ATI practice exam test 3

A nurse is teaching a client, who is newly diagnosed with type 1 diabetes mellitus, about insulin safety. Which of the following statements by the nurse is appropriate?

"Insulin is stable at room temperature for one month."

A nurse is developing a plan of care for a client admitted to the hospital for myxedema crisis. Which of the following interventions should the nurse anticipate?

Medication administration to increase blood pressure

A nurse is caring for a client with a chronic wound. Which of the following is a systemic cause of chronic wounds?

malnutrition

A nurse is caring for a client who has headaches. In determining a diagnosis, which of the following precipitating factors is common in both tension-type headaches and cluster headaches?

stress

A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?

"Eye drops and dim lighting can improve your symptoms."

A nurse is evaluating the effectiveness of client teaching on managing hypoglycemic episodes. Which of the following statements by the client indicates that teaching has been effective?

"I should eat something high in sugar and avoid foods with fat and protein."

A nurse is educating a 28-year-old female client about the impacts of hypothyroidism on overall health. Which of the following statements would the nurse include in the teaching?

"If you become pregnant, low thyroid hormone levels can affect your developing fetus."

A nurse is caring for a client who has chronic migraine headaches. The client asks the nurse if it could be a cerebral aneurysm. Which of the following responses should the nurse use?

"If you have a cerebral aneurysm, you typically will have no symptoms."

A nurse is caring for a client who has type 2 diabetes mellitus and reports blurred vision, numbness in feet, and has had a wound on the right leg for the last 2 months. The clinic nurse notes that the client's Hemoglobin A1C is 8.1%. Which of the following should the nurse include in the client's plan of care?

"The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that your blood sugar level has been too high."

A nurse is providing teaching to a client who has a new diagnosis of metabolic syndrome. Which statement by the nurse regarding treatment options is appropriate to include in the teaching?

"Treatment will focus on lowering your blood pressure, cholesterol, and blood sugar."

nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?

"You will need to use a bathroom separate from other household members."

11. A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome?

- HTN -moon face -purple striations -buffalo hump

A nurse is caring for a client who reports continuing problems related to migraines. The nurse is assessing the psychosocial impact of migraines on the client. Which of the following questions should the nurse include in the assessment?

-"Are you having any feelings of depression?" -"Are you feeling any increase in your sexual drive?" -"Are you experiencing any episodes of 'panic-type' feelings?"

A client who has a history of migraines reports to a clinic with a throbbing headache. Which of the following questions should the nurse include in the assessment?

-"Have you had any nausea and vomiting with your headache?" -"Are you bothered by the lights in here?" -"Have you experienced or are you experiencing any strange smells?" -"Did you feel weak before the headache started or do you feel weak now?"

Which of the following assessment findings would indicate to the nurse that the client is at risk for developing diabetic ketoacidosis (DKA)?

-Blood glucose level is typically above 250 mg/dL. -Blood β-hydroxybutyrate level is elevated and serum ketones are often present. - Metabolic panel abnormalities will include HCO3 of 15 mEq/L or less and an anion gap greater than 10. -Blood gases typically show a pH under 7.3. A urinalysis will likely be positive for both glucose and ketones. -C-peptide levels will be decreased in clients who have type 1 diabetes. HbA1c is 7% or higher.

A nurse is providing hygiene care for a client who is immobile. Which of the following actions should the nurse take

-Check for personal items when changing the bed linens -Keep the bath water temperature between 43.3° C (110° F) and 46.1° C (115° F) -Shave the client's hair in the direction of the hair growth

A nurse is caring for a client who has multiple sclerosis. Which of the following assessment findings should the nurse anticipate with this client?

-Difficulty acquiring, retaining, and retrieving memories is a common manifestation of multiple sclerosis -Lhermitte's sign is a finding associated with multiple sclerosis. Lhermitte's sign is a brief, electrical-shock pain that extends from the back of the head down the spine and can affect the extremities. This type of pain is experienced when the client who has multiple sclerosis bends their neck forward. It indicates damage to the cervical spine. -optic neuritis

8. A nurse is caring for a client who has burns to approximately 50% of their body. Which of the following physiological changes related to the burns should the nurse anticipate

-Loss of protein -capillary leak -decrease plasma volume

A nurse is teaching a client who has psoriasis about possible treatment options. Which of the following treatments should the nurse include in the teaching?

-Tar preperations -corticosteroids -ultra violet light therapy

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate?

-Use pillows to keep heels off the bed surface -Minimize skin exposure to moisture is correct.

A nurse is completing discharge teaching to a client about nutrition therapy for wound healing following major surgery. Which of the following vitamins that promote wound healing should the nurse include in the teaching?

-Vit A -Vit b12 -Vit C -Vit K

A nurse is caring for a client during fluid resuscitation for burns. Which of the following are used to evaluate the success of fluid resuscitation

-blood pressure -urine output -LOC

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?

-blurred vision -tachycardia -moist clammy skin

A nurse is caring for a client who has type I diabetes mellitus and is not following the guidelines for therapy. Which of the following should the nurse consider as contributing factors to the client's nonadherence?

-culture -literacy -dexterity -motivation

When analyzing assessment data, the nurse should recognize that clients who have hypoglycemia commonly experience

-irritability, shakiness, diaphoresis, nausea, fatigue, dizziness, headache, vision problems, and fatigue -tachycardia -Some medications used to treat health issues may cause hypoglycemia including the antibiotic Levaquin, (levofloxacin) and betablockers, such as Atenolo

A nurse is caring for a client who has multiple sclerosis and is being evaluated for progressive multifocal leukoencephalopathy (PML). Which of the following findings should the nurse recognize as manifestations of this condition?

