ATI NurseLogic 2.0 Modules

a nurse is caring for a client who is diagnosed with bipolar disorder and is taking lithium. which of the following serum lithium levels indicates the client's dosage is appropriate for maintenance therapy/

0.75 mEq/L

a nurse is caring for an infant who has been prescribed a one-time dose of Rocephine 50mg/kg IM. the infant weights 17.6 lb. available is 500 mg/mL how many mL should the nurse admin

0.8 mL

a nurse is caring for a client who is pregnant with a single fetus and has a BMI os 23. when asked by the client who much weight she should gain during the pregnancy which of the following responses by the nurse is appropriate?

25 to 35 lbs

a nurse is collecting data on a client who has appendicitis. identify the site the nurse should palpate to determine the presence of tenderness of McBurney's point

A

a nurse working in a provider's office is reinforcing teaching with a client who is 36 weeks of gestation and has experienced a premature rupture of membranes. which of the following statements by the client indicates a need for additional teaching

I will have my husband wear a condom during intercourse

a nurse is reinforcing teaching about a new prescription for cromolyn sodium (Intal) metered-dose inhaler (MDI) to a school-age child who has asthma. which of the following statements should indicate to the nurse that the child needs further teaching?

I will use my cromolyn nebulizer before using my albuterol inhaler

a nurse working in a hospice facility is talking to a client's son who is distressed because his mother cries frequently and says she wants to die. which of the following responses by the nurse is appropriate?

Let's discuss some strategies you can use when this happens again

a nurse is collecting data on a client who is diagnosed with schizophrenia and is taking clozapine which of the following findings indicates the client is experiencing an adverse effect of the med?

WBC 2,800/mm3

a nurse has been assigned to care for four clients on a med-surg floor. which of the following clients should the nurse evaluate first

a client following knee replacement surgery complaining of pain and warmth in the calf

a nurse on a medical unit has received report on four clients. which of the following clients should the nurse evaluate first

a client who has a fever of 101.2 with tenderness in the right lower quad

a nurse is planning to obtain BP on four clients. on which of the following clients should the nurse perform an electronic BP measurement?

a client who is recovering from a cardiac cath

a nurse is collecting data on a newborn who was delivered 30 min ago at the gestational age of 37 weeks. which of the following findings requires further interventions

abdominal distention

a nurse is caring for a client who is 48 hr post op following an abdominal aortic aneurysm resection. which of the following findings is the most urgent

absent dorsalis pedis pulses

a nurse is caring for a school-age child who is newly diagnosed with type 1 DM. which of the following actions by the nurse is appropriate to prepare the child for admin of insulin?

allow the child to manipulate the medical equipment

A charge nurse on the pediatric unit is making assignments for a nurse who has floated from the labor and delivery unit. Which of the following clients is appropriate for the charge nurse to assign?

an adolescent who is 2 days postop following an appendectomy

a nurse is reinforcing teaching to a client who is newly diagnosed with HTN and has been prescribed captopril. the nurse should reinforce that which of the following meds has the potential to reduce the antiHTN effect of captopril

aspirin

a nurse administrator is reviewing policies and procedures of the facility she works in to ensure confidentiality requirements are being met. which of the following indicates that intervention is needed to prevent the release of confidential client info?

assigning staff members on each shift the same password for accessing medical records.

a nurse is caring for a client who has a compound fracture of the tibia and fibula and is in skin traction. the client reports pain of 6 on a scle of 0 to 10 under the traction bandage. which of the following should the nurse take first

check pedal pulse

a nurse is caring for a client who has an acid-base imbalance. for which of the following manifestations is metabolic alkalosis a possible complication?

excessive vomiting

a nurse at a long-term care facility is participating in a quality improvement project to reduce the occurrence of pressure ulcers. which of the following audits should be conducted to determine the impact of a new skincare regimen on the incidence of pressure ulcers among clients who are immobile?

outcome audit

a nurse is caring for a child who has sickle cell disease and has been admitted for a vaso-occlusive crisis. which of the followin is the nurse's priority concern

promoting oxygenation

a nurse is caring for a child who has leukemia and is prescribed a transfusion of platelets. which of the following should the client experience as a result of the transfusion

reduced bleeding time

a nurse is caring for a client who is prescirbed lithium. which of the following clinical findings should be immediately reported to the provider

slurred speech

a nurse is reinforcing teaching regarding foods containing complete protein to a client which of the following should be included in the teaching

soybeans

a nurse in a rehab center is caring for a client who has just had a CVA. based on a review of the client's medical record, which of the following findings should be immediately reported to the provider

temp 99.8

a nurse is reinforcing teaching to parents of a child who is admitted with rheumatic fever. which of the following statements by the parent indicated a need for further teaching

this illness will not recur because my child has now had it

a nurse is reinforcing teaching about the diet for dumping syndrome to a client who is post-op following a gastrectomy. which of the following food selections by the client indicates the teaching was effective?

toast with peanut butter

a nurse is caring for a client who has borderline personality disorder. which of the following is a manifestation of the disorder

unstable interpersonal relationships

a nurse is caring for a client who weighs 132 lb and has been prescribed gentamicin 5mg/kg/day by IV bolus in three equal doses. available on hand is 40 mg/mL that is to be added to 50 mL 0.9% sodium chloride. how many mL should the nurse add to the solution per dose?

