ATI Adaptive Quiz 1
A nurse is teaching a client who has systemic lupus erythematosus about a new prescription for oral glucocorticoid therapy. Which of the following client statements indicates an understanding of the teaching?
"I should take a calcium supplement while on this medication."
A nurse is teaching a pt about a new prescription for extended-release oxycodone for pain management. Which of the following statements should the nurse include in the teaching?
"Swallow this medication whole"
A pt is scheduled for a lumbar puncture to rule out bacterial meningitis. She tells the nurse she is fearful of becoming paralyzed from the needle placement in her spinal column. Which of the following responses should the nurse offer?
"The needle is inserted below the third lumbar vertebrae, which is well below the point at which the spinal cord ends"
A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a Rx for estradiol cream. Which of the following statements should the nurse include in the teaching?
"This medication has fewer systemic effects than oral estrogen"
A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight-management program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following statements should the nurse make?
"Were there any issues last week that kept you from focusing on your diet?"
A nurse is administering an enteric-coated tablet to a client and explaining the pharmaceutical preparation. Which of the following statements should the nurse make?
"You are less likely to have an upset stomach with this pill because of the coating on the tablet"
A nurse is caring for a client who has a reputation for being demanding with the nursing staff. The nurse says to the charge nurse, "I can't believe I have to care for this client today!" Which of the following responses should the charge nurse make?
"You are upset about having this client assigned to you today."
A nurse is teaching a client who has a Rx for a combination OC that uses a 28 day cycle. Which of the following instructions should the nurse include in the teaching?
"You can miss up to 7 pills with little risk in getting pregnant as long as you have taken the pills regularly for previous 3 weeks"
A nurse caring for a pt who is preparing to perform a return demo of a SQ injection of medication for the second time. The pt hesitates and says "I'm not sure I can do this." Which of the following responses should the nurse make?
"You did great last time, give it a try"
A nurse providing post-op discharge teaching to a pt following a panhysterectomy for uterine cancer. Which of the following pieces of information should the nurse include in the teaching?
"You might experience manifestations of menopause"
A nurse is teaching a client who has allergic rhinitis about a new prescription for brompheniramine. Which of the following pieces of information should the nurse include in the teaching?
"You might find that you develop a dry mouth."
A nurse is teaching a client who has a prescription for doxycycline for the treatment of a helicobacter pylori infection. Which of the following instructions should the nurse include in the teaching?
"wear protective clothing while in the sun"
A nurse is caring for a child who has leukemia and is receiving chemotherapy. The child's parent is upset and says, "I just can't believe my child is going to lose her beautiful hair!" Which of the following responses should the nurse make?
"you are feeling a sense of loss right now"
A nurse is teaching about taking donepezil with a client who has recently diagnosed with early alzhemier's disease. Which of the following instructions should the nurse include in the teaching?
"you should take this medication late in the evening"
A nurse planning care for a pt who is receiving chemotherapy and has a protein deficiency. Which of the following interventions should the nurse include in the plan of care?
- mix powdered skim milk into liquid milk - add a slice of cheese to hot veggies - mix yogurt into fresh fruit
A nurse is preparing to administer magnesium hydroxide 1.5 oz PO to a client who has constipation. How many mL?
45
A nurse is planning care for a client who is post-op and scheduled to ambulate. At which of the following times should the nurse plan to administer PO morphine to the client for peak analgesic effect during the ambulation?
60-90 min prior to ambulation
A nurse preparing to administer raloxifene to a pt -- which of the following conditions is a contraindication for the administration of this medication?
DVT
A nurse in a provider's office is assessing a client who reports taking a dietary supplement to reduce hot flashes related to menopause. Which of the following supplements should the nurse to expect a client to report taking?
black colosh
A charge nurse is observing a newly licensed nurse provide care for a pt who is receiving internal radiation therapy for the treatment of cervical cancer. Which of the following actions by the nurse should the charge nurse intervene?
borrowing a dosimeter film badge from another nurse before entering a client's room
A nurse is caring for a pt who takes sulfasalazine twice daily for RA. Which of the following values should the nurse review prior to the administration to the med?
complete blood count (CBC)
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse should highlight that which of the following conditions is a contraindication to this medication?
hyperthyroidism
A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of dilitiazem?
