NU307 Final ATI
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication? "I can walk a mile a day." "I've had a backache for several days." "I am urinating more frequently." "I feel nauseated and have no appetite."
"I feel nauseated and have no appetite."
A nurse on the hospice unit is caring for a newly-admitted client. Which of the following client statements should the nurse report to the provider? "I am getting a little sleepy after I take my pain medication." "I would go to church every day if it meant getting more time." "I cannot wait to meet my creator when it is my time." "I plan to take an antiaging supplement to prolong my life."
"I plan to take an antiaging supplement to prolong my life."
A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching? "Most of my calories each day should be from fats." "I should eat more calories from complex carbohydrates than anything else." "Simple sugars are needed more than other calorie sources." "Protein should be my main source of calories."
"I should eat more calories from complex carbohydrates than anything else."
A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care? "I will have to be admitted to a long-term care facility in order to receive hospice care." "I should expect the hospice team to help me manage my dyspnea." "Hospice care services are available to patients who are terminally ill regardless of their life expectancy." "My oncologist will continue to look for a cure for my cancer while I am receiving hospice care."
"I should expect the hospice team to help me manage my dyspnea."
A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching? "The onset of low blood glucose usually occurs slowly." "My son might complain of feeling shaky when he has a low blood glucose level." "Sweating can occur with hyperglycemia." "My son might have nausea and vomiting with hypoglycemia."
"My son might complain of feeling shaky when he has a low blood glucose level."
A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity? Anorexia Ataxia Photosensitivity Jaundice
Anorexia
A nurse is talking with a young adult client who has a family history of osteoporosis. Which health promotion activity should the nurse recommend as a possible preventive measure? Increase sodium intake. Have a bone-density scan each year. Engage in weight-bearing exercise regularly. Drink a cup of coffee each morning.
Engage in weight-bearing exercise regularly.
A nurse is preparing to administer digoxin to a client who has heart failure. Which of the following actions is appropriate? Withholding the medication if the heart rate is above 100/min Instructing the client to eat foods that are low in potassium Measuring apical pulse rate for 30 seconds before administration Evaluating the client for nausea, vomiting, and anorexia
Evaluating the client for nausea, vomiting, and anorexia
A community health nurse is providing teaching to the family of a client who has primary dementia. Which of the following manifestations should the nurse tell the family to expect? Decreased auditory and visual acuity Decreased display of emotions Personality traits that are opposite of original traits Forgetfulness gradually progressing to disorientation
Forgetfulness gradually progressing to disorientation
A nurse is caring for an older adult client who has left-sided heart failure. Which of the following assessment findings should the nurse expect? Frothy sputum Dependent edema Nocturnal polyuria Jugular distention
Frothy sputum
G A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report? Dry cough Swelling of the tongue Nausea Nasal congestion
Swelling of the tongue
FLAG A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? 0720 0730 0745 0815
0745
A nurse is providing teaching to a client who has a diabetes mellitus about carbohydrate intake needs when exercising. Which of the following foods should the nurse include as containing a 15 g serving of carbohydrates? 2 slices bread 1 cup sugar-free yogurt 1 cup milk 1 cup regular ice cream
1 cup milk
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? Jugular venous distention Abdominal distension Dependent edema Hacking cough
Hacking cough
A nurse in a provider's office is assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions? Asthma Aortic valve regurgitation Heart failure Aortic stenosis
Heart failure
A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. Which of the following beverages should the nurse tell the client to avoid while taking this medication? Milk Orange juice Coffee Grapefruit juice
Grapefruit juice
A nurse is teaching a middle-age client about hypertension. Which of the following information should the nurse include in the teaching? "Reaching your goal blood pressure will occur within 2 months." "Diuretics are the first type of medication to control hypertension." "Limit your alcohol consumption to three drinks a day." "Plan to lower saturated fats to 10 percent of your daily calorie intake."
"Diuretics are the first type of medication to control hypertension."
