ATI questions

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A nurse is caring for a client with anorexia nervosa who has light skin. Which of the following findings should the nurse expect?

Presence of lanugo

A nurse is caring for a client who has bipolar disorder and a new prescription for valproic acid. Which of the following actions should the nurse take?

Monitor the client's liver function

An emergency room nurse is assessing a client who has anxiety disorder. The client is flushed, perspiring profusely, and experiencing palpitations. The client begins to scream, "I am going to die! I am having a heart attack!" The nurse should determine the client's level of anxiety to be which of the following?

Panic

A nurse is planning care for a client who has physical dependence on alprazolam and must discontinue the medication. Which of the following actions should the nurse include in the plan?

Taper the medication gradually over several weeks

A nurse is caring for a client who has bipolar disorder and has been prescribed lithium. The client's adult child states "I'm upset that my father is taking this medication." Which of the following responses should the nurse make?

Tell me what worries you have about your father taking medication

A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider's prescription?

Hypotension

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following statements should the include in the teaching?

"Buspirone causes nausea in some people"

A nurse is caring for a client who has end-stage lung cancer. which of the following client statements should the nurse identify as an indication that the client is experiencing the bargaining stage of Kubler-Ross stage of grief?

"I would give anything to live to see my grandchild born"

a nurse is teaching a client who has a prescription for a tricyclic antidepressant. Which of the following instructions should the nurse include in the teaching?

"It can take 6 weeks to achieve the full effect of this medication"

A nurse is providing teaching to a client who has a new prescription for chlorpromazine. Which of the following statements should the nurse make?

"This medications is an antipsychotic that controls manifestations of schizophrenia"

A nurse is providing discharge teaching for a female client with anxiety disorder who has a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching?

"this medication must be discontinued by gradual tapering over time"

A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching?

"you should have your white blood cell count checked once per week for 6 months"

a nurse is administering alprazolam for the firs time to a client who has anxiety. The nurse should monitor the client for which of the following adverse effects of this medicaiton?

Drowsiness

a nurse is monitoring a client who has schizophrenia and is receiving treatment with fluphenazine hydrochloride. Which of the following findings is an indication of neuroleptic malignant syndome that the nurse should report to the provider?

Elevated temperature

A nurse is assessing a client who has been taking thioridzaine hydrochloride for several days. The client reports hand tremors, drooling, and rigid extermeties. Which of the following should the nurse take?

Administer benztropine

A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil. Which of the following actions should the nurse take?

Administer the medication at bedtime.

A nurse is assessing a client who has an anxiety disorder and is taking a benzodiazepine. Which of the following averse effects should the nurse monitor the client?

Dizziness

A nurse is assessing a client who is experiencing post-traumatic stress disorder (PTSD) following a traumatic event. Which of the following medications should the nurse expect the provider to prescribe?

Paroxetine

A nurse is conducting a risk assessment for clients who are prescribed medications that can cause orthostatic hypotension. Which of the following medications requires a follow-up by the nurse?

Phenelzine

A nurse is assessing a client prior to administering lithium. The client began taking lithium 1 week ago for the treatment of mania. For which of the following findings should the nurse withhold the dose?

Reports of nausea with frequent episodes of mania

A nurse is assessing a school-aged child who has ADHD and has been taking desipramine. Which of the following adverse effects should the nurse expect the child's parent to report?

Sedation

A nurse is preparing to administer benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects?

Sedation

A nurse is reviewing the medical record of a client who has a new prescription for tranylcpromine. The client has a current presciption for sertraline. The nurse should not notify the provider because taking these medications concurrently increases the risk of which of the following adverse effects?

Serotonin syndrome

A charge nurse is discussing ethics with a newly licensed nurse. Which of the following actions should the charge nurse include as an example of beneficence?

Spending extra time reorienting a client who is experiencing command hallucinations

A nurse is assessing a client who is experiencing moderate-level anxiety. Which of the following findings should the nurse expect?

The client has difficulty concentrating

a nurse is assessing a client who has ADHD and reports abruptly discontinuing his amphetamine treatment. Which of the following assessments indicates that the client is physically dependent on amphetamines?

The client reports eating excessively

A nurse is providing dietary teaching to a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). Which of the following selections by the client indicates and understanding of teaching?

Yogurt

A nurse is caring for a client who is receiving treatment at an inpatient alcohol treatment facility. Which of the following actions should the nurse identify as an example of an intentional tort?

informing the client that an injection will be administered if the client remains agitated. why? this is a threat toward the client that makes them fearful of harm or unwanted touching.

A nurse is assessing a client who has been taking an antipsychotic medication for 6 years. The provider has started tapering off the client's dosage. The nurse should monitor the client for which of the following manifestations of tardive dyskinesia?

involuntary tongue protrusion

a nurse is planning a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse include in the teaching?

older adult clients require a lower initial dose of antidepressant medication than adult clients.


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