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BUNDLE OF ATI PN QUESTION AND ANSWERS 2023
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ATI Learning System PN – Endocrine Question and answer 2023
ATI Learning System PN – Endocrine Question and answer 2023A nurse is assisting with the plan of care for a community health screening for a group of cli... [Show More] ents who are at risk for type 2 diabetes mellitus. Which of the following clients should the nurse include in the screening? Men and women who are obese. - There is a high correlation between obesity and type 2 diabetes mellitus. Obesity plays a major role in development of type 2 diabetes mellitus by decreasing the number of available insulin receptors in skeletal muscles and fat cells. This is referred to as peripheral insulin resistance. A reduced-calorie diet for obese clients tends to reverse the phenomenon of peripheral insulin resistance. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? Increased urination. - Increased urination, or polyuria, is a manifestation of hyperglycemia due to a deficiency of insulin, which can lead to osmotic diuresis. A nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism. Which of the following laboratory values should the nurse expect to decrease as a therapeutic effect of the procedure? Calcium - The parathyroid hormone regulates calcium, phosphorus, and magnesium balance within the client's blood and bone by maintaining a balance between the mineral levels in the blood and the bone. Hyperparathyroidism is associated with hypercalcemia; therefore, a decrease in the calcium level indicates an improvement in the client's condition. A nurse is reinforcing teaching with a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching? Turkey and cheese sandwich. - A turkey and cheese sandwich is high in protein, carbohydrates, and sodium. The client who has Addison's disease requires a diet low in potassium and high in sodium, carbohydrates and protein. Addison's disease is a hormone deficiency caused by damage to the outer layer of the adrenal gland (adrenal cortex). Addison's disease occurs when the adrenal glands do not produce enough of the hormone cortisol and, in some cases, the hormone aldosterone. A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor? Polyuria - Diabetes insipidus is characterized by increased thirst (polydipsia) and increased urination (polyuria). The client who has diabetes insipidus with excrete large quantities of urine with a very low specific gravity. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about exercise. Which of the following statements should the nurse include in the teaching. "Wear a medical alert identification tag when you exercise." - The client should wear a medical alert identification tag in the event of a hypoglycemia response, because exercise can potentiate the effects of insulin and cause the blood glucose levels to decrease. A nurse is caring for a client who is postoperative following a bilateral adrenalectomy. The nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects. Compensate for decrease in cortisol levels. - The client who has an adrenalectomy requires glucocorticoids before, during, and after surgery to prevent an adrenal crisis caused by a sudden drop in cortisol levels. One of the hormones produced by the adrenal glands is cortisol, a glucocorticoid. Loss of glucocorticoid secretion leads to a state of altered metabolism and an inability to deal with stressors which, if untreated, is fatal. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching? "My cells are resistant to the effects of insulin." - The client who has type 2 diabetes mellitus will have resistance to insulin and a decrease in the secretion of insulin by the pancreatic beta cells. A nurse is collecting data from a client who has manifestations of acromegaly. Which of the following findings should the nurse expect? Increased head size - The client who has acromegaly will manifest an enlarged head size due to the excessive production of growth hormones after closing of the epiphyses (the "growth plate" at the ends of long bones) by the pituitary gland. It results in the gradual enlargement of the client's body tissues, such as the bones of the face, jaw, hands, feet, and skull. A nurse is assisting with the plan of care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care? Check for hypertension - The nurse should check the client for hypertension, which can indicate fluid volume overload. A nurse is reviewing the laboratory values for a client who has hyperglycemic hyperosmolar nonketotic syndrome. The nurse should expect that which of the following laboratory values is consistent with hyperglycemic hyperosmolar nonketotic syndrome? Blood glucose 320 mg/dL - The client who has hyperglycemic hyperosmolar nonketotic syndrome should have a blood glucose level greater than 250 mg/dL, which will cause spilling of ketones in the urine and development of metabolic acidosis. A nurse is assisting with the plan of care for a client who is experiencing the Somogyi effect and takes intermittent-acting insulin. Which of the following actions should the nurse include in the plan? Monitor the client's nighttime blood glucose levels. - The Somogyi effect is a swing of a high blood glucose level in the morning after an extremely low blood glucose level during the night. The swing is caused by the release of stress hormones to counter low glucose levels. Monitoring the client's nighttime blood glucose levels over time can provide an accurate diagnosis of the Somogyi effect. A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect? Hyponatremia. - The client who has SIADH will have hyponatremia caused by the excessive release of an antidiuretic hormone (ADH). As a result of the excess ADH, the client retains water that causes dilutional hyponatremia. A nurse is collecting data from a client who has Grave's disease. Which of the following findings should the nurse expect the client to display? Difficulty sleeping - The client who has Graves' disease can have difficulty sleeping and anxiety due to overproduction of thyroid hormone. