ATI questions for Exam #2

A nurse is providing dietary teaching to the parent of a child who has CF. which of the following dietary recommendations should the nurse make? A. Increase protein B. decrease calorie intake C. increase fiber intake D. decrease salt intake

A. increase protein

The nurse is caring for a client who is receiving mechanical ventilation and develops acute respiratory distress. Which of the following actions should the nurse take first? A. initiate bag-valve-mask vent B. provide the client with comm. board C. obtain a blood sample for ABG analysis D. document the ventilator settings

A. initiate bag-valve-mask ventilation

A nurse is providing dietary teaching to the parent of a toddler who has CF. Which of the following instructions should the nurse include? A. provide a high-fat diet B. limit the toddlers daily intake of sodium C. increase the toddlers intake of foods high in folic acid D. allow the toddler to skip meals when he is not hungry

A. provide a high-fat diet

a nurse is caring for a school aged child who has cystic fibrosis (CF) and has been using a corticosteroid inhaler for long term treatment. Which of the following findings should the nurse identify as an adverse effect of this medication? A. small stature for age B. decreased weight C. poor dentition D. atrophied muscles

A. small stature for age

A nurse in a medical surgical unit is assessing a client. The nurse should identify that which of the following findings is a manifestations of a PE? A. stabbing chest pain B. calf tenderness C. elevated temperature D. bradycardia

A. stabbing chest pain

A nurse on a medical surgical unit is caring for a client who is post op following a hip replacement surgery. The client reports feeling apprehensive and restless. Which of the following findings should the nurse recognize as an indication of PE? A. sudden onset of dyspnea B. tracheal deviation C. bradycardia D. difficulty swallowing

A. sudden onset of dyspnea

A nurse is assessing a client who has CF. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement? A. the client is having 1-2 bowel movements per day B. the clients glucose level is elevated C. the client has experienced weight loss D. the client has abdominal distention

A. the client is having 1-2 bowel movements per day

A nurse is caring for a child who has an exacerbation of cystic fibrosis. Which of the following laboratory findings should the nurse report to the provider immediately? A. BG of 140 B. O2 sat 85% C. RBC 3.2 D. Na 156

B. O2 sat 85%

A nurse is caring for a client who has a pelvic fracture. The client reports sudden SOB, stabbing chest pain, and feelings of doom. This client is experiencing which of the following complications> A. pneumonia B. PE C. tension pneumothorax D. tuberculosis

B. PE

A nurse on a medical unit is caring for a client who aspirated gastric contents prior to admission. The nurse administers 100% oxygen by non-rebreather mask after the client reports severe dyspnea. Which of the following findings is a clinical manifestation of ARDS? A. temp of 100.4 B. PaO2 50 mmHg C. Rhonchi D. Hypopnea

B. Pa02 50 mmHg

A charge nurse is making shift assignments for a team that includes RNs, LPNs, and APs. Which of the following clients should the nurse assign to an LPN? A. a client who was just admitted by the unit staff for recurring angina B. a client who has emphysema and pneumonia and is receiving oxygen C. a client who has breast cancer and is receiving chemo D. a client who was just admitted by the unit staff for CVA

B. a client who has emphysema and pneumonia and is receiving oxygen

A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. When the low-pressure alarm on the ventilator sounds, it indicated which of the following to the nurse? A. excessive airway secretions B. a leak within the ventilators circuitry C. decreased lung compliance D. the client coughing or attempting to talk

B. a leak within the ventilators circuitry

A nurse is teaching a client who is post op about the importance of Turing, coughing, and deep breathing. Which of the following statements should the nurse identify as an indication that the client understand the instructions? A. if I do this often, I won't experience muscle wasting B. if I do this often, I won't get pneumonia C.if I do this often I won't get constipation D. if I do this often I won't have a fast heartbeat

B. if I do this often, I won't get pneumonia

A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy and has a gastrostomy tube for enteral feedings. Which pieces of information are critical to communicate to the next nurse who will be caring for this client? SATA A. room temp B. new prescriptions C. number of visitors D. ABG results E. tracheal secretion characteristics

B. new prescriptions D. ABG results E. tracheal secretion characteristics

A nurse is caring for a client who has cystic fibrosis (CF) and has a prescription for high-dose ibuprofen daily. The nurse should identify that which of the following is an expected outcome for the client receiving this medication? A. thinned pulmonary secretions that are retained in the airway B. slowed progression of the pulmonary damage C. potentiated action of bronchodilators D. decreased risk of fevers associated from CF

B. slowed progression of pulmonary damage

A nurse is caring for a client who has a 20-year history of COPD and is receiving oxygen at 2L/ min via nasal cannula. The client is dyspneic and has an 02 sat via pulse ox of 85%. Which of the following actions should the nurse take? A. place nontbrarher on the client and increase the oxygen flow to 3L/min B. prepare the client for possible intubation and MV C. increase the oxygen flow and request an ABG D. position the client supine and administer anti anxiety medication

C. Increase the oxygen flow and request an ABG

A nurse is providing discharge teaching to a client who has PE. Which of the following statements indicates that the client understands the information? A. ill expect a little leg swelling since I won't be active for a while B. ill see the doctor every week to change my vena cava filter C. ill call the doctor if I see any blood in my urine or stool D. ill have to take the blood thinner for a dew days

C. ill call the doctor if I see any blood in my urine or stool

A nurse is providing teaching about disease-management strategies to a 9-year old client who has cystic fibrosis. Which of the following statements should the nurse include? A. thorough and effective pulmonary clearance can help prevent the need for a lung transplant when you get older B. you should eat these kinds of foods because they will help you grow big and strong C. your mucus is thick because CF interferes with how your glands work D. your medication follows a certain schedule to help you sleep better

C. your mucus is thick because cystic fibrosis interferes with how your glands work

A nurse is supervising a newly licensed nurse who is suctioning a client's tracheostomy. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure? A. using clean technique to perform the procedure B. applying suction while inserting the catheter C. lubricating the suction catheter with an oil-based lubricating jelly D. administering high-flow oxygen prior to the procedure

D. administering high-flow oxygen prior to the procedure

A client comes to the ED in severe respiratory distress following left-sided blunt chest trauma. The nurse notes absent breath sounds on the client's left side and a tracheal deviation shift to the right. For which of the following procedures should the nurse prepare the client? A. tracheostomy placement B. thoracentesis C. CT scan of chest D. chest tube insertion

D. chest tube insertion

A nurse is caring for a child with cystic fibrosis who has a pulmonary infection. Which of the following findings is the nurse's priority? A. blood streaking of sputum B. dry mucous membranes C. constipation D. inability to clear secretions

D. inability to clear secretions

A nurse is planning care for a client who is postoperative following a hip arthroplasty. In the client's medical record, the nurse notes a history of COPD. Which of the following oxygen-delivery methods should the nurse plan to use for this client? A. simple face mask B. nonrebreather mask C. bag valve mask D. nasal cannula

D. nasal cannula

chest physiotherapy is to

mobilize secretions