The Point and ATI Practice Quizzes

An HIV-positive patient comes to the clinic and asks the nurse if the patient should receive a flu vaccine. The patient states, "I never get the flu, so why should I take it?" What is the best response by the nurse?

"All HIV-positive patients should receive the flu vaccine as prophylaxis."

A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicated an understanding of the teaching?

"All recently used clothing, bedding, and towels must be washed in hot water."

A parent has informed the nurse that she has been applying an over the counter antifungal to her infant's buttocks and perineal region for a rash. What question related to safety should the nurse ask the parent?

"Are there any open wounds on the areas where you're putting the ointment?"

A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information should the nurse include?

"Monitor for ringing in your ears."

A client is being treated with amphotericin B. Which statement indicates that the client has understood the client teaching?

"The medication may cause kidney damage."

A client states, "My provider said that I had mycosis, but I thought I had a fungal infection." Which response would be most appropriate?

"You're both correct because mycosis means a disease is caused by a fungus."

The nursing instructor is giving memory aids to the students to help them to better remember the different drug classifications. When learning about antivirals the nurse instructs the students to look for which syllables?

-vir

A nurse is planning a menu for a client who has folic acid deficiency anemia. Which of the following foods should the nurse include as high in folate?

1/2 cup of asparagus

A nurse is planning care for a client who is to receive packed RBCs. The nurse should plan for the total infusion time to not exceed which of the following?

4 hrs

A nurse is caring or a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following lab values should the nurse report to the provider before initiating the medication?

BUN 55 mg/dL

Folic acid is necessary for cell growth and maintenance of the myelin sheath.

False

Which insulin would the nurse need to administer as a separate injection if the order also included NPH insulin?

Glargine

Antivirals are used to treat infections caused by viruses. In particular, acyclovir is useful to treat which infection?

Herpes zoster

The nurse's assessment of a client who has presented to the emergency department reveals hyperglycemia. Which type of insulin will have the most rapid effect on the client's blood sugar levels?

Lispro

A client receiving which agent should be instructed to avoid alcohol consumption?

Metronidazole

A client diagnosed with diabetic ketoacidosis has been admitted to the intensive care unit. The client is prescribed an intravenous insulin drip, so the nurse knows that what type of insulin will be administered?

Regular

A nurse is teaching a class about nutrition and prenatal development. The nurse should instruct that folic acid supplements taken during pregnancy decrease the risk for which of the following conditions?

Spina bifida

Antiretroviral drugs are used to treat which of the following viral infections? Select the 2 that apply. a) Human immunodeficiency virus (HIV) b) Hepatitis C virus (HCV) c) Hepatitis B virus (HBV) d) Herpes simplex virus (HSV) 2 e) Herpes simplex virus (HSV) 1

a and c

Which conditions are found in Sickle Cell Disease? a) ankle ulcer b) decreased respiratory status c) joint pain d) heart rate at 1000 e) jaundice

a, b, c, d and e

The nurse is teaching a nursing student about anemia and knows that it is important to include why anemia occurs. Which statement is true about why anemia occurs?

anemia occurs due to chronic illnesses or specific deficiencies such as iron

A nurse is preparing to give a client an initial dose of a penicillin preparation. What should the first action be for the nurse?

ask the client if there is a history allergy to a penicillin

A patient has been instructed to take metronidazole for intestinal amebiasis. Which instruction should the nurse give to the patient regarding the drug?

avoid intake of alcohol

A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg/day by intermittent IV bolus every 8 hrs. Which of the following manifestations indicate the client is experiencing gentamicin toxicity? Select the 2 that apply. a) insomnia b) tinnitus c) dizziness d) restlessness e) xerostomia

b and c

A nurse preparing to administer an erythropoiesis-stimulating drug is aware that the drug can be given by which routes? Select the 2 that apply. a) intradermal b) IV c) subcutaneous d) transdermal e) oral

b and c

The client is receiving their fourth unit of packed RBCs. Unit of fourth packed RBCs started at a rate of 250 cc/hr. Thirty minutes after the transfusion started, client started reporting dyspnea and restlessness. Crackles auscultated in bilateral lower lobes, oxygen saturation 92% on 2L nasal cannula and jugular vein distention noted. Actions to take: Select 2. a) administer an antibiotic b) administer furosemide c) decrease the infusion rate d) administer epinephrine e) administer diphenhydramine

b and c

Which conditions are found in Iron Deficiency Anemia? Select the 2 that apply. a) ankle ulcer b) decreased respiratory status c) joint pain d) heart rate at 1000 e) jaundice

b and d

A client receives regular insulin at 8:00 AM. The nurse would be alert for signs and symptoms of hypoglycemia at which time?

