ATI nurse logic 2.0 Advanced knowledge and clinical judgments

A nurse I'd 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 cromlym nebulizer before using my albuterol inhaler"

A nurse is caring for a client who has a new colostomy. The client is biting 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 mothers colostomy

"What part of your mothers care concerns you"

A nurse is caring for a client who is diagnosed with bipolar disorder and is taking lithium (lithane). Which of the following serum lithium levels indicates the clients dosage is appropriate for maintenance therapy

0.75 mEq/L

A nurse is caring for a client who weighs 132 lb and has been prescribed gentamicin (Garamycin) 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 patient who is pregnant with a single fetus and has a body mass index (BMI) of 23. When asked by the client how much weight she should gain during the pregnancy, which of the following responses by the nurse is appropriate.

25 - 35 pounds

A nursing supervising is determine bed placement for four clients. Which of the following clients should be p[laced on droplet precautions

A client who had rubella

A nurse is planning to obtain blood pressure on four clients. On which of the following clients should the nurse perform an electronic blood pressure measurement?

A client who is recovering from a cardiac catheterization

A nurse is caring for a client who has terminal pancreatic cancer. The client is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. Which of the following is necessary to legally change the clients code status to do-not-resuscitate (DNR)?

A written prescription from the provider

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 intervention?

Abdominal distention

A school nurse has requested the school board remove a piece of equipment due to a documented increase in injuries that can be linked back to it. The nurses actions are and example of which of the following

Advocacy

A nurse administrator is reviewing polices and procedures of the facility she works in to ensure confidentiality req 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 is postoperative following a wedge resection of a lung and has a chest tube with a water seal chest tube drainage system. The client report a burning pain in his chest. Which of the following action by the nurse is appropriate?

Assist the client to a side-lying position

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

Headache

A nurse is a assigned care for 4 clients. The client with which of the following drainage tubes is at an increased risk for hypokalemia?

NG tube suction

A nurse is caring for a school aged client with sickle cell anemia and has been admitted for a vast-occlusive crisis. Which of the following findings has the highest priority

Slurred speech

A nurse is caring or 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 the diagnosis

Sputum culture for acid-fast bacillus

A nurse is reinforcing teaching about the diet for dumping syndrome to a client who is postoperative following a gastric Tommy. Which of the following food selections by the client indicated the teaching was effective?

Toast with peanut butter

A nurse is collecting data on a client who is diagnosed with schizophrenia and is taking clozapine (Clozaril). Which of the following findings indicated the client is experiencing and adverse effect of the medication

WBC 2,800/mm3

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

Warm refrigerated drop to room temp prior to instillation

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