hypotension
A nurse is teaching a group of nurses about the effects of a client receiving spinal anesthesia. Which of the following pieces of information should the nurse include in the teaching?
hypotension is an adverse effect of spinal anesthesia
A nurse is providing discharge teaching to a client who has heart failure and a prescription for digoxin 0.125 mg PO daily and furosemide 20 mg PO daily. Which of the following statements by the client indicates an understanding of the teaching?
i will eat fruits and vegetables that high potassium content every day
A nurse is reviewing the laboratory results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication?
neutrophil count
A nurse is caring for a client who is receiving chemotherapy to treat cancer. Which of the following adverse effects should the nurse anticipate from the chemotherapy?
pancytopenia
A nurse is providing teaching to a client who has a new prescription for doxycycline. The nurse should instruct the client to monitor for which of the following adverse effects?
photosensitivity
A nurse is teaching a client who has persistent cancer pain about the adverse effects of opioids. Which of the following statements should the nurse include in the teaching?
physical dependence is not the same as addiction
A nurse caring for a pt who received spinal anesthesia 30 mins ago. The pt reports feeling dizzy, the nurse notes the BP is 84/54. Which of the following actions should the nurse take?
place client in head-down position
A nurse on a med-surg unit is talking with a client who pauses while discussing his feelings about being in the facility. The nurse replies, "please go on." Which of the following communication techniques is the nurse using?
providing a general lead
A nurse is caring for a pt who will receive brachytherapy to treat uterine cancer. The nurse should ensure the pt understands that she will receive which of the following interventions?
radioactive infusions or insertions into or near the tumor
A nurse is caring for a client who has asthma and is prescribed a short-acting beta2-agonist. Which of the following should the nurse identify as the expected outcome of this medication?
reverses bronchospasm
A hospice nurse is providing education about palliative care to the partner of a client who has ESLC. Which of the following statements by the partner indicates an understanding of the teaching?
"I will continue to talk to him, even when he's sleeping"
A nurse caring for a pt who states she is sure her partner is about to leave her because they missed some house payments and their house will soon be in foreclosure. Which of the following responses should the nurse offer?
"Please explain how you think your financial situation will result in separation"
A nurse preparing to administer D5W in 0.45% sodium chloride 400 mL IV to older adult over 8 hours. IV pump delivers how many mL/hr?
50 mL/hr
A nurse is administering a medication parenterally to a pt. Which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels?
Administering a continuous infusion of the dose
A nurse assessing a client who is experiencing chest pain. Which of the following medications should the nurse expect to administer to suppress the aggregation of platelets?
Aspirin
A nurse is caring for a client who is taking fludrocortisone. Which of the following findings indicates to the nurse that the client is experiencing an adverse effect of the medication?
Hypokalemia
A nurse is preparing a discharge teaching plan for a client who is scheduled to begin long-term oral prednisone for asthma. Which of the following instructions should the nurse include in the plan?
Schedule the medication on alternate days to decrease adverse effects
A nurse is evaluating a 20 month old child who received a hepatitis A immunization 3 days ago. The parent reports that the child has exhibited a loss of appetite following the immunization. Which of the following actions should the nurse take?
Tell the parent that this reaction should only last for a couple of days
A nurse is planning to administer diphenhydramine 50 mg via IV bolus to a client who is having an allergic reaction. The client has an IV infusion containing a medication that is incompatible with diphenhydramine in solution. Which of the following actions should the nurse take?
aspirate to check for IV patency before administering the diphenhydramine
A nurse is preparing to administer an epinephrine IV bolus to a client. Which of the following should the nurse verify before initiating the IV medication?
concentration of the formulation
A nurse is developing a therapeutic relationship with a client who reports depression. Which of the following activities should the nurse initiate during the orientation phase of the therapeutic relationship.
encouraging the client to state the problems she is having
A nurse is assessing a client who takes oral theophylline for chronic bronchitis relief. The nurse should recognize that which of the following findings indicates toxicity to theophylline?
tremors
A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects?
urinary health promotion
A nurse caring for a pt who was recently diagnoses with RA. The nurse should expect the provider to prescribe methotrexate at which of the following times?
within 3 months of the initial diagnosis
A nurse admitting an older adult client with pneumonia. The pt's daughter, who cares for the pt at home, says to the nurse, "I'm so glad he is here. You can take much better care of him than I can." Which response should the nurse make?
