308 ATI exam 2 practice

A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include? "Take isoniazid with an antacid." "Provide a sputum specimen every 2 weeks to the clinic for testing." "Expect your sputum cultures to be negative after 6 months of therapy." "Drink at least 8 ounces of water when you take the pyrazinamide tablet."

"Drink at least 8 ounces of water when you take the pyrazinamide tablet."

nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include? "Sleep on your left side." "Drink milk to soothe your stomach." "Eat four small meals each day." "Wait to go to bed for 1 hr after eating."

"Eat four small meals each day." The client should avoid eating large meals because of the pressure it places on the stomach. Instead, he should eat four to six small meals per day.

A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions? "I will lie on my left side to sleep at night." "I will lie on my right side to sleep at night." "I will sleep on my back with my head flat." "I will sleep on my stomach with my head flat."

"I will lie on my right side to sleep at night." Sleeping in a right side-lying position helps reduce the manifestations of nighttime reflux. The client can also elevate the head of the bed about 10.2 cm (4 in) to 30.5 cm (12 in) on blocks.

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select All that Apply.) Administer furosemide. Implement a low-sodium diet. Measure the client's abdominal girth. Encourage weight lifting during physical therapy. Administer warfarin.

- Administer furosemide - Implement a low-sodium -Measure the client's abdominal girth

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information? (Select all that apply.) The student needs to go to the hospital. The student's asthma is not well controlled. The student should use his quick-relief inhaler. The student's peak flow is 50% to 80% of his best peak flow. The nurse should obtain a second expiratory flow rate.

- The student should use his quick-relief inhaler - The student's asthma is not well controlled - The student's peak flow is 50% to 80% of his best peak flow - The nurse should obtain a second expiratory flow rate

A nurse is teaching a pt how to use a meter dose inhaler, what are the steps?

1) inhale deeeply the exhale completly 2)place lips firmly around the mouth piece 3)breath in deeply for 2-3 sec while pushing down on the canister 4)deep inhalation 5) hold for 10 sec 6)perced lip breathing keeps the small airways during exhalation 7)wait 60 sec between the next puff

A nurse is preparing to administer metoclopramide 15 mg PO QID before meals and at bedtime for a client who has GERD. The amount available is metoclopramide 5 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

15mL

A nurse in a community health center is assessing the results of a tuberculin skin test she performed for a client. Which of the following results indicates exposure to and a possible infection with tuberculosis (TB)? 4 mm erythema 5 mm induration 10 mm wheal 15 mm induration

15mm

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client who has GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

2.5mL

A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? A room with air exhaust directly to the outdoor environment A room with another nonsurgical client A room in the ICU A room that is within view of the nurses' station

A room with air exhaust directly to the outdoor environment

A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority? - Initiating oxygen therapy - Providing immediate rest for the client - Positioning the client in high-Fowler's - Administering a nebulized beta-adrenergic

Administering a nebulized beta-adrenergic

A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect? Nausea Dysphagia Agitation Hypotension

Agitation

A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms? Cromolyn via metered-dose inhaler Montelukast orally Budesonide via dry-powder inhaler Albuterol via jet nebulizer

Albuterol via jet nebulizer

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values? Calcium RBC count Magnesium Amylase

Amylase

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority? Increase the oxygen flow to 3 L/min. Assess the client's respiratory status. Call emergency services for the client. Have the client cough and expectorate secretions.

Assess the clients respiratory status

A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first? Auscultate lung fields. Assess pulse and respirations. Assess characteristics of her sputum. Instruct to slowly exhale with pursed lips.

Auscultate lung fields.

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include? "Elevate the head of your bed by 18 inches." "Avoid snacking between meals." "Limit foods that are high in fiber." "Avoid eating 2 to 3 hours before bedtime."

Avoid eating 2-3h before bedtime

A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes? Pigeon Funnel Kyphotic Barrel

Barrel

A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia? Position the head of the client's bed in the flat position. Turn the client every 4 hr. Brush the client's teeth with a suction toothbrush every 12 hr. Provide humidity by maintaining moisture within the ventilator tubing.

Brush the client's teeth with a suction toothbrush every 12 hr.