A nurse is caring for a client who has osteoarthritis and asks about the use of glucosamine. Which of the following statements should the nurse make? (Select all that apply.) "Glucosamine might increase bleeding." "Glucosamine can help lower blood pressure." "Glucosamine can increase blood glucose levels." "Glucosamine hydrochloride has been shown to decrease the discomfort of osteoarthritis." "Clients who have shellfish allergies might experience reactions when taking glucosamine."
"Glucosamine might increase bleeding." "Glucosamine can increase blood glucose levels." "Clients who have shellfish allergies might experience reactions when taking glucosamine."
A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching? "I can expect to have swelling in my face." "I will lose protein in my urine." "I should expect my provider to prescribe a kidney biopsy." "I should increase my sodium intake."
"I should increase my sodium intake."
A nurse is teaching a client about preventing osteoporosis. Which of the following statements by the client indicates a need for further teaching? "I will reduce my intake of sodium." "I will decrease my intake of caffeine." "I will limit my intake of soft drinks." "I will reduce my intake of vitamin K-rich foods."
"I will reduce my intake of vitamin K-rich foods."
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching? "I'll wear sandals in warm weather." "I'll put lotion between my toes after drying my feet." "I'll check my feet every day for sores and bruises." "I'll soak my feet in cool water every night before I go to bed."
"I'll check my feet every day for sores and bruises."
A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following responses by the nurse is appropriate? "Incorporate nonverbal cues in the conversation." "Ask multiple choice questions as part of the conversation." "Use a higher-pitched tone of voice when speaking." "Use simple, child-like statements when speaking."
"Incorporate nonverbal cues in the conversation."
A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include? "Take this medication before bedtime." "Monitor for leg cramps." "Avoid grapefruit juice.' "Reduce intake of potassium-rich foods."
"Monitor for leg cramps."
G A nurse is teaching a client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching? "Apply a heat pack at a temperature below your body temperature." "Elevate the affected joint on large pillows." "Take acetaminophen as the primary medication to treat the pain." "Decrease foods high in purines."
"Take acetaminophen as the primary medication to treat the pain."
A nurse is teaching the family of an older adult client who has a new diagnosis of dementia. Which of the following statements should the nurse include in the teaching? "Dementia is characterized by a sudden onset of confusion." "An altered level of consciousness is associated with dementia." "The signs of dementia are progressive and irreversible." "Dementia can be triggered by a high fever or dehydration."
"The signs of dementia are progressive and irreversible."
A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching? "You will need to remove all jewelry before the test." "You will need to lie flat for 4 hours following the test." "You will need to empty your bladder before the test." "You will need to fast for 12 hours before the test."
"You will need to remove all jewelry before the test."
A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium? A client wants to know the current time while there is a clock on the wall. A client attempts to climb out of bed and repeatedly states she must get home. A client requests extra blankets when the thermostat in the room indicates 25.6° C (78° F). A client refuses to get out of bed and has no motivation to attend to daily hygiene.
A client attempts to climb out of bed and repeatedly states she must get home.
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients? A client who has diabetes mellitus and is having difficulty self-administering insulin because of poor eye sight A client who has terminal cancer and needs assistance with pain management A client who is recovering from a stroke and needs someone to provide care while his spouse is at work A client who has dementia and needs help with activities of daily living
A client who has terminal cancer and needs assistance with pain management
A nurse is assessing four female clients for obesity. Which of the following clients have manifestations of obesity? A client who has a body fat of 22% A client who has a BMI of 28 A client who has a waist circumference of 81.3 cm (32 in) A client who weighs 28% above ideal body weight
A client who weighs 28% above ideal body weight For a female client, obesity is classified as a weight 20% greater than ideal weight
A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV? An occupational therapist who works with a client who has HIV A personal trainer who works with a client who has HIV A phlebotomist who collects blood from clients who have HIV A nurse who works for an insurance company and collects urine samples from clients who have HIV
A phlebotomist who collects blood from clients who have HIV
A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet? Carrots Broccoli Cabbage Potatoes
Broccoli
A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? Acetaminophen Celecoxib Cyclobenzaprine Ibuprofen
Acetaminophen
A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information? (Select all that apply.) Affects weight-bearing joints Crepitus can occur in affected joints Affects bilateral, symmetrical joints Causes joint stiffness Causes joint pain
Affects weight-bearing joints Crepitus can occur in affected joints Causes joint stiffness Causes joint pain
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.) Bacteria Diuretics Aging Obesity Smoking
Aging Obesity Smoking
A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft? Measure the client's blood pressure to ensure it is higher in the left arm than the right. Check the brachial and radial pulses of the left arm simultaneously. Auscultate the site for a bruit. Auscultate the antecubital fossa using a Doppler stethoscope.