"Caring for an older parent is not easy"
A nurse is providing pre-op teaching for a client with colorectal cancer who is scheduled to undergo colostomy placement with a perineal wound. Which of the following statements by the client indicates an understanding to the teaching?
"I can have only liquids for 2 days before the surgery."
A nurse is preparing to administer warfarin to a client who has a new onset of a-fib. The client asks the nurse "what should this medication do?" Which of the following responses should the nurse make?
"It can reduce your risk of having a stroke"
A nurse is caring for an older adult client who dies during the night while his partner is at his side. The next morning, the partner says, "I can't believe he is gone." Which of the following responses should the nurse make?
"It must be hard to accept that this has happened"
A nurse is caring for a client who receives gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. What time should the nurse plan to administer insulin lispro SQ?
0645 (administer insulin 15 minutes prior to feeding)
A nurse is administering fosphenytoin 550 mg via IV bolus to a client who is having a seizure. Fospenytoin 50 mg/1mL is available.
11
A nurse is preparing D5W 1000 mL to infuse over 12 hours. Drop factor of manual IV tubing is 10gtt/min. Set the infusion to set how many gtt/min?
14 gtt/min
A nurse is preparing to administer heparin 900 units/hr via IV infusion. The amount available is heparin 25000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr?
18
A nurse is preparing to administer lactated ringers (LR) 700 mL IV by infusion over a 24 hour to a pediatric client. The drop factor of the manual IV tubing is 60 gtt/min. The nurse should set the manual IV infusion to deliver how many gtt/min?
29 gtt/min
A nurse is preparing to administer acetaminophen 1g PO 3x/day PRN to a client who has a fever. The amount available is 325 mg/1 tablet. How many tablets should the nurse administer per dose?
3
A nurse is preparing to administer 500 mg in 50 ml of D5W infused over 15 minute. The drop factor of manual IV tubing is 10 gtt/mL. The nurse should set the infusion to ?
33 gtt/min
A nurse is preparing to administer ampicillin 50mg/kg/day PO divided into 4 equal doses for a toddler who weighs 33 lb. Ampicillin 125 mg/5mL oral solution is available. How many mL should the nurse administer per dose?
7.5 ml
A nurse is providing discharge teaching to a pt who has venous thrombosis and a Rx for warfarin. Which of the following instructions should the nurse include in the teaching?
Carry a medical alert ID card
A nurse is checking a client who is receiving an IV infusion of telavancin for streptococcus pyogenes. Which of the following actions should the nurse include?
Check the client for pruritus
A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. The client's last drink was 10 hours ago. Which of the following medications should the nurse plan to administer upon admission?
Chlordiazepoxide
A nurse administering ciprofloxacin and phenazopyridine to a client who has severe UTI. The client asks why both medications are needed. Which of the following responses should the nurse make?
Ciprofloxacin hydrochloride treats the infection, and phenazopyridine treats pain
A nurse is caring for a client who has asthma and advanced rheumatoid arthritis and deformity of the hands. The nurse should anticipate that the client will receive which of the following medication-delivery devices for the treatment of asthma?
DPI
A nurse caring for a pt with A. Fib and is scheduled for cardioversion. The nurse should anticipate a Rx from the provider for which of the for medications for this procedure?
Diltiazem
A nurse is preparing to administer a varicella vaccine to a 12 month old infant. The nurse asks the infant's guardians if the infant has any allergies. Which of the following allergies is a contraindication to the infant receiving the vaccine?
Gelatin
A nurse is providing teaching to a client with hypertension and type 1 diabetes mellitus who has a new prescription for metoprolol. Which of the following statements by the client indicates an understanding of the teaching?
I might have difficulty recognizing when my blood sugar is low
A nurse is caring for a client who is taking warfarin. Which of the following lab values should the nurse recognize as an effective response to the medication?
INR 3.0
A nurse assessing a pt who has multidrug-resistant TB, and takes ethambutol. The nurse should ID which of the following findings as an adverse effect of this medication?
Loss of red/green color discrimination
A nurse is planning care for a client who has a seizure disorder and a new prescription for valproic acid. Which of the following laboratory values should the nurse plan to monitor?
PTT, ALT, AST
A nurse is teaching a client who has ADHD and is starting therapy with an Amphetamine/dectroamphetamine mixture. Which of the following manifestations should the nurse instruct the client to identify as an adverse effect and report to the provider?