between 10:00 AM and 12:00 PM

A client has been admitted to the critical care unit with a diagnosis of peritonitis that has necessitated treatment with gentamicin. As a result, the care team should be cautious when concurrently administering other medications that may cause which?

ototoxicity or nephrotoxicity

Packed RBCs arrived from blood bank. Transfusion started. Client reports feeling SOB. VS obtained. Client has a new cough. Lungs auscultated, crackles in bilateral lobes. Jugular distention noted. Urine output 150 mL in the last hr. The client is likely experiencing what condition?

transfusion associated circulatory overload

The client is receiving their fourth unit of packed RBCs. Unit of fourth packed RBCs started at a rate of 250 cc/hr. Thirty minutes after the transfusion started, client started reporting dyspnea and restlessness. Crackles auscultated in bilateral lower lobes, oxygen saturation 92% on 2L nasal cannula and jugular vein distention noted. What is the potential condition?

transfusion associated circulatory overload

The nursing student asks the instructor why it is more difficult to develop antiviral drugs than anti-infectives. The nursing instructor's best reply would be which?

viruses are tiny and replicate inside cells

A patient has pernicious anemia. The nurse understands that this patient cannot absorb which vitamin?

vitamin B12

The nurse is caring for a client who is taking insulin. The nurse suspects the client is experiencing hypoglycemia when the client displays what signs?

weakness, sweating, and decreased mentation

A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

wash the affected area with soap and water before applying cream

Which conditions are found in Leukemia? Select the 3 that apply. a) ankle ulcer b) decreased respiratory status c) joint pain d) heart rate at 1000 e) jaundice

b, c and d

What would a nurse identify as a contraindication for iron therapy? Select the 3 that apply. a) nasal ulcers b) peptic ulcer disease c) hemolytic anemia d) leukopenia e) colitis

b, c and e

Which patient will the nurse assess first?

the patient with a decreased WBC count

The client is diagnosed with a Candida infection of the mouth. How will the nurse document this finding?

thrush

A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching?

"I will stop taking this medication if I develop itching."

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching?

"I will store the medication at room temperature."

The nurse is reviewing the medication instruction for the client taking acyclovir. Which statement by the client would indicate the need for additional teaching?

"This medication will maintain the symptoms and cure my disease."

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide?

"Urine and other secretions might turn orange."

The nurse is giving discharge instructions to a woman who has been prescribed tetracycline and also uses oral contraceptives. What is the most important instruction the nurse will give to this client?

"You should use alternative means of contraception while you are taking tetracycline."

After teaching a class about the various drugs used to control blood glucose, the instructor determines that the teaching was successful when the class identifies what as a biguanide?

Metformin

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. The nurse should include in the teaching that vancomycin is indicated for which of the following infections?

Methicillin-resistant Staphylococcus aureus

A client has been diagnosed with streptococcal pharyngitis. What drug would the nurse expect to be prescribed by the health care provider?

Penicillin G

A client diagnosed with chronic renal failure is being treated with epoetin alfa in a home setting. The community health nurse should encourage the client to maintain a high intake of which food to supplement the intended action of the medication? Select the 2 that apply. a) red meat b) citrus fruits c) low-fat dairy products d) poultry e) leafy green vegetables

a and e

For what purposes should the nurse administer folic acid to a client? Select the 3 that apply. a) nutritional deficiency b) megaloblastic anemia c) pregnancy or preparation for pregnancy d) sickle cell anemia e) renal failure

a, b and c

A client has been prescribed glucagon for the management of hypoglycemia. Which nursing interventions should the nurse be prepared to provide this client for the management of possible adverse effects? Select the three that apply. a) administration of a prescribed suppository for the management of nausea b) implementation of aspiration precautions c) monitor for cardiac arrhythmias d) provide prescribed analgesic for headache e) ready access to supplemental oxygen

a, b and e

The nurse should inform the client that which of the following adverse reactions may occur during antiretroviral therapy? Select the 4 that apply. a) altered taste b) peripheral numbness c) oral candidiasis d) rash e) fever

a, b, d and e

Drugs to treat systemic fungal infections can be toxic to the host and are not used indiscriminately. Which are factors considered before an antifungal is prescribed? Select the 3 that apply. a) age of client b) ethnicity c) was a culture obtained d) hepatic function e) gastric disturbances

a, c and d

A 67-year old client with a history of chronic illness is undergoing penicillin therapy. Client age and health history indicate an increased susceptibility to pseudomembranous colitis. Which symptoms should a nurse monitor for when caring for this client? Select the 3 that apply. a) bloody diarrhea b) gastritis c) rectal bleeding d) black, furry tongue e) abdominal cramping

a, c and e

After teaching a patient about the adverse effects of iron therapy, the patient demonstrates understanding of the information when the patient identifies what adverse effects? Select the 3 that apply. a) anorexia b) dizziness c) constipation d) fatigue e) dark stools

