ATI CONCEPT BASED ASSESSMENT LEVEL 1 ONLINE PRACTICE A
Clinical manifestations of heart failure - ✔cool extremities
6 month infant has bacterial
... [Show More] pneumonia. clinical manifestations of b. pneumonia - ✔nasal flaring
Acute asthma exacerbation what actions should the nurse take first - ✔apply humidified oxygen with a simple mask
Diabetes foot care - ✔ill wash my feet everyday with soap and lukewarm water
Decreased urinary output. what findings should be identified as a risk factor for the development of pyelonephritis? - ✔diabetes mellitus
Acute cholecystitis (select all) - ✔fever, dyspepsia, and eructation
Client has appendicitis. what actions should the nurse take - ✔place the client in semi-fowler's position
Caring for a client following collection of admission data. what should the nurse identify as a priority? - ✔client reports coughing and a change of voice whenever he eats
Client has respiratory acidosis due to opioid oversedation - ✔ensure the patient airway using a chin-lift maneuver
Which client is at risk for developing respiratory acidosis? - ✔client who has abdominal ascites?
Teaching about newborns and crib use - ✔dressing your baby in a one-piece sleeper for bedtime will replace the need to use a blanket or sheet
Findings that indicate a therapeutic response to anti hyperlipidemia medication - ✔HDL 50 mg/dL
Teaching to parents about epinephrine auto-injector - ✔"give a second injection if the first fails to reverse your child's symptoms"
Client is experiencing a panic attack - ✔stay with the client until manifestations subside
Mix NPH insulin and insulin steps - ✔cloudy, clear, clear, cloudy
Gastroenteritis with dehydration. which med should the nurse administer? - ✔ondansetron
Adverse effect of acetaminophen - ✔elevated aspartate aminotransferase levels
Potassium level of 6 mEq/L would cause ECG to look like what? - ✔Tall T waves
6 month old infant with mild dehydration - ✔capillary refill greater than 2 seconds
Acute pyelonephritis findings - ✔urinary burning
A client has COPD and a resp. rate of 22 and reports SOB. what would the nurse do - ✔place the client in high-fowlers position
A client has metabolic acidosis due to salicylate overdose. what findings should the nurse expect? - ✔flushed, dry skin
Hypermagnesemia clinical manifestation - ✔bradycardia
Client has external fixator to the right lower arm, what would indicate that the client has compartment syndrome? - ✔numbness of the fingers on the right arm
A client has AIDS, what lab data would determine if the client is at risk for malnutrition - ✔albumin level
Client is 1 hour post op from open carpal tunnel release to treat injury - ✔elevate the client's arm above the heart
Discharge teaching for the parent of a newborn - ✔"do not bathe your new born immediately after she eats"
A client is at 13 weeks gestation with hyperemesis gravidarum - ✔"drink fluids between, rather than with, meals"
Client has calcium oxalate renal calculi. what would u teach them - ✔"limit the amount of spinach in your diet"
A school age child has asthma and SOB. what findings would be priority? - ✔inaudible lung sounds
An adolescent client has a skin infection caused by MRSA - ✔"I will soak in a bathtub filled one-fourth full of water and one-half cup of bleach"
An adolescent has infectious mononucleosis. what would be a manifestation of this - ✔onset of abdominal pain
A client is experiencing an asthma attack. what would the nurse use to assess the client's respiratory status - ✔peak expiratory flow meter testing
A nurse is teaching a client about foot care with peripheral neuropathy - ✔"file your toenails straight across to prevent ingrown toenails"
Clinical manifestations of heat stroke - ✔oliguria
A client has a sodium level of 124 mEq/L, what manifestations should the nurse expect? - ✔orthostatic hypotension