Palpitations
The nurse is assessing a pt who is taking linezolid to treat a staphylococcus aureus infection. Which of the following findings should the nurse report to the provider?
Paresthesia's
A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take?
Pull the pinna of the client's ear upward and outward
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily. The client reports taking extra doses to promote weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?
USG 1.035
A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications?
Vitamin K
A nurse is providing teaching to a client who has TB and a prescription for isoniazid. Which of the following instructions should the nurse include?
You should take this medication on an empty stomach"
A nurse teaching an AP about diet restrictions for a pt who is taking phenelzine to treat depression. The AP's selection of which foods for lunch would indicate an understanding of the teaching?
chicken salad
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications?
colchicine
A nurse is providing teaching to a client with tuberculosis who has prescriptions for rifampin and ethambutol. Which of the following findings is an adverse effect of these medications that the client should report to the provider?
decreased visual acuity
A nurse is caring for a pt who has lung cancer that has metastasized. Which of the following findings indicates the pt is developing superior vena cava syndrome?
facial edema
A nurse is providing teaching to a client who has gout and a new Rx for allopurinol. The nurse should instruct the client to discontinue the medication for what adverse effects?
fever
A nurse is monitoring a pt with pneumonia who has received pennicillin G intramuscularly (IM). Which of the following findings should the nurse plan to evaluate first?
laryngeal edema
A nurse is teaching a pt who has a new ezetimibe Rx for hyperlipidemia. Which of the following pt statements should indicate that the teaching was effective?
"I should let my doctor know if I have yellowing in my eyes"
A nurse providing discharge teaching to a client who has been hospitalized for major depressive disorder and has a Rx for amitriptyline. Which of the following statements indicates an understanding of the teaching?
"I will move slowly when I stand up because amitriptyline can cause my BP to decrease"
A nurse caring for a pt who has a suspected brain tumor and is scheduled for a CAT scan. After the procedure is explained, the pt expresses fear about entering an enclosed space of the scanner. Which statement should the nurse offer?
"Let me review some breathing exercises with you"
A nurse caring for a pt with PMD who has Rx for fluoxetine. The pt asks the nurse "When should I notice the benefits of this medication?" Which of the following responses should the nurse make?
"You should expect decreased manifestations within a few days"
A nurse is admitting a client who is scheduled for a biopsy of a testicular mass. The client asks, "do you think the doctor will find cancer?" Which of the following responses should the nurse make?
"it must be difficult for you not to know what the doctor will find"
A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which of the following instructions should the nurse include in the teaching?
"stop taking the cyclosporine for 24 hours and then begin taking the tacrolimus"
A nurse is teaching a client with a new diagnosis of peptic ulcer disease who has a prescription for bismuth subsalicylate. The client asks the nurse, "how will this medication help my ulcer?" Which of the following statements should the nurse make?
"this medication can decrease bacteria in the GI tract"
A nurse in an employee assistance program is counseling a client who states, "I just feel completely lost at work these days." The nurse replies, "you must feel like you are not getting things done." Which of the following therapeutic communication techniques is the nurse using?
attempting to translate words into feelings
A nurse is caring for a pt who is at 6 weeks gestation and just received a diagnosis received a diagnosis of hyperthyroidism. The nurse anticipates what Rx from the provider?
propylthiouracil
A nurse teaching about levodopa with a member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include?
"A full therapeutic response may take several months to happen"
A nurse is caring for a client who has schizophrenia. The client tells the nurse that he's hearing voices in his head telling him to purchase a knife today. He states that he knows purchasing a knife will make him "do something bad." Which of the following responses should the nurse make?
"I don't hear any voices, just yours and mine. But, I understand that you are fearful"
A nurse is teaching a client who has a prescription for scopolamine patches for the treatment of motion sickness. Which of the following client statements should indicate to the nurse that the teaching has been effective?
"I should apply this patch behind my ear"
A nurse is assessing a client who has CF. Which of the following pieces of information indicates a therapeutic response to pancreatic enzyme replacement?
The client is having 1-2 bowel movements per day
A nurse is providing teaching to a client about a new prescription for captopril to treat hypertension. Which of the following client statements indicates an understanding of the teaching?
i might feel dizzy at times while taking this medication