a, c and e

A client who is HIV positive is involved in antiretroviral therapy (ART) to decrease symptoms and increase lifespan and quality. What are the rationales to support prescribing a combination of antiretrovirals? Select the 4 that apply. a) to decrease morbidity associated with HIV b) to decrease antiretroviral drug hypersensitivities c) to promote increased adherence to antiretroviral drug therapy d) to prevent development of drug resistance to antiretroviral drugs e) to suppress the conversion to acquired human immunodeficiency syndrome (AIDS)

a, c, d and e

A client has been prescribed a topical antifungal ointment to treat a fungal infection between her breasts. When providing education about this medication, the nurse should encourage the client to:

wash and dry the affected area before applying the ointment

A nurse is preparing to administer 2 units of packed RBCs to an older adult client. Which of the following actions should the nurse take?

administer each unit over 3 hrs

A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience dyspnea and tongue swelling. Which of the following actions should the nurse perform first?

administer epinephrine subcutaneously

A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?

amoxicllin-clavulanate

A 42-year-old woman with a systemic fungal infection is admitted to the hospital. The nurse practitioner prescribes ketoconazole. The nurse preparing to administer this medication understands that azole antifungals require caution under certain conditions. To which patient would the nurse be especially cautious about administering this drug? Select the 2 that apply. a) client with renal insufficiency b) client with hepatic dysfunction c) client with ocular dysfunction d) a pregnant woman with a history of headaches e) client with cardiac issues

b and d

A client diagnosed with acute uncomplicated cystitis has been prescribed ciprofloxacin 250 mg PO BID x 7 days. When teaching the client about this medication, what guidance would the nurse include? Select the 2 that apply. a) "Take the medication in the morning with your daily vitamin and mineral supplement." b) "Antacids can interfere with the absorption of this medication." c) "Limit your fluid intake to avoid diluting the drug concentration." d) "Try to avoid direct sunlight while you are taking this medication."

b and d

A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? Select the 3 that apply. a) prime the blood tubing with dextrose 5% in water b) check VS before transfusion c) transfuse the blood product within 5 hr after removing it from refrigeration d) insert an IV with a 19-gauge needle e) check the expiration date of the blood product with a second nurse

b, d and e

A client receives a dose of insulin lispro at 8 AM. The nurse would be alert for signs and symptoms of hypoglycemia at which time?

between 8:30 AM and 9:30 AM

The nurse is assessing a patient diagnosed with anemia. What symptoms does the nurse expect to assess in the patient? Select the 2 that apply. a) flushed skin b) elevated WBC count c) fatigue d) elevated HR e) elevated oxygen saturation

c and d

The client is receiving their fourth unit of packed RBCs. Unit of fourth packed RBCs started at a rate of 250 cc/hr. Thirty minutes after the transfusion started, client started reporting dyspnea and restlessness. Crackles auscultated in bilateral lower lobes, oxygen saturation 92% on 2L nasal cannula and jugular vein distention noted. Parameters to follow: Select 2. a) hives b) chills c) weight d) low back pain e) I&Os

c and e

A nurse is preparing to administer cephalexin oral suspension to an older adult client who has difficulty swallowing pills. Which of the following actions should the nurse take?

check the client for a penicillin allergy

A nurse is assessing a client who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

chills

A nurse is assessing a client who is receiving a unit of packed RBCs. Which of the following findings is a manifestation of acute hemolytic reaction?

client report of low back pain

The nurse is collaborating with the health care provider (HCP) of a client who presented with signs and symptoms of an infection. What information should the nurse prioritize so that the HCP can prescribe the proper antibiotic?

culture and sensitivity test results

What physical characteristic observed in an adult suggests that they were prescribed tetracycline as a child?

discoloration of the teeth

The older diabetic client often experiences several different chronic organ related conditions. Which assessment should the nurse focus upon when attempting to manage this complex situation?

drug interactions

A client with amebiasis has been prescribed a seven-day course of metronidazole. What intervention should the nurse prioritize when providing anticipatory guidance about potential adverse gastrointestinal effects?

eat small meals several times per day

A client 19 years of age who is a drug addict comes to the emergency department reporting extreme fatigue and shortness of breath. The nurse assesses the client and, after taking a complete history, determines that the client has malnutrition. The nurse knows that malnutrition can cause which type of anemia?

folic acid deficiency anemia occurs because of a dietary lack of folic acid, a component necessary in the formation of red blood cells

A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

generalized urticaria

A 50-year-old HIV-positive client is being treated for cytomegalovirus (CMV) with intravenous acyclovir. The nurse should recognize the possibility of a serious adverse drug effect directly associated with this medication if the client reports:

hallucinations

A nurse is preparing to administer ampicillin and gentamicin sulfate via IV infusion. Which of the following resources should the nurse consult first regarding medication compatibility?

