ATI NGN questions

The nurse is reviewing laboratory results in the adolescent's medical record. Which of the following conditions is the client most likely developing: -Pelvic inflammatory disease -ectopic pregnancy -pyelonephritis and ___________ reactive protein

Pelvic inflammatory disease C-reactive protein

A nurse is caring for a postpartum client. Based on the nurse's assessment findings, which of the following condition is the client t greatest risk for developing. The client is at greatest risk for developing ______________ as evidenced by_________________ Condition: -endometritis -preeclampsia -hemorrhage -venous thrombosis -Urinary tract infection Findings: -Amount of lochia -Temperature -increase blood pressure -bilateral lower extremity edema - urine analysis

Preeclampsia Increased blood pressure

A nurse is caring for a postpartum client. Complete the following sentence by using the list of options. The priority intervention the nurse should perform is________________ followed by __________________ Drop down 1: - assess the client deep tendon reflexes -monitor for manifestations of deep vein thrombosis and assess the client's incisional pain Drop down 2: -assess the client for visual disturbances -administer a pain medication and encourage the client to use relaxation techniques

- assess the client deep tendon reflexes -assess the client for visual disturbances

A nurse at a provider's office is caring for a client who is 28 years of age. the nurse is collaborating with another nurse about the client's plan of care. For each potential provider's prescription click to specify if the potential prescription is anticipated or contraindicated for the client. -Transvaginal ultrasound -meperidine IM -Repeat quantitative B-hCG level -Methotrexate IM -Blood Typing

-anticipated -contraindicated -anticipated -anticipated -anticipated

A nurse is reviewing the provider's prescription in the adolescent's medical chart. Complete the following sentence by using the list of options: The nurse should first implement ___________ and _________________

-educate first -ceftriaxone

A nurse is caring for a newborn who is 70hr old. Which of the following findings should the nurse report to the provider. -gastrointestinal findings -central nervous system -oxygen saturation -temperature -respiratory findings

-gastrointestinal findings -central nervous system

The nurse is reviewing the postpartum client's medical record. The nurse is planning care for the postpartum client. For each potential provider prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. 1. Obtain specimen for urinalysis 2. Monitor intake and output 3. administer magnesium sulfate 4. place the client on seizure precautions 5. administer labetalol 6. draw creatinine and BUN

1. anticipated 2. anticipated 3.anticipated 4. anticipated 5.contraindicated 6. anticipated

A nurse is caring for a client who is pregnant. Which of the following actions are the nurse's priorities? Select the 4 actions that the nurse should take immediately. 1. Assess cervical dilation 2. Administer a bolus of IV fluids 3. Insert an indwelling urinary catheter 4. reposition the client to their side 5. apply oxygen at 10 to 12 L/min by non rebreather mask 6. elevate the client's legs 7. evaluate the client's pain

2. Administer a bolus of IV fluids 4. reposition the client to their side 5. apply oxygen at 10 to 12 L/min by non rebreather mask 6. elevate the client's legs

A nurse at a provider's office is caring for a client who is 28 years of age. The nurse is evaluating the client following surgery. Which of the following findings indicate that the client is experiencing a potential complication of surgery that requires immediate follow-up 1. Drowsy but easy to arouse 2. Temperature 35.3C (95.5F) 3. heart rate 60/min 4. respirations 16/min 5. Blood pressure 90/60 mm Hg 6. Oxygen saturation 94% (oxygen 2L/min via nasal cannula) 7. skin cool and moist to touch 8. pedal pulse +1 bilateral

2. Temperature 35.3C (95.5F) 5. Blood pressure 90/60 mm Hg 6. Oxygen saturation 94% (oxygen 2L/min via nasal cannula) 7. skin cool and moist to touch 8. pedal pulse +1 bilateral

A nurse at a provider's office is caring for a client who is 28 years of age. The nurse is preparing the client for surgery. which of the following actions should the nurse take: 1. ensure the client is NPO prior to surgery 2. administer rhoD immune globulin prior to surgery 3. prepare to administer AB positive blood products if needed 4. insert 18 gauge peripheral IV prior to surgery 5. explain the surgical procedure to the client 6. obtain a complete blood count 7. verify a consent form is signed by the client

4. insert 18 gauge peripheral IV prior to surgery 6. obtain a complete blood count 7. verify a consent form is signed by the client

A nurse is caring for a client who is 3 days postpartum. Complete the diagram. (Bow Tie) Actions to Take: -Plan to administer IV antibiotics -Insert an indwelling urinary catheter -palpate perineu for an area of firmness -obtain a culture of vaginal fluid using a sterile swab -encourage client to drink large amounts of fluids Potential Conditions: -UTI -Vaginal laceration -Endometritis -hematoma Parameter to Monitor: -Temperature -Hemoglobin and hematocrit levels -lochia amount and odor -bladder distention -diameter of edematous area

Actions to take: -Plan to administer IV antibiotics -obtain a culture of vaginal fluid using a sterile swab Condition: -Endometritis Parameter to Monitor: -Temperature -lochia amount and odor

A nurse at a provider's office is caring for a client who is 28 years of age. After reviewing the client's current assessment findings, the nurse should identify that the client i experiencing ______________(condition) as evidence by ____________(findings) Condition: -abruptio placentae - acute asthma attack -pyelonephritis -ectopic pregnancy -placenta previa Findings: -a history of regular menstrual period - right lower quadrant abdominal tenderness -hyperactive bowel sounds -temperature -respiratory rate