-memory loss -vision difficulty -progressive weakness in the arms and legs -loss of coordination -clumsiness -aphasia.

A nurse is assessing a client who has Bell's palsy. Which of the following findings should the nurse expect?

-muscle distortion -pain behind ear -impaired taste

A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Which of the following actions should the nurse take?

-offer client back rub -remind client to use incisional splinting -identify the clients pain level -change the clients position

A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer?

-overexposure to ultraviolet light -previous skin injury -genetic predispositions

A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect?

-sensitive to touch -wound blanches with pressure -blisters present on skin

A nurse is reinforcing teaching to a group of nursing students about causes of traumatic brain injuries (TBIs). Which of the following should the nurse include in the teaching?

-sports related injury -violence -falls

cushings triad

-the nurse should identify that the findings of widening pulse pressure, bradycardia, shallow breathing, and episodes of apnea are signs of increasing intracranial pressure and require immediate follow-up. -The nurse should recognize that if left untreated, this client can progress to brainstem herniation.

9. Which of the following actions should the nurse take when caring for a client with severe burns

-the nurse should recognize that opiate analgesics are appropriate for managing burn pain. -the nurse should recognize that benzodiazepines may be used to manage anxiety in clients with burns. Benzodiazepines can decrease the amount of opioid medication required.

A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?

A 35-year-old male who has Graves' disease

A nurse is caring for a client who has a subarachnoid hemorrhage and asks why they are having a CT angiography. Which of the following should the nurse understand about CT angiography?

A CT angiogram will reveal any decreased blood flow related to vasospasm.

A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?

A client who does not get much sleep

The nurse is caring for several clients on a hospital unit. Which of the following clients is most at risk for hypoglycemia?

A client with type 1 diabetes mellitus who has taken a high dose of insulin

A nurse is caring for a client with a chronic wound and is discussing smoking cessation. The client does not understand how smoking may impact wound healing. Which of the following would be the best nurse response?

A. Nicotine causes vasoconstriction so your wound might not get enough blood flow to heal

A nurse educator is working with the staff to decrease skin tissue injuries to clients on the medical surgical unit. Which of the following practices will decrease friction injuries?

Assist the client with a trapeze to raise their body while staff assists with repositioning.

A nurse in the emergency department is caring for a client who appears shaky, pale, clammy, and is tachycardic. The client states, "I think I'm having an anxiety attack and need some medication." Which of the following is an appropriate action for the nurse to take?

Check a fingerstick blood glucose level.

A nurse is caring for a client in the emergency department who has a preliminary diagnosis of a transient ischemic attack (TIA). Which of the following diagnostic testing should the nurse anticipate the provider to prescribe?

Computerized tomography angiography (CTA)

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform?

Cushing's syndrome affects blood glucose levels by causing increased release of glucose from the liver and decreased sensitivity of insulin receptors. This can result in elevated blood glucose levels.

A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following conditions should the nurse monitor the client for due to the client's lack of insulin production?

DKA

A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a possible consequence of a TBI?

Disruption of cellular function and blood vessel damage

A nurse is preparing a poster about chronic traumatic encephalopathy (CTE) for a local community health fair.

Football, military service, and physical abuse

A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client's beta cells are restoring normal function?

HbA1c = 5.6 %

A client presents in the emergency department complaining of palpitations and tachycardia. Blood glucose testing reveals a level of 40 mg/dL, and the client reports no usual symptoms of a low glucose level. Which of the following conditions may the client be experiencing?

Hypoglycemia-associated autonomic failure

A nurse is caring for a client who has psoriasis presenting as reddish/purple and flaky patches on their arms and legs. The nurse should be alert to which of the following potential complications of this condition?

Psychological distress

A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management

The client should maintain systolic BP between 120 and 129 mm Hg.

A nurse is planning care for a client who has type 1 diabetes mellitus and is scheduled for joint replacement surgery. Which of the following considerations should the nurse include in the plan of care?

The client's blood glucose levels may fluctuate more severely.

A nurse is caring for a client during the fluid resuscitation phase of burn management. Which of the following is the best method for assessing the results of the fluid resuscitation?

Urine output is greater than 0.5 mL/kg/hr

A client who has a history of migraines comes into the clinic reporting "tingling of the face" and blind spots in the eyes. Which of the following phases of a migraine is the client experiencing?

aura

A nurse is collecting neurologic data on a client who has a neurological injury and notes changes suggestive of Cushing's Triad. The nurse understands that Cushing's Triad is a nervous system response that might prevent which of the following conditions?

brainstem ischemia

A nurse is caring for a 70-year-old client who has a pressure injury in the coccyx area. The nurse identifies that which of the following factors associated with aging may impact the ability for the ulcer to heal?

decreased protein level

A nurse is assessing a client who has type 1 diabetes mellitus1 and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?

mentals status change

A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?

myxedema coma

A nurse is providing education to a community group about burn prevention. Which of the following is an example of a first-degree burn?

sunburn

A nurse is caring for a client who reports increased anxiety and nervousness, heat intolerance, and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH), elevated thyroxine (T4), and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?

tachycardia

nurse is assessing a client who is experiencing thyroid storm. Which of the following findings should the nurse anticipate?

tachycardia

A nurse is caring for a client who has multiple sclerosis. Which of the following factors should the nurse anticipate have been identified as contributing to the development of multiple sclerosis?

there are three kinds of factors that have been linked to the development of multiple sclerosis: -genetic -environmental -autoimmune factors.