A client's parent recently died. what would place the client at risk for maladaptive grieving? - ✔the client lost his house in a fire one month ago
The parent has a child with pediculosis capitis. what would the nurse tell the parent? - ✔to comb the child's hair daily with an extra fine tooth comb
A parent has a child with scabies. what would the parent say to indicate understanding of teaching? - ✔"i should wash my child's bed linens and clothing in hot water and detergent"
A client has peripheral arterial disease. what would be a finding of this? - ✔dependent rubor
A nurse is providing teaching to a client with MRSA. what would be an understanding of this disease for the client to say? - ✔"I will wash all uninfected skin areas with a fresh washcloth"
What would be a manifestation that the nurse should expect for an infant who might have otitis media? - ✔enlarged postauricular lymph nodes
A client has hyperthyroidism and has been taking methimazole for 6 months. what indicates a therapeutic response? - ✔the client reports sleeping longer during the night
Metabolic alkalosis would give u what lab value? - ✔potassium 3 mEq/L
A client is going in for a laproscopic appendectomy. which of the findings would the nurse report? - ✔report of urinating small amounts twice daily
a client has severe hypothermia. which actions should the nurse take - ✔contact a specialized team to place the client on cardiopulmonary bypass
a client has cellulitis in a lower extremity. what action should the nurse take? - ✔elevate the extremity above heart level
a client has frostbite to the fingers and toes, what would the nurse include in the teaching about frostbite? - ✔place the affected areas of frostbite in a warm water bath
a young female client has GAD and is taking clonazepam. what would the nurse include in the teaching? - ✔"this medication could cause you to have thoughts of self-harm"
what is a manifestation of respiratory acidosis? - ✔confusion
a client has a subdermal implant placed for contraception. what are the adverse effects of this? - ✔irregular bleeding
which of the following is a risk factor for peptic ulcers? - ✔long term use of NSAIDs
a client has been practicing adaptive use of coping mechanisms. which one indicates the client's use of suppression? - ✔"I avoid thinking about my problems that worry me until I have time to focus on a solution"
a client has osteoporosis. what should be included in the teaching? - ✔perform exercises to strengthen the abdominal core
a client has hyperventilation. the client's ABG results are "7.5 pH, 29 mm Hg PaCO2, and 25 mEq/L HCO3-" what can be interpreted? - ✔Respiratory alkalosis
a client has hyperglycemic-hyperosmolar state related to complications of diabetes - ✔hypotension
a client has recently lost his partner to a terminal illness. the client asks how his 4 year old son should react to this death. - ✔A preschooler often believes that death is reversible
which of the communicable diseases diseases require reporting? - ✔gonorrhea
a client has osteoarthritis. what would the nurse include in teaching about exercise? - ✔perform exercise even on d ays when joints are painful
which area should the nurse assess on a patient with cholelithiasis? - ✔A -- RUQ
Which would suggest that a client's nutritional status is improving? - ✔1 kg weight gain over the past 2 days
a client has AIDS and is experiencing anorexia. which would the provider prescribe to the client? - ✔megestrol (increases appetite)
a client has renal calculi. what would cause the nurse to notify the provider immediately? - ✔oliguria with bladder distention
a client is taking atorvastatin. which would suggest the medication is having an adverse effect? - ✔aspartate aminotransferase (AST) 45 units/L
a client's partner died 1 month ago. the client doesn't believe she can ever be happy again. what would the nurse say? - ✔"What are some of the best times with your partner that you remember?"