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include in the teaching? Irritability - The client who has irritability is displaying an early manifestation of hypoglycemia for type 1 diabetes mellitus. Other manifestations include fatigue, headache, difficulty thinking, sweating, and nausea. A nurse is preparing a 24-hour urine specimen for a client who is suspected to have pheochromocytoma. Which of the following laboratory tests from the 24-hour urine specimen should the nurse use to determine the clients condition? Catecholamine metabolites - The nurse should expect the 24-hr urine specimen to test for catecholamine metabolites. The test is used to determine if the client has pheochromocytoma, which measures the level of catecholamines (epinephrine and norepinephrine) secretion in a 24-hr urine sample. Pheochromocytoma is a tumor of the adrenal gland that causes excess release of the catecholamines (epinephrine and norepinephrine), which are hormones that regulate blood pressure and heart rate. A nurse is collecting data from a client who has Cushing's syndrome. Which of the following skin manifestations should the nurse expect to find? Purple striae on the chest and abdomen - The client who has Cushing's disease should have purple striae (streaks or stripes) on the chest and abdomen because cortisol destroys collagen under the skin. A nurse is checking laboratory values to determine if a client who has diabetes mellitus is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination? Glycosylated hemoglobin levels (HbA1c) - Checking glycosylated hemoglobin levels, or HbA1c, is an accurate method to determine if the client is routinely compliant. Glycosylated hemoglobin refers to hemoglobin that is connected to glucose. Since the life span of an RBC is 4 months, this value will not be affected by recent changes in the clients diet or medication. [Show Less]
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ATI PN FUNDAMENTALS 2022
A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the following statements by the client indicates an understanding of the teachi... [Show More] ng? a. I will receive this medication if my baby is Rh-negative. b. I will receive this medication at time of delivery. c. I will need a second dose of this medication when my baby is 6 weeks old. d. I will need this medication if I have an amniocentesis. d. I will need this medication if I have an amniocentesis-Recommended because of the potential of fetal RBC's entering the maternal circulation. RhoGAM is administered to a mother who is Rh-negative and gives birth to a Rh-positive infant. RhoGAM is administered at __ weeks of gestation 28 weeks of pregnancy RhoGAM is recommended following an amniocentesis because of the potential of fetal RBCs entering the maternal circulation. A nurse is caring for a client who is to receive oxytocin (Pitocin) to augment her labor. Which of the following contraindicates the initiation of the oxytocin infusion and requires notification of the provider? a. Late decelerations b. Baseline variability c. Cessation of uterine dilation d. Prolonged active phase of labor a. Late decelerations-Oxytocin is contraindicated based on late decelerations noted on fetal assessment findings because they indicate uteroplacental insufficiency. A nurse on the newborn unit is planning discharge for four clients. Which of the following will require care beyond that of a standard follow-up visit with the provider after delivery? a. A newborn being sent home after 22 hr after birth. b. A new born at 38 weeks of gestational age c. A new born who is bottle feeding d. Twin newborns with Apgar scores of 8 &9 a. A newborn being sent home after 22 hr after birth-screening tests must be repeated if they were performed before the newborn was 24 hrs old. A nurse is assessing a newborn who has a weak cry and is grimacing. The nurse notes the newborn has a heart rate of 102/min. blueish extremities, and a flaccid muscle tone. Which of the following reflects the appropriate APGAR score? a. 4 b. 5 c. 6 d. 7 b. 5 A nurse is caring for a client who has a history of rheumatic disease, but no physical symptoms prior to pregnancy. The client begins to experience dyspnea, orthopnea, and pulmonary edema. Which of the following biological alterations explains this change? a. Increased maternal weight b. Increased blood volume c. Change in hematocrit levels d. Change in heart size b. Increased blood volume- Increase in blood volume during pregnancy increase the workload of the heart, which causes the symptoms. A nurse is providing teaching about nonpharmacological pain management for a postpartum client who is breastfeed and has engorgement. Which of the following methods should the nurse recommend? a. Cold cabbage leaves. b. Modified lanolin cream c. A breast binder d. Breast shells a. Cold cabbage leaves-Application of this is an effective nonpharmacological method to relieve pain associated with engorgement. A nurse is providing discharge teaching to a client who is postpartum about resuming sexual activity. Which of the following instructions should the nurse include in the teaching? a. You should use a water soluble gel for lubrication. b. You can resume sexual activity in 10 days c. You physical reaction to sexual stimulation will not be altered d. You will not ovulate for 3 months after delivery. a. You should use a water soluble gel for lubrication-This will prevent discomfort. