309 ATI Adaptive Quiz #1

A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which of the following should the nurse include in the teaching as the purpose of bile? A. Digesting fats B. Producing chyme C. Stimulating gastric acid secretion D. Providing energy

A. Digesting fats Bile is a product of the liver and aids in the digestion of fats

A nurse is assisting a provider when a comprehensive physical examination of a client. When the provider uses transillumination, the nurse should explain to the client that this technique helps evaluate which of the following structures? A. Lymph nodes B. Maxillary sinuses C. Intercostal spaces D. Salivary glands

B. Maxillary sinuses Transillumination is a procedure that allows the passage of light through body tissue. Occluded sinuses prevent the passage of light rays through the sinus air sacs. Clear sinus air spaces allow transillumination

A nurse in the ED is caring for a client who reports pain in her left leg following a MVC. The client's left leg has bruising, swelling and displacement of the bones. Which of the following actions should the nurse take first? A. Obtain an x-ray of the injured leg B. Apply ice packs to the affected area C. Check neurovascular status distal to the injury D. Elevate the affected leg on pillows

C. Check neurovascular status distal to the injury

A nurse is assessing a client who has a positive tuberculin skin test. Which of the following findings indicates that the client has active TB? A. Rhinitis B. Air hunger C. Night Sweats D. Weight gain

C. Night sweats Manifestations of active TB include fever, coughing, night sweats, anorexia and fatigue

A nurse is assessing the respiratory status of a client who has COPD. Which of the following manifestations should the nurse identify as an indication of impending respiratory failure? A. Wheezing B. Bradypnea C. Tachycardia D. Diaphoresis

C. Tachycardia Tachycardia, dyspnea, restlessness, headaches and increased BP are indications of impending respiratory failure

A nurse is triaging clients during a mass casualty event. Which of the following labels should the nurse assign to a client who has had a head injury with fixed, dilated pupils? A. Red tag B. Yellow tag C. Green tag D. Black tag

D. Black tag Black tag: clients who are not expected to live and will be allowed to die naturally Red tag: Clients who have life-threatening injures but a high possibility of survival Yellow tag: Major injuries that are not yet life-threatening Green tag: Minor injuries

A nurse is caring for a client who is 2 days post op following a gastric bypass. The nurse notes that bowel sounds are present. Which of the following foods should the nurse provide at the initial feeding? A. Vanilla pudding B. Apple juice C. Diet ginger ale D. Clear liquids

D. Clear liquids Clear liquids can be given for the first oral feeding but should be limited to only 30 ml per feeding. Water does not contain sugar, which could cause diarrhea due to hyperosmolarity

A nurse is monitoring the laboratory results of a client who has end-stage liver failure. Which of the following results should the nurse expect? A. Decreased Lactate dehydrogenase B. Increased serum albumin C. Decreased serum ammonia D. Increase prothrombin time

D. Increased prothrombin time Lactate dehydrogenase levels are increased Serum albumin levels are decreased Serum ammonia levels are increased