age-related macular degeneration has a risk factor of what? - ✔hypertension
a client is about to have an induction of labor due to fetal demise. what would the nurse do? - ✔bathe, diaper, and dress the child before bringing the newborn to the client
a client has hypokalemia. what fruits should the nurse recommend? - ✔one small orange
a client has renal calculi and is taking oxybutynin for pain. what would the nurse identify as an adverse effect of this medication? - ✔distended bladder
a client has gestational diabetes and ketoacidosis. what manifestation would be expected? - ✔increased urination
a client is being taught about how to prevent hearing loss from trauma. what would be included in the teaching? - ✔"keep your mouth open when sneezing"
a client has partial obstruciton of the large bowel. what would be a manifestation? - ✔ribbon-like stools
what lab results would be identified as na adverse effect of sulfasalazine? - ✔WBC count 4,000/mm3
what should the nurse instruct to avoid in a patient who has gerd? - ✔caffeinated coffee
emergency department for someone who has been out of the country? (exhibit) - ✔surgical mask
which of the following medications should the nurse expect the provider to prescribe in C. difficile? - ✔vancomycin
A nurse in a providers office is reviewing the medical record of a client who has COPD. which of the following findings should the nurse report to the provider? - ✔sputum culture shows gram positive bacteria
nurse providing discharge teaching to a client with diverticulitis. what should she include? - ✔consume a clear liquid diet
nurse teaching about ezetimibe with a client who has hyperlipidemia. What client statements is correct? - ✔i will return to have my cholesterol checked in two weeks
a nurse is assessing a client who has musculoskeletal trauma following a motor vehicle crash two days ago. what finding should she report? - ✔pain report
discharge teaching for a client who has a new diagnosis of COPD. which of the following statements shows PT understanding? - ✔breathe out slowly through pursed lips if i feel short of breath
which of the following menu choices shows patient understanding of hyperlipidemia? - ✔black bean burger on a whole grain bun
a nurse is participating screenings for osetoporosis. which of the following is a risk factor for the disease? - ✔hip fracture 6 months ago
client who has an intense fear of heights - ✔acrophobia
which of the following actions should the nurse take for a client who has possible appendicitis? - ✔start IV fluid replacement
a nurse is assessing a preschool-age child who has chickenpox. how should the parent treat it - ✔avoid giving aspirin
a nurse is preparing to administer medication to a client who has a history of hypertension. what should the nurse administer for antihypertension therapy? - ✔hydrochlorothiazide
exercise induced asthma and has new prescriptions for cromolyn. what should the nurse include in the teaching? - ✔use albuterol prior to planned exercise?
a nurse is admitting an infant who has pertussis. what following action should the nurse take? - ✔droplet precautions
warfarin to treat atrial fibrillation. what should nurse identify as adverse effect? - ✔black, tarry stools
a nurse is preparing an in-service for coworkers about failure to thrive in infants. What should she include? - ✔congenital heart disease
assessing a client for manifestations of GERD. which of the following findings is indicitive of GERD? - ✔globus
providing teaching for a client who has cataract surgery. which of the following shows that the client understands the teaching - ✔avoid using the vacuum cleaner for several weeks
a nurse is assessing a client who has DVT in the right lower leg. which of the following findings on the affected extremity should the nurse expect? - ✔swelling
a nurse in the emergency department is assessing a client who displays manifestations of a small bowel obstruction. which of the following findings should the nurse expect? - ✔abdominal distention, vomiting, hyperactive bowel sounds
a client has peptic ulcer disease and an upper gastrointestinal bleed. what manifestations should the nurse expect? - ✔dark, tarry stools, bright red emesis, increased heart rate
a client receiving gentamicin for the treatment of an infection related to renal calculi which lab finding would the nurse report immediately? - ✔creatinine 2.5
a client has pneumonia. what is priority for the nurse? - ✔observe the client perform incentive spirometry
a client has GAD and is experiencing a moderate level of anxiety. what manifestations should the nurse expect? - ✔focuses on the source of the anxiety
a client has DVT and is receiving heparin via continuous IV. the client has a positive fecal occult blood test and abdominal tenderness upon palpation. what would the nurse expect the provider to prescribe? - ✔protamine sulfate
a client has COPD and is learning about preventing pneumonia. which statement shows an understanding? - ✔"I will wash my hands whenever i come home from the grocery store"
what are manifestations of right-sided heart failure? - ✔jugular vein distention
a client had a cardiac catheterization. what instructors would the nurse include in the teaching to the child's guardian? - ✔monitor the site daily for drainage
a client's medication list to manage osteoarthritis? - ✔lidocaine 5% patches, celecoxib, cyclobenzaprine, glucosamine
a client recently lost her partner in a motor-vehicle crash. which reaction is a secondary stage of grieving? - ✔feeling anger toward family members
a client has GAD. which medications would the nurse administer? - ✔escitalopram
a client is at risk for developing glaucoma. which is a risk factor? - ✔heredity
a client has hypothyroidism. which is a manifestation? - ✔cold intolerance
a client has peripheral neuropathy of the lower extremities. which statement indicates understanding of teaching? - ✔"i should limit wearing the same shoes 2 days in a row"
ileostomy priority - ✔purple stoma
meter-dose inhaler understanding - ✔deep breath, blow it out before inhale
female obese - ✔bmi 40
Starting epoetin - ✔hypertension [Show Less]