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should be the nurse assess? a. Abruptio placenta. b. Placenta previa c. Preeclampsia d. Maternal bradycardia a. Abruptio placenta-Cocaine increases the risk for vasoconstriction and possible abruption placenta A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching? a. I should eat to taste instead of trying to balance my meals. b. I will avoid having a snack at bedtime. c. I will have 8 oz of hot tea with each meal. d. I should pair my sweets with a starch instead of eating them alone. a. I should eat to taste instead of trying to balance my meals-Eat to taste to avoid nausea. A nurse is preparing to collect a blood specimen from a newborn via a heal stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? a. Warm the heel prior to the puncture. b. Request a prescription for IM analgesic. c. Use a manual lance blade to pierce the skin. d. Swaddle the newborn after the heel puncture. d. Swaddle the newborn after the heel puncture-Effective technique to diminish the pain experience for the newborn. A nurse is providing dietary teaching about reducing the risk of infection to a client who has cancer and is receiving chemotherapy. Which of the followings statements made by the client indicates an understanding of the teaching? a. I will discard leftovers after 3 days.. *thaw foods in the refrigerator -use home canned goods within a year -keep cooked food at a temp greater than 140 A nurse is caring for a client who is receiving total parenteral nutrition. Which of the following laboratory findings indicates that the total parenteral nutrition is effective? Prealbumin 30 mg/dL *normal values: -prealbumin 20-40 mg/dL -Calcium 8.5-10.5 -hemoglbin 14-18 -cholesterol less than 200 A nurse providing dietary teaching for a client who has chronic skin ulcers of the lower extremities. Which of the following foods should the nurse recommend as containing the highest amount of ZINC? 4 oz of ground beef patty. A nurse teaching a client about stress management. Which of the following statements should indicate to the nurse that the client understands the teaching? I will take long walk every evening. Exercise is good stress relief A nurse is providing teaching for a client who has a new prescription for NIFEDIPINE. Which of the following foods should the nurse instruct the client to avoid? Grapefruit juice NIFEDIPINE is a calcium channel blocker and antihypertensive drug. It can treat high blood pressure and chest pain (angina). A nurse is assessing a patient who has diabetes. Which of the following findings should the nurse identify as hypoglycemia? Diaphoresis= sweating sign and symptoms: sweating, irritability, and tremors, tachycardia and hunger. A nurse is teaching a female client about healthy diet to control hypertension. Which of the following client statements indicates understanding of the teaching? I will eat four servings of unsalted nuts per week A nurse in a clinic is reviewing the laboratory findings of a client who has type 2 diabetes. which of the following findings indicates the client's plan or care is effective? HBA1C of 6.5% A nurse is providing dietary teaching for a client who has COPD. which of the following instructions should the nurse include in the teaching? eat foods that are soft and easy to swallow. add gravy and sauces. drink high protein-and should eat small meals instead of large meals. A nurse is providing information regarding breastfeeding to the parents of a newborn. Which of the following statements should the nurse make? Breast mils is nutritionally complete for an infant up to 6 months of age. A home health nurse is providing dietary teaching to the parent of a 3 year old. Which of the following statements by the parents should the nurse identify as understanding the teaching? I will put low-fat milk in her cup for her to drink. Children consume whole milk for up to their 2 years old and when they become 3 they can consume low fat milk. prevent children from consuming foods that are easily to swallow such as popcorn and pretzels until they are 4 year of age to prevent shocking. -avoid giving children high amounts of celery and peanut butter because of the risk of aspiration, and should spread the peanut butter on a thin piece. A nurse is teaching a client about managing irritable bowel syndrome. which of the following information should the nurse include in the teaching? Take peppermint oil during exacerbations. decrease fresh fruit. increase foods that contain probiotics. -avoid sugar. A nurse is leading a discussion at a prenatal education class with a group of expectant mothers who plan to breastfeed. Which of the following instructions should the nurse include? Plan on 5 minute feeding on each breast on the first day after birth A nurse is caring for a client who is receiving continuous enteral feedings via an NG tube. Which of the following actions should the nurse take to reduce the risk for aspiration if the client develops abdominal distention? Position the client on their side. -assist the client to ambulate. -avoid increasing the rate. -request a change to a lower fat formula. A nurse is providing teaching to a client who reports nausea during pregnancy. Which of the following statements by the client indicates and understanding of the teaching? I will eat dry cereal before I get out of bed A nurse teaching a client who is newly diagnosed with type 1 diabetes how to count carbohydrates. Which of the following statements made by the client indicates an understanding of the teaching? I know the serving size can affect the number of carbs I can eat A nurse is preparing to administer intermittent enteral tube feedings to a client. In what order should the nurse perform the following actions before beginning the feeding? 1. place client in fowlers. 2. Verify tube placement. 3. Check gastric residual. 4. Flush the tubing. [Show Less]
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ATI: Real Life 3.0 Module: PN Adult Medical Surgical Heart Failure
Karmann uses the SBAR communication format to communicate client information with RN David. Identify the sequence Karmann should use pertaining to the SBAR... [Show More] format. (Reorder the steps by dragging them into the desired sequence.) 1) The provider is admitting the client to the unit. 2) The client has a diagnosis of heart failure. 3) The client resports increasing fatigue and shortness of breath. 4) The provider's nurse will fax the client's medical orders. Using information received from the transfer report, which of the following findings should Karmann identify as contributing to Mr. Stone's heart failure? Elevated blood pressure Karmann is planning to prepare the hospital room for Mr. Stone. Which of the following equipment should Karmann have available when Mr. Kramann have available when Mr. Stone arrives? Oxygen equipment Karmann checks Mr. Stone's vital signs and notes a blood pressure of 168/94 mm Hg. Which of the following actions should he take? Report the client's vital signs to the RN Karmann listens to Mr. Stone's lung sounds. In addition to wheezes, he identifies crackes. Which of the following sounds should Karmann identify as crackles? A) This sound indicates crackles. Sounds like rice crispies. Karmann and David listem to Mr. Stone's lung sounds and identify crackles. Which of the following can lead to crackles? Mucus or fluid in small airways. Karmann is reviewing Mr. Stone's laboratory data with David. Which of the following laboratory tests is specific for heart failure? B-type natriuretic peptide [Show Less]
