ATI trad 3
What is the suffix for pain and suffering?
-algia
A nurse is documenting the intake for a client who is scheduled for an abdominal computed axial tomography (CT) scan. Prior to the scan the client consumes 12 oz of sodium diatrizoate. The client has an IV of D5 ½ NS running at 75 mL/hr from 0700 until 1200. The IV runs at 30mL/hr from 1200-1500, the client has 6 oz of juice. How many mL should the nurse document as the client's intake for the shift?
1005 mL
A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess posterior tibial pulse?
3rd green box from the top
A nurse is caring for a client who has deep vein thrombosis and is receiving IV fluid that contains 10,000 units of heparin in 500 mL infusing at 1,000 units/hr. When calculating the client's input and output, how much should the nurse document as intake from this infusion in an 8 hr shift. Round to the nearest whole number. Use a leading 0 if it applies. Do not use trailing zeroes.
400 mL
A nurse is caring for a client who is postop hip arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose SQ every 12 hours. The pt weighs 95 lbs. How many mg should the nurse administer per dose? Round to the nearest tenth. Use a leading 0 if it applies. Do not use trailing zeroes.
43.2 mg
A nurse is caring for a client who is post op following a knee arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose SQ every 12 hrs. The client weighs 185 lbs. How many mg should the nurse administer per dose? Round to the nearest 10th. Use a leading 0 if it applies, do not use trailing 0's.
84.1 mg
A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?
Acetone odor to breath
A preferred method to establish ideal body weight include body mass index (BMI) and waist circumference. Which formula is best for calculating BMI using kg.
BMI = weight in Kg / (height in meters) x (height in meters)
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor, SAA?
Bicarbonate excess Circumoral paresthesia
A nurse is caring for a client who is 1 day post op following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
Chovstek's sign
The purpose of the pt interview is to obtain accurate and thorough info. During the interview process of your pt, you hope to obtain info using the following techniques:
Closed ended questions Open ended questions Using clarifying questions
In orem's model, appropriate care for the pt is developed through a series of 3 operations. Select the 3 operations;
Diagnostic Prescriptive Regulatory
A nurse is caring for a client that is 4 days post op following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for the client to perform w her right hand?
Combing her hair
A nurse is caring for an older adult who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. The doctor has ordered a CT and MRI of the brain. What are these tests?
Computed axial tomography & magnetic resonance imaging
A nurse notices that her 79 yo pt displayed difficulty w spatial orientation, memory, and language. His wife states that she has noticed some changes in his personality in the last few months. These symptoms are most likely related to which of the following?
Dementia
Your pt is scheduled for a hernia repair. What classification of surgery is hernia repair?
Elective
Allopathic medicine has been dominant for 100 years and has spearheaded remarkable advances in biotechnology. What area of care is allopathic medicine most effective?
Emergency or acute situations
A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take?
Establish a plan of care w the client that sets attainable goals
A nurse on a med surg unit is caring for 4 clients who are 24 - 36 hr post op. Which of the following surgical procedures places the client at risk for DVT?
Hip arthroplasty
A client becomes very dejected and states: no one really cares what happens to me. Life isn't worth living anymore. Which of the following responses should the nurse make?
I care about you, and I am concerned that you feel so sad.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on the next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
I need to talk to you about unit expectations regarding delegating and completing tasks
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? SAA
Increased HR Increased BP Increased RR
A nurse is reviewing info ab HIPAA w a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
Information about ab a client can be disclosed to family members at any time
A nurse is instructing clients in the community ab relationship development. The nurse should explain that, according to erikson, establishing relationships w commitment is a primary task of which of the following stages of psychosocial development?
Intimacy vs isolation
A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?
Keep the open vial of insulin at room temperature
A nurse is caring for a client who is post op and is at risk for developing venous thromboembolism (VTE). the nurse should instruct the client to avoid which of the following unsafe actions?
Massage her legs
A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?
Metabolic alkalosis
Which domain of complementary and alternative therapies uses a variety of techniques designed to enhance the mind's ability to affect bodily functions and symptoms?
Mind body medicine
A nurse asks a client to share personal stories. Which of the following types of interventions is the nurse using to promote the development of the nurse client relationship?
Narrative interaction
Anesthesia is a method and technique of making potentially uncomfortable interventions tolerable and safe. One form of anesthesia is regional. Select all types of regional anesthesia.
Nerve blocks Spinal anesthesia Caudal anesthesia Epidural anesthesia
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse documents NKDA. What does this mean?
No known drug allergies
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping bc of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Obtain a pair of slipper socks for the client
A nurse sees an elderly pt walking to the bathroom w a stooped gait, facial grimacing, and gasping sounds. It is important that the nurse assess the pt for:
Pain
A nurse in a provider's office is reviewing the lab findings for a client who is scheduled to surgery. Which of the following findings requires follow up by the nurse?
Platelet count 60,000/mm3
During your initial assessment, your pt states that he eats a low fat diet. Your pt is participating in which type of disease prevention
Primary prevention
A nurse is assessing a client who is admitted w hyperthyroidism. The client reports a weight loss of 5.4kg (12 lbs) in the last 2 months, increased appetite, perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?
Provide a quiet, low stimulus environment (thyroid crises occur bc of stressors)
A nurse is planning care for a client who has end stage cirrhosis of the liver w encephalopathy. Which of the following interventions should the nurse implement to decrease the client's ammonia level?
Reduce the client's intake of protein
A nurse is assessing a client prior to the administration of morphine. The nurse should recognize which of the following is the priority?
Respiratory rate
A nurse is caring for a client that is 8 hrs post op following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?
Semi fowler's with neck in a neutral position
Which type of counseling is most effective for a situational crisis?
Short term counseling
Handoff communication involves the process of accurate presentation and acceptance of patient related information from one care giver or team using effective communication. As the ER nurse gives report to nurse HF on unit 3 W she states, I am confused about her blood pressure bc it has been ranging btwn 155-195/96-125. What aspect of communication is the ER nurse utilizing?
Situation
A nurse asks a a pt to close her eyes, state when she feels something, and describes the feeling. The nurse then brushes the pt's skin w a cotton ball, and touches the pt's skin w both sides of a safety pin. Which sense is the nurse assessing?
Tactile
A nurse is caring for a client who has CHF and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Take the client's vital signs
A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?
The client's sociocultural background influences nonverbal communication
A nurse is caring for a pt who has crippling rheumatoid arthritis. Which nursing interventions best represents the use of integrative care?
The nurse administers naproxen (aleve) and uses guided imagery to take the pt's mind off the pain
A nurse observes an adolescent client who has paraplegia sitting in a wheelchair crying. The client says, "Go away, no one can help me." What should the nurse document?
Upon approaching the patient in the hall, the patient states, "Go away, no one can help me"
A nurse is reviewing the lab results of a client who has fluid volume deficit. The nurse would expect which of the following findings?
Urine specific gravity 1.035
A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?
Weak, irregular pulse
Identifying with the way that another person feels is considered
empathy
Nursing is a form of help or assistance given by nurses to persons w a legitimate need for it:
true