NCLEX/ATI questions for Exam 2

A RN is caring for a pt who has type 1 DM and is in need of a long acting insulin preparation. The Rn anticipates receiving a prescription for which of the following insulin? a. insulin glargine b. insulin aspart c. insulin glulisine d. insulin lispro

a. insulin glargine

the RN is caring for a pt diagnosed with pneumonia. which info should the RN include in the teaching plan? Select all that apply. a. place the pt on O2 by nasal cannula b. plan for periods of rest during activities of daily living c. place the pt on a fluid restriction of 1000mL per day d. restrict pts smoking to 2 to 3 cigarettes per day e. monitor the clients pulse oximetry readying every 4 hours

a, b, e

The nurse is assessing a 79 year old pt diagnosed with pneumonia. which signs and symptoms would the nurse expect to find when assessing the pt? a. confusion and lethargy b. high fever and chills c. frothy sputum and edema d. bradypnea and jugular vein distention

a. confusion and lethargy

The influenza vaccine is in short supply. Which group of clients would the public health nurse consider priority when administering the vaccine? a. elderly and chronically ill patients b. child care workers and children younger than age four years c. hospital chaplain and health care workers d. school teachers and students living in dormitory

a. elderly and chronically ill patients

The client diagnosed with influenza A is being discharged from the ED with a prescription for antibiotics. Which statement by the client indicates an understanding of the prescription? a. "these pills will make me feel better fast and I can return to work" b. "The antibiotics will help prevent me from developing a bacterial pneumonia" c. "If I had gotten a prescription sooner I could have prevented this illness" d. "I need to take these pills until I feel better then I can stop taking the rest"

b. "The antibiotics will help prevent me from developing a bacterial pneumonia"

A nurse is reviewing the results of routine lab tests performed as part of the clients annual physical exam. Which of the following values indicates a fasting blood glucose measurement that is outside of the expected reference range? a. 78 b. 118 c. 85 d. 104

b. 118 normal = 74-106

A Rn is caring for a pt who has type 1 Dm and reports feeling anxious and having palpitations. The glucometer reads 50 mg/dL. Which of the following actions should the nurse take? a. Give 1 tsp honey b. Give 4oz apple juice c. Give 4 oz skim milk d. Give two glucose tablets

b. Give 4oz apple juice

While feeding the client diagnosed with aspiration pneumonia, the client becomes dyspneic, begins to cough, and is turning blue. Which nursing intervention would the nurse implement first? a. Suction the client's nares. b. Turn the client to the side. c. Place the client in the trendelenburg position. d. Notify the health-care provider.

b. Turn the client to the side

The day shift charge nurse is making rounds after report. Which pt should be seen first a. 65 yo pt diagnosed with tuberculosis who has sputum specimen to be sent to the lab b. 76 yo pt diagnosed with aspiration pneumonia who has a clogged feeding tube. c. 45 yo pt diagnosed with pneumonia who has a pulse oximetry reading of 92% d. 39 yo pt diagnosed with bronchitis who has an arterial oxygenation of 89%

c. 45 yo pt diagnosed with pneumonia who has a pulse oximetry reading of 92%

A nurse is teaching a client who has type 1 DM about the peak time of neutral protamine Hagedron (NPH) insulin. Which of the following statements by the pt indicates understanding of the teaching? a. NPH insulin peaks in 1-5 hours b. NPH insulin peaks is peakless c. NPH insulin peaks in 6-14 hours d. NPH insulin peaks in 12-24 hours

c. NPH insulin peaks in 6-14 hours

A nurse is teaching a pt who was recently diagnosed with type 1 DM how to check BG levels. Which of the following should the RN include in the teaching? a. blood can be smeared from the fingertip onto the test strip b. use a syringe and needle to collect the transfer blood to the test strip c. To collect a sample for testing, hold the test strip next to the blood on the fingertip d. use a capillary tube to collect and transfer the blood from the fingertips

c. To collect a sample for testing, hold the test strip next to the blood on the fingertip

the client diagnosed with community-aquired pneumonia is being admitted to the medical unit. Which nursing interventions has the highest priority? a. administer the oral antibiotic stat b. order the meal tray to be delivered as soon as possible c. obtain a sputum specimen for culture and sensitivity d. have the unlicensed nursing assistant weigh the pt

c. obtain a sputum specimen for culture and sensitivity

The RN is planning care for a pt diagnosed with pneumonia and writes a problem of "impaired gas exchange". Which would be an expected outcome for this problem? a. performs chest physiotherapy 3 times a day b. able to complete activities of daily living c. ambulates in hall and back several times during the shift. d. alert and oriented to person place time and event

d. alert and oriented to person place time and event

The RN is reviewing self-administration og insulin using pre-filled pen with a pt who started using the pen the previous week. The pt asks what they can be done to help reduce injection pain. Which of the following instructions should the RN give the client? a. agitate the syringe slightly before injection b. store the pens with needle pointing upward c. insert the needle slowly d. keep the pen at room temperature for a few minutes

d. keep the pen at room temperature for a few minutes

A Rn is teaching a pt who have new type 2 DM about metformin. The RN should explain that this type of medication works by which of the following mechanisms? a. increasing insulin secretion by the pancreas b. delaying carbohydrate digestion c. increasing the cellular response to insulin d. reducing hepatic glucose production

d. reducing hepatic glucose production

The nurse is teaching a client who has type 1 diabetes mellitus about the use of an insulin pump. Which of the following information should the nurse include in the teaching? a. the pump should remain in place while bathing b. insulin is injection intermittently based on clients glucose level C. the pump uses intermediate acting insulin d. the risk for developing a DKA can be increased with the use of an insulin pump

d. the risk for developing a DKA can be increased with the use of an insulin pump