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PN Management 2017 A ATI
A nurse is contributing to the plan of care for a client who is newly admitted to a rehabilitation facility. Which of the following actions should the nurs... [Show More] e take first? Ask the client to identify his goals for recovery A nurse is preparing to reinforce discharge teaching with a client who does not speak the same language as the nurse. Which of the following actions should the nurse plan to take? Select an interpreter who is the same gender as the client. Ensure interpreters provided by the facility have knowledge of medical terminology. Choose an interpreter from the same ethnic background as the client. A nurse on a facility's performance improvement team is assisting to develop practice guidelines for performing bladder scans. Which of the following actions should the nurse take prior to developing a policy and procedure for this task? Review evidence-based practice data related to bladder scanner use. A charge nurse is talking with two assistive personnel (AP) who are angry about the way lunch breaks are scheduled on the unit. Which of the following statements by the charge nurse demonstrates the use of compromise? "You can take turns going to lunch first every other week" A community health nurse is reinforcing teaching with a group of parents about home safety for children of various age groups. Which of the following information should the nurse plan to include? The supine position is the safest for sleeping infants. A nurse is participating in the unit's performance improvement program. The nurse should recognize that which of the following is a quality indicator? The facility-wide fall injury rate for the previous quarter is 3% A nurse is monitoring an assistive personnel (AP) who is calculating I&O for a postoperative client. The client has a Jackson-Pratt drain and an indwelling urinary catheter. The nurse should recognize that the clients output is calculated and recorded correctly when the AP performs which of the following actions? Includes emesis and wound drainage in the total recorded output A charge nurse is asked by two staff nurses to assist in resolving a conflict about holiday scheduling. Which of the following actions should the charge nurse take? Encourage each staff nurse to give up something as part of the negotiation. A charge nurse in a long-term care facility is monitoring the activities of an assistive personnel (AP). Which of the following actions by the AP indicates that the charge nurse should intervene? Stands with feet close together while transferring a client from the bed to a chair A nurse is reinforcing discharge teaching with a client who is 2 days postpartum. The client expresses concern about a lack of family support and limited financial resources. Which of the following responses should the nurse make? "How do you feel about discussing your concerns with a social worker?" A nurse in a long-term care facility enters a client's room and finds the client lying on the floor. Which of the following actions should the nurse take first? Check the client for injuries. A nurse is contributing to the development of a fall prevention policy for clients who have dementia. Which of the following sources of information should the nurse identify as the primary guideline for the creation of the policy? Peer-reviewed nursing journals A nurse is reinforcing teaching about home safety with an older adult client. Which of the following statements by the client indicates an understanding of the teaching? "I will paint the edge of each of my entry steps a different color" A nurse is assigned to care for a client who is in isolation. Which of the following actions should the nurse take to mange time effectively while caring for this client? Organize care into groups that can be performed at one time. A charge nurse is evaluating the documentation of care for four clients by a newly licensed nurse. Which of the following entries requires intervention by the charge nurse? Administered 10.0 u of insulin SQ to client for elevated glucose level. A nurse is assisting in the planning of in-home care for a client following a right hip arthroplasty. Which of the following interventions is the nurse's priority? Reinforce teaching about the clients use of a walker A nurse is preparing to document client care in the electronic health record for a client who is postoperative. Which of the following should the nurse include in the documentation? A treatment that was refused by the client. A nurse is contributing to the plan of care for a client who has acute hypothyroidism. Which of the following interventions should the nurse include in the plan? Provide the client with a reduced-calorie diet A nurse arrives for her shift and is assigned more clients than she feels is safe. The charge nurse states there are no other options due to a shortage in nursing staff. Which of the following actions should the nurse take? Submit a written complaint to the nursing supervisor [Show Less]
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ATI Real Life PN Medical Surgical 3.0 - Urinary Tract Infection Question with complete solution