A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid: Nonfat milk Chocolate Apples Oatmeal

Chocolate

A nurse in the emergency department is assessing an older adult client who has community- acquired pneumonia. Which of the following findings should the nurse expect? - Unequal pupils - Hypertension - Tympany upon chest percussion - Confusion

Confusion, due to hypoxemia is an expected finding for an older-adult who has pneumonia.

A nurse is teaching a client who is to begin medicated treatment of tuberculosis The nurse should instruct the client that which of the following herbal supplements can interact adversely with the treatment? Milk thistle Green Tea Echinacea St. John's wort

Echinacea

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood? Elevated blood urea nitrogen (BUN) Elevated HbA1c Decreased chloride Decreased bilirubin

Elevated blood urea nitrogen (BUN)

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions? Maintaining a semi-Fowler's position as often as possible Administering oxygen via nasal cannula at 2 L/min Helping the client select a low-salt diet Encouraging the client to drink 2 to 3 L of water daily

Encouraging the client to drink 2 to 3 L of water daily

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history? Gallstones Hypolipidemia COPD Diabetes mellitus

Gallstones

A nurse is caring for a client 1 day postoperative who has developed atelectasis. Which of the following manifestations is an expected finding for this condition? - Apnea - Dysphagia - Hypoxemia - Pleural effusion

Hypoxemia

A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this client? Respiratory alkalosis Increased anteroposterior diameter of the chest Oxygen saturation level 96% Petechiae on chest

Increased anteroposterior diameter of the chest

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see? Decreased WBC Increased serum amylase Decreased serum lipase Increased serum calcium

Increased serum Amylase

A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect? Facial flushing Increasing dyspnea Decreasing respiratory rate Friction rub

Increasing dyspnea The postoperative client is at increased risk for developing atelectasis because of a blunted cough reflex or shallow breathing due to anesthesia, opioids or pain medication. Common manifestations include shortness of breath and pleural pain.

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan? - Restrict the client's fluid intake to less than 2 L/day. - Provide the client with a low-protein diet. - Have the client use the early-morning hours for exercise and activity. - Instruct the client to use pursed-lip breathing.

Instruct the client to use pursed-lip breathing.

A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position? Lateral segment of the left lower lobe Lateral segment of the right lower lobe Posterior segment of the right middle lobe Posterior segment of the right lower lobe

Lateral segment of the right lower lobe

A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect? Lethargy High-grade fever Weight gain Dry cough

Lethargy

A nurse in the PACU is assessing a client who has an endotracheal tube (ET) tube in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect? Blockage of the ET tube by the client's tongue Passage of the ET tube into the esophagus Movement of the ET tube into the right main bronchus Infection of the vocal cords

Movement of the ET tube into the right main bronchus

A nurse is caring for a client who has asthma and developed viral pharyngitis. Which of the following findings should the nurse expect? Petechiae on the chest and the abdomen WBC 16,000/mm3 Negative throat culture Severe hyperemia of pharyngeal mucosa

Negative throat culture

A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first? - Sputum culture for acid-fast bacillus (AFB) - Nucleic acid amplification test (NAAT) - CT scan - Chest x-ray

Nucleic acid amplification test (NAAT)

A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching? Excessive alcohol consumption Hepatitis C Hepatotoxic medications Obstruction of the bile duct

Obstruction of the bile duct

A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects? Hypoglycemia Hypertension Polyuria Oral candidiasis

Oral candidiasis

A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate? Initiate a low-residue diet. Pantoprazole 80 mg IV bolus twice daily Ambulate twice daily. Pancrelipase 500 units/kg PO three times daily with meals

Pantoprazole 80 mg IV bolus twice daily

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect? Petechiae Hypertension Osteoarthritis Peripheral ulcers

Petechiae impaired coagulation from a dysfunctional liver

A nurse is preparing for the admission of client who has suspected active tuberculosis. Which of the following precautions should the nurse plan to implement to safely care for this client? Have staff and visitors wear gowns, masks, and gloves while in the client's room. Place the client in a private room with a special ventilation system. Assign the client to a room with other clients who require droplet precautions. Modify the protocol for donning and removing personal protective equipment before entering or leaving the client's room.

Place the client in a private room with a special ventilation system.

A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take? Obtain a cardiology consult. Suction the client less frequently. Administer an antidysrhythmic medication. Perform pre-oxygenation prior to suctioning.