Auscultate the site for a bruit.
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.) Polyuria Blurred vision Polydipsia Tachycardia Moist, clammy skin
Blurred vision Tachycardia Moist, clammy skin
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? Positive Western blot test CD4-T-cell count 180 cells/mm3 Platelets 150,000/mm3 WBC 5,000/mm3
CD4-T-cell count 180 cells/mm3 A CD4-T-cell count of less than 180 cells/mm3 indicates that the client is severely immunocompromised and is at high risk for infection
A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include? Consume less than 45% of total calories from carbohydrates per day. Eat no more than 300 mg of cholesterol per day. Consume less than 0.8 g/kg of body weight of protein per day. Eat at least 45 g of fiber per day.
Consume less than 0.8 g/kg of body weight of protein per day.
A nurse is providing teaching to a client who has hypertension and a new prescription for captopril. Which of the following instructions should the nurse provide? Do not use salt substitutes while taking this medication. Take the medication with food. Count your pulse rate before taking the medication. Expect to gain weight while taking this medication.
Do not use salt substitutes while taking this medication.
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/79 mm Hg places him in which of the following categories? Within the expected reference range Elevated Stage 1 hypertension Stage 2 hypertension
Elevated
A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect? Hypokalemia Metabolic alkalosis Hypercalcemia Elevated BUN
Elevated BUN
A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect? Decreased brain natriuretic peptide (BNP). Elevated central venous pressure (CVP). Increased pulmonary artery wedge pressure (PAWP). Decreased specific gravity
Elevated central venous pressure (CVP).
G A charge nurse is teaching a group of nurses about agonists and antagonists. The nurse should include in the teaching that which of the following agonist medications binds to receptors and causes activation that affects the cardiovascular system? Insulin Epinephrine Morphine Norethindrone
Epinephrine
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching? Exercise at least three times per week. Take diuretics early in the morning and before bedtime. Notify the provider of a weight gain of 0.5 kg (1 lb) in a week. Take naproxen for generalized discomfort.
Exercise at least three times per week.
A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA? Morning stiffness Fatigue Temporomandibular joint pain Baker's cysts
Fatigue
A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms? Pneumocystis lung infection Flu-like symptoms and night sweats Fungal and bacterial infections Kaposi's sarcoma
Flu-like symptoms and night sweats
A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect? Transient ischemic attack (TIA) Hemorrhagic stroke Thrombotic stroke Embolic stroke
Hemorrhagic stroke
A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect? Dry, hacking cough Hepatomegaly Dizziness Crackles in the lungs
Hepatomegaly (liver enlargement)
A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include? It is primarily transmitted through casual contact. It is primarily transmitted through accidental puncture wounds. It is primarily transmitted through direct contact with infected body fluids. It is primarily transmitted through mosquitoes.
It is primarily transmitted through direct contact with infected body fluids.
A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition? Anorexia Knuckle deformity Low-grade fever Weight loss
Knuckle deformity
A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client? Lordosis Ankylosis Kyphosis Scoliosis
Kyphosis a forward "stooping" posture with a loss of height, is an angulation of the posterior curve of the thoracic spine, usually a result of osteoporosis.
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan of care? Provide a cognitively stimulating environment. Rotate staff to prevent caregiver role strain. Limit the client's choices for daily activities. Use confrontation to manage negative behavior.
Limit the client's choices for daily activities.
A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching? Use Echinacea to manage joint pain. Apply ice to the joint before exercising. Maintain a recommended body weight. Reduce the amount of purine in the diet.
Maintain a recommended body weight.