Larry obtained an initial set of vital signs from Mr. White. Given his medical history and current medications, which of the following findings should conc... [Show More] ern the nurse? Blood pressure 100/56 Larry receives a report on mr. white and recognizes that the report is incomplete. which of the following information should the nurse expect to receive when admitting this new client? (select all that apply.) Medical history Current medications Current allergies Vital signs Mental status Mr. White asks Larry if he can take the morning dose of his blood pressure medication, which he didn't take at home. Which of the following is an appropriate response by the nurse? "I will need to review the medication orders from the provider." Larry has reviewed the admission orders for Mr. White. Which of the following orders is the priority at this time? Withhold the morning dose of metoprolol (Lopressor) today. Larry is reinforcing information about possible adverse effects of metoprolol (Lopressor) with Mr. White and his son. Which of the following should Larry reinforce as an adverse effect of metoprolol? Hypotension Mr. White asks Larry why his blood pressure is low. Larry should tell Mr. White that which of the following is likely to contribute to his blood pressure being lower than normal? Presence of infection Larry reviews the orders for Mr. White. Which of the following is the priority action? Request that the RN insert the IV catheter Larry recognizes that starting antibiotic therapy before obtaining blood specimens may result in which of the following? Interfere with accurate identification of the pathogen RN Michelle tells PN Larry that there is a dose of IV ciprofloxacin (Cipro) for another client in the medication room. Which of the following actions should Larry take? Insert the indwelling urinary catheter Larry is preparing to gather information about Mr. White's pain by performing a symptom analysis. He should collect information regarding the following pain characteristics. Place the questions that Larry should ask in the order of these characteristics: 1) Palliative or provoking factors 2) Quality 3) Region or radiation 4) Severity 5) Timing (Reorder the steps by dragging them into the desired sequence.) 5. when did the pain start? 2. what does the pain feel like? 3. where do you feel the pain? 1. what makes the pain better or worse? 4. how bad is the pain now? Larry is preparing to assess the severity Mr. White's pain. Which of the following pain assessment tools should Larry use to measure Mr. White's pain severity? Numeric Rating Scale Larry completes collecting data regarding Mr. White's pain. Which of the following actions should he take? Review the medication orders for the client Larry should recognize that which of the following is the priority outcome when administering IV fluids to Mr. White? Maintain circulations (?) Larry uses Mr. White's report of pain when choosing a medication to administer. Which of the following is the correct medication to be administered at this time? Morphine sulfate Larry is planning care for Mr. White in the administration of morphine. Which of the following clinical manifestations would indicate an adverse reaction to morphine? Decreased respirations Larry is reinforcing teaching about phenazopyridine (Pyridium) to Mr. White. Which of the following should he include when teaching the client about the side effects of phenazopyridine? Urine turns a red/orange colo [Show Less]
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ATI PN Pharmacology Proctored Exam Review with complete solution 2023
Patient identifiers -Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure?... [Show More] ■ Urinalysis ☐ Hematuria, proteinuria, and alterations in specific gravity ☐ Serum creatinine - Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal failure (ARF) - Gradual increase over months to years for chronic renal failure (CRF) exceeding 4 mg/dL ■ Blood urea nitrogen (BUN) - 80 to 100 mg/dL within 1 week with ARF - Gradual increase with elevated serum creatinine over months to years for CRF - 180-200 mg/dL with (CRF) ■ Serum electrolytes - Decreased sodium (dilutional) and calcium, increased potassium, phosphorus, and magnesium ■ Complete blood count (CBC) - Decreased hemoglobin What food should you increase when taking Lasix? -increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) Patient reports IV discomfort, what is your first action? color and temperature Sumatriptan (treats migraine headaches) adverse effect pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw slow or difficult speech Know about Transdermal patch -• Apply at the same time once each day, preferably in the morning. Keep patch on for 12 to 14 hr each day. • Remove the patch at night to reduce the risk of developing tolerance to nitroglycerin. Be medication-free a minimum of 10 to 12 hr each day (usually at night). • Do not cut patches to ensure appropriate dosage. • Place the patch on a hairless area of skin (chest, back, or abdomen) and rotate sites to prevent skin irritation. • Wash skin with soap and water and dry thoroughly before applying new patch. RBC Blood transfusion http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM%20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride). What to understand about Parkinson's Meds? -they don't cure disease, they slow the process. NEUPOGEN (filgrastim)-what is the appropriate route of this med? administered by subcutaneous injection or IV infusion Lisinopril therapeutic effect blood pressure answer (e.g. 120/80) Medication for Schizophrenia risperidone, Risperdal Macrodantin medication used to treat or prevent certain urinary tract infections Haldol-inform if you are taking ____________ medication. -benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax. Fosomax same as-Alendronate is used for treating osteoporosis in men and postmenopausal women. Lipitor -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL. Garamycin- Antibiotic that is toxic to the kidney, injected for radiology studies. Digoxin side effects -Fatigue -Bradycardia -Anorexia -Nausea/Vomiting Singulair used before exercise to prevent breathing problems during exercise (bronchospasm). What medication to administer with Tylenol overdose? acetylcysteine (Mucomyst) must be given IV HPV vaccine Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6 month -interval for females at 11 to 12 years of age (minimum age is 9 years). -The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose. -HPV4 may be given to males starting at age 9 years of age. Opioid toxicity-what to check first oxygen saturation Valporic Acid lab liver Lithium report immediately slurred speech Prednisone report sore throat Food to avoid when taking Lithium -salty foods -alcoholic beverages Labs for patients taking hydrothiazide Periodic determination of serum electrolytes to detect possible electrolyte imbalance should be done at appropriate intervals. 