tachycardia, respiratory distress) Kawasaki disease cause inflammation in the walls of medium-sized arteries throughout the body. It primarily affects children [Show Less]
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ATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN
ATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C, Comprehensive ... [Show More] Quiz A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? CORRECT ANSWER hemoglobin 14.9 g/dL a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? CORRECT ANSWER a middle adult client who has unstable vital signs a nurse is caring for a client who has fluid volume overload. which of the following tasks should the nurse delegate to an assistive personnel? CORRECT ANSWER measure the client's daily weight a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer? CORRECT ANSWER 18 g a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint? CORRECT ANSWER Moving the leg away from the midline of the body (off to the side, not to the front) a nurse is caring for a client who has hyperthyroidism. which of the following findings should the nurse expect? CORRECT ANSWER tremors tachycardia, diaphoresis, weight loss, insomnia, exopthalmia hypothyroidism has dry corase hair, bradycardia, and periorbital edema a nurse is assessing a school age child who has bacterial meningitis. which of the following findings should the nurse expect? CORRECT ANSWER nuchal rigidity also weight loss a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take? CORRECT ANSWER auscultate the apical pulse at least 1 min a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to perform which of the following actions? CORRECT ANSWER instruct the client to avoid coughing during the procedure a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse? CORRECT ANSWER the child exhibits discomfort while walking a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet? CORRECT ANSWER fiber - reduce diarrhea and inflammation a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine following a total knee arthroplasty. which of the following actions should the nurse take? CORRECT ANSWER Turn off the CPM machine during mealtime promote client comfort and dietary intake a nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? CORRECT ANSWER radial vein of the inner arm a nurse is developing a client education program about osteoporosis for older adult clients. the nurse should include which of the following variables as a risk factor for osteoporosis? CORRECT ANSWER sedentary lifestyle also, small framed body with a thin build, estrogen deficiency a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles on the trunk and extremities. which of the following interventions should the nurse identify as the priority? CORRECT ANSWER initiate transmission based precautions a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which of the following actions should the nurse take first? CORRECT ANSWER change the position of the client a home health care nurse is developing a teaching plan for a client who has a new ileostomy. which of the following instructions should the nurse include? CORRECT ANSWER empty the appliance when it is one third to one half full a nurse is reviewing the laboratory report of a client who has end stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? CORRECT ANSWER sodium 148 mEq/L a nurse is caring for four clients. which of the following tasks should the nurse delegate to an assist [Show Less]
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ATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A,
ATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C, Comprehensive ... [Show More] QuizATI comprehensive practice B, ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C, Comprehensive Quiz A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? CORRECT ANSWER hemoglobin 14.9 g/dL a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? CORRECT ANSWER a middle adult client who has unstable vital signs a nurse is caring for a client who has fluid volume overload. which of the following tasks should the nurse delegate to an assistive personnel? CORRECT ANSWER measure the client's daily weight a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer? CORRECT ANSWER 18 g a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint? CORRECT ANSWER Moving the leg away from the midline of the body (off to the side, not to the front) a nurse is caring for a client who has hyperthyroidism. which of the following findings should the nurse expect? CORRECT ANSWER tremors tachycardia, diaphoresis, weight loss, insomnia, exopthalmia hypothyroidism has dry corase hair, bradycardia, and periorbital edema a nurse is assessing a school age child who has bacterial meningitis. which of the following findings should the nurse expect? CORRECT ANSWER nuchal rigidity also weight loss a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take? CORRECT ANSWER auscultate the apical pulse at least 1 min a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to perform which of the following actions? CORRECT ANSWER instruct the client to avoid coughing during the procedure a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse? CORRECT ANSWER the child exhibits discomfort while walking a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet? CORRECT ANSWER fiber - reduce diarrhea and inflammation a nurse is caring for a client who has a prescription for a continuous passive motion CPM machine following a total knee arthroplasty. which of the following actions should the nurse take? CORRECT ANSWER Turn off the CPM machine during mealtime promote client comfort and dietary intake a nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? CORRECT ANSWER radial vein of the inner arm a nurse is developing a client education program about osteoporosis for older adult clients. the nurse should include which of the following variables as a risk factor for osteoporosis? CORRECT ANSWER sedentary lifestyle also, small framed body with a thin build, estrogen deficiency a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles on the trunk and extremities. which of the following interventions should the nurse identify as the priority? CORRECT ANSWER initiate transmission based precautions a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which of the following actions should the nurse take first? CORRECT ANSWER change the position of the client [Show Less]
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ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019
ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C ATI Comprehensive Final Quiz, RN Comprehen... [Show More] sive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B and C What is a nurses priority action when a patient is experiencing anaphylactic shock while receiving IV medications? ANSWER Priority action: stop the medication infusion The nurse can also: Administer epinephrine; infuse .9% sodium chloride, and elevate the lower extremities to help maintain adequate blood pressure A nurse is caring for a group of clients in a long-term facility. One of the clients is walking in the hallway and bumping into walls and does not respond to his name. which of the following actions should the nurse take first? ANSWER Accompany the client back to his room. What medication is contra indicated while taking St. John's wort? And why? ANSWER Sertraline Taking concurrently puts the patient at risk for serotonin syndrome Both of these are used for Tx of depression Persistent otitis media ANSWER An infection of the middle ear Passive smoking promote adherence of respiratory pathogen's to the lining of the middle ear space which prolongs inflammation and impedes drainage from the ear Exposure to cold weather does not cause otitis media Acarbose (Precose) adverse effects ANSWER Sleepiness, headaches, anemia; the most common adverse effects are gastrointestinal - diarrhea, abdominal distention, cramping, flatulence presbyopia ANSWER impaired vision as a result of aging Can affect one's ability to read the newspaper, the lens is unable to change shape to focus on close up objects Myelomeningocele ANSWER Most severe form of spina bifida in which the spinal cord and meninges are in a cerebrospinal fluid-filled sac and protrude through the spine Neural tube defect pts are at Rx for latex allergy Most common complication of this disorder is UTI Prevention of the development of amblyopia ANSWER A disorder of the eye and which unilateral central blindness occurs as a result of another problem, such as strabismus Parents should patch the unaffected I Strabismus ANSWER Cross eyed Without treatment by 6 years of age this can lead to central blindness (amblyopia) Ethambutol (Myambutol) ANSWER Med for TB, report vision changes immediately Adverse effects: loss of red/green color discrimination due to optic neuritis; d/c if this occurs Isoniazid (INH) ANSWER Antitubercular Adverse effects: hepatotoxicity, peripheral neuropathy, yellowing of the sclera is an indication of jaundice that accompanies liver failure Rifampin (Rifadin) ANSWER Anti TB and Antibiotic Adverse effects: changes in color of bodily secretions to red-orange What is a patient at risk for when they're platelet count is below the reference range? ANSWER Indicates thrombocytopenia, which puts the patient at increased risk for bleeding What should a nurse anticipate with bladder distention in the fourth stage of labor? ANSWER Bladder will fluctuate with palpation Bladder is dull to percussion Uterus will be displaced to the right, is boggy, well above the umbilicus cystitis ANSWER inflammation of the bladder lining, Commonly occurs with UTI Prevention methods: Stay well hydrated, urinate before and after sex, wipe front to back, avoid tub baths [Show Less]
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