Ectopic pregnancy right lower quadrant abdominal tenderness

A nurse at a provider's office is caring for a client who is 28 years of age. The nurse should first address the client's _________ followed by the client's___________ Dropdown1: -heart rate -lungs sounds and bowel sounds Drop down 2: -vaginal spotting -hemoglobin level and anxiety

heart rate vaginal spotting

Determine assessment findings of trichomoniasis Gonorrhea and Candidiasis -abdominal pain -greenish discharge -Diabetes -pain on urination -absence of condom use

Trichomoniasis: -greenish discharge -pain on urination -absence of condom use Gonorrhea: -abdominal pain -greenish discharge -pain on urination -absence of condom use Candidiasis: - diabetes -pain on urination

A nurse at a provider's office is caring for a client who is 28 years of age: Select 3 findings that require immediate follow-up 1. Heart rate 2. Abdomen assessment 3. respiratory assessment 4. Vaginal spotting 5. Bowel sounds 6. Menstrual period 7. Oxygen saturation 8. Temperature

Abdomen assessment vaginal spotting Menstrual period

A nurse is caring for a client who is pregnant in an antepartum clinic. Which of the following findings should the nurse report to the provider. select the 3 findings that should be reported -maternal blood pressure -vaginal examination -gestational age -fetal heart rate -uterine contractions

-vaginal examination -gestational age -uterine contractions

A nurse is caring for a postpartum client. A nurse is performing an assessment on the client. Which of the following findings should the nurse report to the provider. Select all that apply. -Fundus 2 cm below the umbilicus -Blood Pressure 152/105 mm Hg -+2 pitting edema - Headache -Heartburn -Light amount of lochia rubra

- Blood pressure 152/105 mm Hg -+2 pitting edema -Headache -Heartburn

The nurse has reviewed the recent Nurse's Notes and the Diagnostic results. click to highlight the findings that indicate the client's condition is not improving. - Clonus positive. DTR 4+ -Reports headache as 4 on a 0 to 10 pain scale - Hgb 11g/dl (>11g/dl) -Platelets 95,000mm3 (150000-400000) -BUN 20mg/dL (10 to 20mg/dL) -Creatinine 0.9mg/dL (0.5 to 1mg/dL) -aspartate aminotransferase (AST) 60units/L (0 to 35 units/L) - Alanine amino transferase (ALT) 50 units/L (0 to 36 units/l)

- Clonus positive. DTR 4+ -Reports headache as 4 on a 0 to 10 pain scale -Platelets 95,000mm3 (150000-400000) -aspartate aminotransferase (AST) 60units/L (0 to 35 units/L) - Alanine amino transferase (ALT) 50 units/L (0 to 36 units/l)

Which client statements indicate understanding: 1. "i should continue taking all my medication even if i don't show any symptoms 2. if i continue to get this type of infection it can affect my ability to have kids in the future 3. I should go to the emergency department if my urine turns dark 4. as long as i keep my IUD i don't need to use condoms 5. I'm more likely to get sunburn while taking these medications

1. "i should continue taking all my medication even if i don't show any symptoms 2. if i continue to get this type of infection it can affect my ability to have kids in the future 5. I'm more likely to get sunburn while taking these medications

A nurse in a clinic is caring for a 16 year old adolescent. Which of the following should the nurse report to the provider. 1. Abdominal assessment 2. Vaginal discharge 3. heart rate 4. temperature 5. Dyspareunia 6. Condom usage

1. Abdominal assessment 2. Vaginal discharge 4. temperature 5. Dyspareunia 6. Condom usage

A nurse is caring for a newborn who is 72hr old. The nurse is planning to contact the provider regarding the newborn's status. which of the following prescriptions regarding the newborn should the nurse anticipate? 1. Initiate neonatal abstinence syndrome (NAS) scoring 2. maintain a low-stimulus environment 3. give one time dose of naloxone IM 4.Administer scheduled doses of oral morphine 5.instruct the mother to discontinue breastfeeding

1. Initiate neonatal abstinence syndrome (NAS) scoring 2. maintain a low-stimulus environment 4.Administer scheduled doses of oral morphine

The nurse is reviewing the client's electronic medical record. which of the following actions should the nurse take: Select the 5 actions that the nurse should perform 1. Place the client on seizure precautions 2. Administer magnesium sulfate IV bolus as prescribed 3. Monitor the client's blood pressure every hour 4. obtain creatinine, platelet, BUN, and liver enzymes as prescribed 5. Assess for worsening headache and epigastric pain hourly and PRN 6. Monitor level of consciousness, DTRs and visual disturbances hourly

1. Place on seizure precautions 2. Administer magnesium sulfate IV Bolus as prescribed 4. Obtain the creatinine, plateler, BUN, and liver enzymes values as prescribed 5. Assess for worsening headache and epigastric pain hourly an PRN 6. Monitor level of consciousness, DTRs, and visual disturbances hourly

select the following: 1. educate the parents to begin range of motion exercises on the affected arm after 1 week 2. assess for grasp reflex in the affected extremity 3. immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirts 4. Instruct the parents to limit physical handling for 2 weeks

1. educate the parents to begin range of motion exercises on the affected arm after 1 week 2. assess for grasp reflex in the affected extremity 3. immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirts

The nurse is reviewing laboratory results in the adolescent's medical record. the nurse is planning care for the adolescent. Which of the following prescription should the nurse expect the provider to prescribe. The nurse should anticipate a provider's prescription for ______________ and ____________ Ceftriaxone Doxycycline Imiquimod Fluconazole Acyclovir

Ceftriaxone Doxycycline