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 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. 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 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. 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 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.) 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 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. 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. 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 [Show Less]
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PN Management Online Practice 2020 B(UPDATED) Questions 100% correct
A nurse is completing documentation on the computer at the nurses station when an assistive personnel (AP) requests to use the computer to enter morning vi... [Show More] tal signs. Which of the following actions should the nurse take? Ask the AP to find another computer A nurse is caring for a client who is recovering following a total hip arthroplasty. The nurse receives a telephone call from the client's sibling requesting information about the client's status. Which of the following actions should the nurse take? Transfer the call to the client A nurse is planning to delegate care for a group of clients following change-of-shift report. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? Applying bilateral sequential compression devices to a client's leg A nurse at a rehabilitation facility is supervising a newly hired assistive personnel (AP) during the transfer of a client from the bed to a chair. Which of the following actions by the AP demonstrates safe transfer technique? Bends at the knees A nurse is verifying informed consent with a client who is scheduled to have a total open abdominal hysterectomy with bilateral salpingo-oophorectomy for the treatment uterine cancer. The nurse should notify the provider for which of the following client statements? "I wish I knew if there was another way to treat this other than surgery" A nurse is assisting with the admission of a client who reports that they signed advance directives during a previous admission. Which of the following actions should the nurse take? (Select all that apply) Document in the client's medical record that they have advance directives Ensure that copies of the client's advance directives are located in their chart Inform the oncoming nurse of the client's advance directives during change-of-shift report A nurse is assisting with the development of a presentation for newly licensed nurses regarding client confidentiality. Which of the following actions should the nurse include as an example of a breach of client confidentiality? Accessing client medical records from other units to compare outcomes with currently assigned clients A nurse is assisting with a presentation about preparing a home disaster supply kit as a community health fair. Which of the following statements by a participant indicates an understanding of the information? "I will purchase canned fruit for the kit" A charge nurse notices a nurse on the unit arriving to work 30 min late. The nurse appears unkempt and has slurred speech. Which of the following actions should the charge nurse take first? Reassign the nurse's clients to another nurse A nurse is assisting with the selection of clients to discharge to make beds available following a tornado in the community. Which of the following clients should the nurse recommend for discharge? A client who is recovering from a laparoscopic appendectomy that was performed 24 hr ago A nurse is assisting with the care of an older adult client who is recovering from a stroke and is experiencing difficulty swallowing and performing ADLs. The client will be living with their adult child following discharge. The nurse should recognize that which of the following client referrals has the highest priority? Speech therapy A nurse in a providers office is reinforcing discharge teaching with an adult client who has a new prescription for ear drops for an inner ear infection. Which of the following instructions should the nurse include? "Lie on your side when preparing to instill the ear drops" A nurse realizes they have administered the wrong medication to a client. Which of the following actions should the nurse take first? Monitor the client's vital signs A nurse is contributing to the plan of care for a group of clients. Which of the following scenarios demonstrates effective use of time management techniques? The nurse groups activities for a surgical client based on the client's pain medication schedule A newly licensed nurse is caring for a client who requires a straight catheterization. The nurse informs the charge nurse that they only observed the procedure on two occasions. Which of the following responses should the charge nurse make? "Let's discuss the procedure and I'll assist you with it the first time" A nurse is participating in discharge planning for a client who has a new tracheostomy. Which of the following equipment should the nurse ensure is available for providing care for the client at home? Portable suction A charge nurse is asked by two staff nurses to assist in resolving a conflict about holiday scheduling/ Which of the following actions should the charge nurse take? Encourage each staff nurse to give up something as part of the negotiation A nurse is participating in a disaster drill and is assigned to assist with clients in the yellow tag staging area. The nurse should expect to assist in