hospital pharmacist

A nurse is preparing to administer a unit of RBCs. The nurse's responsibility is to compare and verify the information on the blood label with the client's information. The nurse should use which of the following as the priority source of verification?

identification wristband

The nurse is explaining the action of exenatide to a patient. Which would the nurse include?

increase in insulin release

A client has been diagnosed with an amebiasis infection, and the primary health care provider has prescribed metronidazole. The client is also taking warfarin for blood clotting. Which is a possible interaction associated with taking metronidazole with warfarin?

increases the risk of bleeding

A client is receiving acarbose. What would the nurse incorporate into the teaching plan for this client about the action of the drug?

inhibits an enzyme to delay glucose absorption

A patient who has been on penicillin therapy for several days has developed inflamed oral mucous membranes and swelling in the tongue and the gums. The primary health care provider has diagnosed it as a fungal superinfection of the oral cavity resulting in impaired oral mucous membranes. Which of the following interventions should the nurse perform?

inspect mouth and gums regularly

A client is prescribed iron therapy using iron dextran. The nurse would administer this drug by which route?

intramuscular

A female client is seen in the clinic for iron deficiency anemia and the nurse provides comprehensive discharge instructions about allergic reactions. The client appears nervous, then demands to see another nurse. The nurse asks the client why she is distressed. The client replies, "because I have had a bad reaction to iron supplements before and almost died." The nurse asks for an order to change the prescription for which reason?

iron is contraindicated in clients with known hypersensitivity to the drug, or any component of the drug

How does adding a beta-lactamase inhibitor agent help achieve a therapeutic effect when prescribed for otitis media?

it extends the spectrum of antibacterial activity of penicillin

A patient receives 25 units of NPH insulin at 7 AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?

late afternoon

The nurse at a long-term care facility is admitting a new resident who is an older adult. The resident's current medication regimen includes nystatin 1,000,000 units PO t.i.d. The nurse should recognize the need to prioritize what aspect of this resident's care?

mouth care

A client is treating a skin mycosis with a topical antifungal agent in troche form. The nurse would alert the client to what possible adverse effect?

nausea

A nurse is caring for a patient with diabetes mellitus who is receiving an oral antidiabetic drug. Which of following ongoing assessments should the nurse perform when caring for this patient?

observe the patient for hypoglycemic episodes

A female client is diagnosed with type 1 diabetes. She suddenly reports feeling weak, shaky, and dizzy. What should the nurse's first response be?

perform a blood sugar analysis

A critical care nurse is caring for a client taking aminoglycosides. The dosage may need to be adjusted if the nurse finds monitored changes in what system?

renal function

A 72-year-old female clinic patient is started on trimethoprim-sulfamethoxazole for treatment of a urinary tract infection. Prior to administering this drug, the nurse should assess the patient for which of the following conditions?

renal impairment

Packed RBCs arrived from blood bank. Transfusion started. Client reports feeling SOB. VS obtained. Client has a new cough. Lungs auscultated, crackles in bilateral lobes. Jugular distention noted. Urine output 150 mL in the last hr. What is the client experiencing that correlates with their condition?

respiratory assessment

The nurse is caring for four clients who have been diagnosed with anemia. Which client does the nurse classify as having a type of hemolytic anemia?

sickle cell anemia

A nurse is explaining the use of acyclovir therapy to a 72-year-old man. Nephrotoxicity is discussed as a major adverse effect in older patients. To minimize the risk of the patient developing this adverse effect, the nurse will advise him to

stay well hydrated by drinking at least eight 8-oz glasses of water daily

A nurse is assessing a client who is receiving one unit of packed RBCs to treat intra-operative blood loss. The client reports chills and back pain, and the client's blood pressure is 80/64 mmHg. Which of the following actions should the nurse take first?

stop the blood infusion

A nurse is administering platelets to a client who reports having lower back pain and feeling chilled and itchy. Which of the following actions should the nurse take first?

stop the infusion

The nurse is providing report on a client who is receiving amphotericin B for the treatment of a systemic fungal infection. What assessment finding should the nurse prioritize?

the client's AST and ALT levels are above reference ranges for the first time

A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAIV)?

the client's age is 62

A nurse is caring for a client who has a prescription for one unit of packed RBCs. The nurse should plan to remain in the room with the client at which of the following times during the infusion to observe for a transfusion reaction?

the first 15 minutes

A male client, age 68 years, presents to the primary care office for follow-up for pernicious anemia. The nurse takes a history and finds that the client had the anemia for six months before starting treatment. Based on the history, which body system would the nurse include in the assessment?

the neurological system with a focus on the spinal cord

A nurse is monitoring a client who is receiving packed RBCs. The nurse identifies which of the following as an expected finding?

the packed RBCs are connected by Y tubing to normal saline