2.5 mL

a nurse is caring for a school-age client who was diagnosed with sickle cell anemia and has been admitted for a vaso-occlusive crisis. which of the following findings has the highest priority?

slurred speech

a nurse is assigned to care for four clients. the client with which of the following drainage tubes is at an increased risk for hyokalemia?

NG tube to suction

a nurse is caring for a client who has a new colostomy. the client is being discharged and plans to live with her daughter. which of the following responses by the nurse is appropriate when the daughter states that she doesn't know how she is going to care for her mother's colostomy?

What part of your mother's care concerns you?

a nurse is working with administration to enhance the quality of care provided to clients during the prenatal period. which of the following roles is the nurse functioning

advocate

a nurse is caring for a client who has been off the unit for PT for the past hours notes that the infusion pump for the client's TPN is turned off. the client tells the nurse that the battery went dead while she was in PT. the nurse should monitor the client for which of the following manifestations

shakiness and diaphoresis

a nurse is caring for a client who is experiencing night sweats and hemoptysis and is suspected to have active pulmonary tuberculosis. which of the following tests is used to confirm this diagnosis

sputum culture for acid-fast bacillus

a nurse is caring for a client who is receiving parenteral nutrition through a nontunneled central venous catheter and reports hearing a gurgling sound on the side of the catheter. the nurse suspects the catheter has migrated to the jugular vein. which of the following actions should the nurse take first?

stop the infusion

a nurse is caring for a child who is 24 hr postop following a supratentorial craniotomy. the nurse should maintain the child in which of the following positions?

supine with HOB elevated 30

a nurse is caring for a client who is admitted with acute alcohol withdrawal. which of the following findings should the nurse report to the provider

tachycardia

a nurse has assigned four tasks to an AP. which of the following should the nurse instruct the AP to perform first?

take an ABG specimen to the lab

a nurse in a long-term care facility is assisting with an educational program regarding common sites of health care associated infections for a group of newly hired assistive personnel. which of the following sites should be included in the teaching

urinary tract, surgical wound, resp tract, blood stream

a school nurse is reinforcing teaching regarding bicycle safety to a group of school-age children. which of the following is the most important concept to include in the teaching

use a properly-fitted bicycle helmet

a nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine (Americaine) ear drops for pain relief. which of the following actions by the nurse is appropriate when administering the ear drops?

warm refrigerated drops to room temp prior to instillation

a nurse is caring for a client who is scheduled for a lumbar puncture. the nurse should teach the client that which of the following is a post-procedure complication?

headache

a nurse is caring for a neonate who was delivered at 30 weeks of gestation after his mother received two injection of betamethasone. because of the admin of betamethasone to the client's mother, the nurse should monitor the neonate for which of the following effects?

hypoglycemia

a nurse is reinforcing teaching with a client who is prescribed BuSpar. which of the following statements by the client indicates an understanding of the teaching

i can have 1 to 2 alcoholic beverages each week

a nurse is reinforcing teaching about methods to decrease nausea to a client who is receiving chemotherapy. which of the following statements by the client indicates a need for further teaching

i should eat low carb foods

a nurse in a provider's office is collecting data on a group of clients who are pregnant. which of the following clients should be the nurse's priority concern

a client who is 34-weeks of gestation and reporting abdominal tenderness

a nurse is caring for a group of ped clients. which of the following clients requires immediate intervention

a client who is prescribed dig and has had three episodes of vomiting

a nurse is reviewing the lab results of four clients. which of the following should be immediately reported to the provider

a client who is prescribed digoxin and furosemide with a K+ of 3.1 mEq/L

a nursing supervisor is determining bed placement for four clients. which of the following clients should be placed in droplet precautions

a client with rubella

a nurse working the 7 pm to 7 am shift on the ped unity has received report on four post op clients. which of the following requires immediate intervention

a preschooler who is postop following a tonsillectomy and is experiencing frequent swallowing

A nurse is caring for a client who has a terminal pancreatic cancer. the client is competent and has requested no resuscitative measures in the event of resp or cardiac arrest. which of the following is necessary to legally change the client's code status to DNR?