treating which of the following clients? A client who has burns to the trunk and legs A nurse is discussing the meaning of utilitarianism with newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this ethical theory? "Utilitarianism provides the greatest good for the greater number of people" A nurse is participating in a peer evaluation system based on overall performance of its nursing staff. Which of the following strategies ensures that the peer evaluation process is impartial and fair? Uses the same objective measurement tool for all nurses A nurse is serving on a performance improvement committee which is reviewing client falls. The data shows that most falls occurs between 2000 and 2200. Which of the following recommendations should the committee make? check on clients hourly A nurse is assisting an RN with developing a meal plan for a client who has neutropenia. Which of the following foods should the nurse recommend including in the meal plan? fried fish A nurse on a pediatric unit is assisting with the are of four clients. Which of the following clients should the nurse plan to see first? A preschooler who has respiratory syncytial virus and is wheezing [Show Less]
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ATI PN Fundamentals Ch 19 Question with answers 2023
A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should ... [Show More] the nurse include? (Select all that apply.) A. Keep toxic agents in locked cabinets. B. Keep toilet seats up. C. Turn pot handles toward the back of the stove. D. Place safety gates across stairways. E. Make sure balloons are fully inflated. A. Correct: Parents must prevent toddlers from accessing dangerous substances. C. Correct: If toddlers can reach a pot handle, they can pull the pot and its contents down on themselves and incur serious injuries. D. Correct: At the bottom of a staircase, they prevent toddlers from climbing stairs and falling backward. At the top of a staircase, they prevent toddlers from falling down the stairs. B. Incorrect: Easy access to the water in the toilet bowl could result in aspiration or drowning. E. Incorrect: Toddlers should not have access to balloons at all, as balloons can easily burst and toddlers can put fragments of the balloon or the entire deflated balloon in the mouth and asphyxiate. NCLEX® Connection: Safety and Infection Control, Accident/Error/Injury Prevention A nurse is planning diversionary activities for children on an inpatient unit. Which of the following should the nurse incorporate as appropriate play activities for a toddler? (Select all that apply.) A. Building simple models B. Working with clay C. Filling and emptying containers D. Playing with blocks E. Looking at books C. Correct: This activity is toddler-appropriate and helps develop fine motor skills and coordination. D. Correct: This activity is toddler-appropriate and helps develop fine motor skills. E. correct: This activity is toddler-appropriate and helps with preparation for learning to read. A. Incorrect: This play activity is more appropriate for school-age children. B. Incorrect: Toddlers can easily swallow bits of clay. NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions A nurse is talking with the parents of toddler. Which of the following should the nurse suggest regarding discipline? A. Establish consistent boundaries. B. Place him in a room with the door closed. C. Have him learn by trial and error. D. Use favorite snacks as rewards. A. Correct: Toddlers need to have consistent boundaries for discipline to be effective. B. Incorrect: Placing toddlers in a room with the door closed may cause anxiety and fear. C. Incorrect: Trial and error lacks consistent boundaries and increases the risk for harmful consequences. D. Incorrect: Using favorite foods as rewards may promote unhealthy eating habits. NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions A mother tells the nurse that her 2-year-old child has temper tantrums. The child says "no" every time the mother tries to help her get dressed. The nurse explains that, developmentally, the toddler is A. trying to increase her independence. B. developing a sense of trust. C. manifesting an anger management problem. D. attempting to finish a project she started. A. Correct: Toddlers express a drive for independence by opposing the desires of those in authority and attempting to do everything themselves. B. Incorrect: Developing trust is a developmental task for infants. C. Incorrect: This behavior is expected for a 2-year-old child and does not indicate an anger management problem. D. Incorrect: Finishing a project is a developmental task of school-age children. NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions A nurse is reviewing nutritional guidelines with the parents of a 2-year-old toddler. Which of the following parents' statements should indicate to the nurse that they understand the feeding guidelines for this age group? A. "I should keep feeding my son whole milk until he is 3 years old." B. "It's okay for me to give my son a cup of apple juice with each meal." C. "I'll give my son about 2 tablespoons of each food at mealtimes." D. "My son loves popcorn, and I know it is better for him than sweets." C. Correct: Serving sizes for toddlers should be about 1 tbsp of solid food per year of age, so A. Incorrect: When toddlers turn 2 years old, the parents should give them low-fat or fat-free milk, not whole milk. This reduces fat and cholesterol intake and helps prevent childhood obesity. B. Incorrect: Toddlers should have 4 to 6 oz of juice per day. Juices do not have the whole fiber that fruit has, plus they contain sugar, so parents should limit their use. 2-year-olds should have about 2 tbsp per serving. D. Incorrect: Popcorn poses a choking hazard, so it is an inappropriate snack food for toddlers. NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions [Show Less]
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ATI PN Comprehensive Predictor Review Question already passed