A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect? Gradual onset of several hours Manifestations preceded by a severe headache Maintains consciousness History of neurologic deficits lasting less than 1 hr
Manifestations preceded by a severe headache
A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following recommendations should the nurse make to the client for a sweetener? Corn syrup Natural honey Nonnutritive sugar substitute Guava nectar
Nonnutritive sugar substitute
A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following action should the nurse take? Provide the client with water to test the gag reflex. Perform carotid massage. Notify emergency management services. Drive the client to the nearest medical facility.
Notify emergency management services.
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take? Suggest that the client use a salt substitute. Obtain a 12-lead ECG. Advise the client to add citrus juices and bananas to her diet. Obtain a blood sample for a serum sodium level.
Obtain a 12-lead ECG. This client's potassium level is above the expected reference range of 3.5-5.0 mEq/L and is at risk for dysrhythmias as well as cardiac arrest
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect? Weight loss Increased urine output Bradycardia Orthopnea
Orthopnea increased venous return to the heart and lungs, which leads to pulmonary congestion. The congestion causes orthopnea, or difficulty breathing, while lying down
A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect? Symmetric joints affected Pain worsens with activity Weight loss Ulnar deviation
Pain worsens with activity
A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider? Sodium 136 mEq/L Potassium 2.3 mEq/L Chloride 99 mEq/L Calcium 10 mg/dL
Potassium 2.3 mEq/L
A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance? Cimetidine Dextromethorphan Prednisone Atorvastatin
Prednisone
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which of the following prescriptions should the nurse expect? (Select all that apply.) Provide skin care with a moisture barrier cream. Administer artificial tears PRN. Obtain vital signs every 2 hr. Perform mouth care every hour. Administer oxygen 2 L/min via nasal cannula.
Provide skin care with a moisture barrier cream. Administer artificial tears PRN. Perform mouth care every hour. Administer oxygen 2 L/min via nasal cannula.
A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (Select all that apply.) Reduce cholesterol and saturated fat intake. Increase physical activity and daily exercise. Enroll in a smoking-cessation program. Sustain hyperglycemia to reduce deterioration of nerve cells. Maintain optimal blood pressure to prevent kidney damage.
Reduce cholesterol and saturated fat intake. Increase physical activity and daily exercise. Enroll in a smoking-cessation program. Maintain optimal blood pressure to prevent kidney damage.
A nurse is teaching a client who has rheumatoid arthritis about increasing physical rest as part of her treatment plan. Which of the following outcomes of this intervention should the nurse document as a goal for this client? Reduced joint stress Maintenance of joint function Suppression of the inflammatory process Decreased stiffness
Reduced joint stress
A nurse in a provider's office is collecting a health history from a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis? Obesity Sedentary lifestyle Long-term use of diuretics Prolonged stress
Sedentary lifestyle
A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors should the nurse include in the teaching? (Select all that apply.) Sedentary lifestyle Obesity Aging Caffeine intake Secondhand smoke
Sedentary lifestyle Aging
A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? Drinks one alcoholic beverage per day Smokes 1 pack of cigarettes per day Large body stature History of bone fracture during childhood
Smokes 1 pack of cigarettes per day
A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect? Dry, flushed skin Deep, rapid respirations Tachycardia Polyuria
Tachycardia
A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide? Weigh weekly to monitor therapeutic effect. Take the medication on an empty stomach. Take the medication early in the day. Muscle pain is an expected adverse effect.
Take the medication early in the day. (to avoid nocturia) hydrochlorothiazide is used to treat edema
A nurse is caring for a client who has a new diagnosis of essential hypertension. The nurse should monitor the client for which of the following findings that is consistent with this diagnosis? Vertigo Uremia Blurred vision Dyspnea
Vertigo
A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make? High-impact aerobics Walking briskly Riding a bicycle Stretching exercises
Walking briskly
A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first? reposition the client administer the medication determine the location of the pain review the effects of the pain medication
determine the location of the pain
A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior? remind the client to tell the nurse when he has to urinate use adult diapers to prevent frequent clothing changes take the client to the bathroom every 2 hr request a prescription for an indwelling urinary catheter
take the client to the bathroom every 2 hr