a written prescription from the provider

a school nurse has requested the school board remove a piece of playground equipment due to a document increase in injuries that can be linked back to it. the nurse's actions are an example of which of the following?

advocacy

a nurse is caring for a client who is post-op following a wedge resection of a lung and has a chest tube with a water seal chest tube drainage system. the client reports a burning pain in his chest. which of the following actions by the nurse is appropriate>

assist the client to a side-lying position

a nurse is reinforcing teaching with the caregiver of a client who has aphasia. the nurse should include which of the following communication strategies in the teaching?

cue the client by providing picture cards that portray common needs

A nurse is providing education to the parent of an infant who is newly diagnosed with biliary atresia. The nurse should teach the parent that which of the following is a clinical manifestation associated with the illness?

dark urine

a nurse is collecting data on a client who has a diagnosis of MG. for which of the following complications is it most important for the nurse to monitor

decreased resp effort

a nurse is caring for a client who has a UTI and is prescribed cipro. the client exhibits urticaria and angioedema following admin of the med. which of the following is the first action the nurse should take?

determine resp status

a nurse is caring for a client who is diabetic and is being discharged home following an above the knee amputation. which of the following health care professionals should be involved in the client's interdisciplinary team meeting?

dietician, PT, social worker

a nurse is caring for an adult client who has attempted suicide. the client tells the nurse he us calling his fam to come pick him up. which of the following actions by the nurse is appropriate when the client insists on leaving the facility AMA

discuss the risks associated with leaving with the client

a nurse in a ped provider's office is conducting telephone triage and receives a call from a client regarding her 4-day old newborn who was circumcised 2 days ago. listen to the audio clip and determine which of the following responses by the nurse is appropriate

do not attempt to remove it

a nurse is collecting data on a child who is diagnosed with bacterial epiglottitis. which of the following clinical findings are associated with the illness

drooling, stridor, difficulty swallowing, high-grade fever

a nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days ago. which of the following findings is associated with this diagnosis?

elevated temp

a nurse is caring for a client who is experiencing panic level anxiety. which of the following should the nurse take first

engage the client in physical activity

a nurse is caring for a client who has a fractured hip and a resp rate of 26/min. which of the following actions should the nurse take first

evaluate LOC

a nurse is caring for a client who has a radial head fracture. which of the following should be the priority action by the nurse following application of the cast

evaluate neurovascular status

a nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks of gestation. the nurse should instruct the client to immediately notify the provider if she experiences which of the following?

facial edema

a nurse is caring for a client who is from a culture different than his own. which of the following actions by the nurse is most important in the provisions of culturally competent care

identify one's own beliefs and values

a public health nurse is triaging clients at the site of an explosion. the client with which of the following injuries should be the nurse's priority concern

incomplete amputation of the foot

a nurse is caring for a client who has a flaccid bladder following a spinal cord injury which of the following actions should the nurse take first

initiate a bladder training schedule

a nurse is reinforcing teaching about client consent to treatment with a group of newly licensed nurses. which of the following statements by a newly licensed nurse indicates a need for further teaching

it is the responsibility of the provider to obtain express consent

a nurse is reviewing the electronic fetal heart rate tracing of a client who is in labor. which of the following images exhibits variable decelerations

its the one that looks like a backwards pacer spike

a nurse is caring for a client who had a CVA 2 days ago. which of the following is the first sign of increased ICP?

lethargy

a nurse is caring for a client who is in preterm labor and is receiving mag sulfate. which of the following client data is most important for the nurse to monitor

maternal respirations

a nurse is caring for a toddler who has laryngotracheobronchitis and is having difficulty breathing. which of the following should be the first action of the nurse

obtain an oxygen sat level

a nurse is assessing a client who is post op following a gastric bypass. which of the following findings indicates the client could be experiencing an anastomotic leak

oliguria

a nurse is caring for a client who was admitted to the unit 3 hr ago following a total hip arthroplasty. which of the following findings should be the nurse's priority concern

oxygen sat of 90% at 2 L per NC

following morning report, a nurse assigns completion of several tasks to an AP. which of the following tasks should the nurse has the AP perform first

perform fingersticks for glucose levels on clients who have DM

a nurse is assisting with the care of a client who is in labor. following spontaneous rupture of membranes, the nurse visualizes the umbilical cord protruding from the vagina and the fetal heart rate is 50/min. after calling for assistance and notifying the provider, which of the following is the priority action by the nurse?

place client in knee-chest position

A nurse is caring for a client who is newly diagnosed with bipolar disorder and is currently experiencing an acute manic episode. which of the following is the priority concern of the nurse

preventing injury