Preform pre-oxygenation prior to suctioning

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications? Propranolol Theophylline Montelukast Prednisone

Propranolol

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level? Administer diuretics. Restrict the client's intake of fluids. Reduce the client's intake of protein. Administer vitamin K.

Reduce the client's intake of protein. Ammonia is formed in the gastrointestinal tract by the action of bacteria on protein. Limiting dietary protein intake can assist with decreasing the client's ammonia level. Protein is necessary for healing, so strict limitation of dietary protein is not recommended.

A nurse is teaching a client who has tuberculosis and is to start combination drug therapy. Which of the following medications should the nurse plan to administer? (Select All that Apply.) Acyclovir Pyrazinamide Isoniazid Rifampin Montelukast

Rifampin Isoniazid Pyrazinamide

A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client? Moist skin Spider angiomas Tarry stools Blood in the urine

Spider angiomas

A nurse is assessing a client immediately after the provider removed the client's endotracheal tube. Which of the following findings should the nurse report to the provider? Stridor Copious oral secretions Hoarseness Sore throat

Stridor

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation? Hyperactive bowel sounds Sudden abdominal pain Increased blood pressure Bradycardia

Sudden abdominal pain Classic indications of gastrointestinal perforation include sudden sharp abdominal pain with a rigid abdomen, declining peristalsis, and progression to septicemia and hypovolemic shock.

A nurse in the intensive care unit is providing teaching for a client prior to removal of an endotracheal tube. Which of the following instructions should the nurse include in the teaching? "Rest in a side-lying position after the tube is removed." "Use the incentive spirometer every 4 hr after the tube is removed." "Avoid speaking for long periods." "A nurse will monitor your vital signs every 15 minutes in the first hour after the tube is removed."

The client should avoid speaking for long periods to promote gas exchange.

A nurse is planning care for a client who is to start receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse include in the plan of care? Use a 1.2 micron filter when infusing TPN with fat emulsions added. Allow 18 hr for the lipids to infuse when not mixed with the TPN solution. Change the TPN solution after 36 hr. Change the TPN tubing every 48 hr.

Use a 1.2 micron filter when infusing TPN with fat emulsions added.

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention? Auscultate the client's lungs. Assist the client to a side-lying position. Provide oral hygiene. Withhold oral fluids and food.

Withhold oral fluids and food. NPO status must be initiated and maintained during the acute phase of pancreatitis.

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching? Medications will need to be taken for the rest of the client's life, even if the client feels better. Medications will need to be taken until the Mantoux test is negative. A typical course of treatment involves 6 to 9 months of consistent medication use. The client's family will also need to take medications to prevent infection.

a typical course of tx involves 6-9m of consistant medicine use

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include? Both are inflammatory Both begin in the rectum Both manifest fistula formation Both require frequent surgery

both are inflammatory

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications? Carvedilol Fluticasone Captopril Isosorbide dinitrate

carvediol

A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump. Which of the following actions should the nurse take? Obtain the client's blood glucose every 12 hr. Change the IV tubing every 24 hr. Change the IV site dressing every 4 days. Weigh the client every other day.

change IV tubing every 24h

A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client? Bradycardia Night sweats Confusion Narrowed pulse pressure

confusion

A nurse is caring for a client who has cirrhosis and has a prescription for bumetanide. When delivering the client's lunch tray, which of the following items should the nurse identify as contraindicated for the client? Baked potato Stewed tomatoes Ham sandwich Milkshake

ham sandwich Ham is high in sodium and can increase fluid retention, leading to edema. Clients who have cirrhosis are prone to edema as the osmotic pressures change due to a decrease in plasma albumin and are placed on low-sodium diets.

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority? Epigastric discomfort Dyspepsia Constipation Hematemesis

hematemesis

A nurse is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following manifestations should the nurse expect? Bradycardia Bradypnea Lethargy Intercostal retractions

intercostal retractions

A nurse in a provider's office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis? (Select all that apply) (Select All that Apply.) Blood in the sputum Flushed cheeks Low-grade fever Weight gain Night sweats

night sweats low-grade fever blood in sputum

A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis? Oral mucosa Conjunctivae Ear lobes Soles of the feet

oral mucosa