Do not delegate What you can EAT E-evaluate A-assess T-teach Addison's & Cushings Addison's = down down down up down Cushings= up up up down u... [Show More] p hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia Better peripheral perfusion? Elevate veins, D-Angle Arteries APGAR Appearance (all pink, pink and blue, blue (pale) Pulse (>100, <100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent) Airborne precautions MTV or My chicken hez tb measles, chickenpox (varicella) Herpes zoster/shingles TB Airborne precautions protective equip private room, neg pressure with 6-12 air exchanges/hr mask & respirator N95 for TB Droplet precautions spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella, mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room and mask) Contact precaution MRS WHISE protect visitors & caregivers when 3 ft of the pt. Multidrug-resistant organisms RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by micro-organisms (C diff), Gloves and gowns worn by the caregivers and visitors Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag PMGG= Private room/ share same illness, mask, gown and gloves Skin infection- VCHIPS Varicella zoster Cutaneous diptheria Herpes simplez Impetigo Peduculosis Scabies Air or Pulmonary Embolism S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.) Woman in labor (un-reassuring FHR) (late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids! Tube feeding with decreased LOC Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent aspiration) LOC Level of Consciousness After lumbar puncture and oil based myelogram pt is flat SUPINE (prevent headache and leaking of CSF) Pt with heat stroke flat with legs elevated [Show Less]
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ATI Learning System PN 3.0 Pharmacology Question with complete solution
The nurse is administering sub-q heparin to a client who is at risk for DVT. Which of the following actions should the nurse take? Administer the medicati... [Show More] on into the client's abdomen A nurse is caring for a client who has a new prescription for tamoxifen. The nurse should recognize that tamoxifen has which of the following therapeutic effects? Antiestrogenic The nurse is caring for a client who has a new prescription for enalapril. The nurse should monitor for which of the following adverse effects? Hypotension The nurse is reinforcing teaching in a client who has a new prescription for hydrochlorothiazide 50mg PO daily to treat hypertension. Which of the following instructions should the nurse include in the teaching? "Take the hydrochlorothiazide in the morning." The nurse is reinforcing teaching who has a UTI and new prescriptions for phenazopyradine and ciprofloxacin. Which of the following statements indicates need for further teaching? "I should notify my provider if my urine turns orange" a nurse is preparing to administer heparin 8,000 units sub-q every 8 hours. Available is heparin 10,000 units/1mL. How many mL should the nurse administer per dose 0.8 A nurser is reinforcing teaching in a client who has gout and a new prescription for allopurinol. the nurse should instruct the client to discontinue the medication for which of the following adverse affects. Fever A nurse is preparing to administer amoxicillin liquid suspension 250mg PO q8h to an older adult client. The amount available is amoxicillin 50mg/mL. How many mL should the nurse administer per dose? 5 A nurse is reinforcing teaching with a client who has cirrhosis and a new prescription for lactulose. The nurse should instruct the client that lactulose has which of the following therapeutic effects. Reduces ammonia level A nurse is collecting data from a client who has taken methimazole for a thyroid disorder during the past month. which of the following findings demonstrates an expected response to methimazole. Decrease in body temperature A nurse is reinforcing teaching with a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have viral infection due to the risk of developing which of the following adverse effects? Reye's Syndrome A nurse is preparing to administer an enteral feeding tube though an NG tube at 250mL over 4hr. The nurse should set the pump to deliver how many mL/hr? 63 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? Bleeding A nurse is caring for a client who has a new diagnosis of oral canidiasis (thrush)after taking tetracycline for 7 days. The nurse should recognize that thrush is a manifestation of which of the following adverse effects? Superinfection The nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension. The nurse should plan to monitor the client for which of the following adverse effects? Muscle Weakness The nurse is caring for a client with a new prescription for amitryptaline to treat depression. Which of the following diagnostic tests should the nurse plant to obtain prior to administering? ECG A nurse is caring for a 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? Dizziness A nurse is reinforcing teaching about caring for a client who has a prescription for gemfibrozil. The nurse should instruct the new nurse to monitor Which of the following lab tests? Liver function A nurse is reinforcing teaching for a client who has ulcerative collitis and a new prescription for sulfasalazine. The nurse should instruct the client to monitor for which of the following adverse effects> Arthralgia A nurse is reinforcing teaching with a parent of a child who has asthma and a new prescription for cromylyn sodium metered dose inhaler. Which of the following statements by the parent indicates the need for further teaching? "I will give my child a dose as soon as wheezing starts" A nurse is preparing to administer LR 1,000mL to infuse over 8hr. The drop factor of the manual IV tubing is 10gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min 21 The nurse is caring for a client with peptic ulcer disease and reports a headache. Which of the following meds should the nurse plan to administer? Aceteminophen A nurse is caring for a client who has a new prescription for ergotamine. the nurse should recognize that ergotamine is administered to treat which of the following conditions Migraine Headaches [Show Less]
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