ATI Funds Proctored Exam

Hyperlipidemia (HLD)

Also known as High Cholesterol, it is a condition in which the blood has abnormally high levels of lipids or fats. -This can be caused by a number of factors, including genetics, behaviors, and medical conditions.

A nurse is caring for a client who has a gastric ulcer, The nurse should explain that prolonged exposure of the body to stress can also cause which of the following to occur? A Hyperglycernia B. Hypotension C. Heightened immune response D. Bleeding tendencies

Correct Answer: A Hyperglycemia -Stress causes an increased secretion of cortisol, which can lead to hypertension and hyperglycemia. -Prolonged stress weakens the immune response, placing the client at risk of various infections and worsening the severity of those infections

A nurse is instructing a client about collecting a 24-hr urine specimen for creatinine clearance. Which of the following statements should the nurse identify as an indication that the client understands the procedure? A. "The next time I urinate will be the first specimen of the collection." B. "I'll make sure to keep the collection bottle in the container of ice they gave me." C. "Once the container is half full, I no longer have to add any more urine." D. "It's okay if a piece of toilet paper gets in the bottle. The lab people will remove it when they do the test."

Correct Answer: B "I'll make sure to keep the collection bottle in the container of ice they gave me." -The urine collection must remain chilled to prevent any change in urine composition during the collection

A nurse is collecting a specimen for culture from a client's infected wound. Which of the following actions should the nurse perform? A. Wear sterile gloves when collecting the specimen B. Cleanse the wound with 0.9% sodium chloride irrigation C. Allow the collection swab to absorb old exudate D. Rotate the collection swab over the edges of the wound

Correct Answer: B Cleanse the wound with 0.9% sodium chloride irrigation -The nurse should cleanse the wound with sterile water or 0.9% sodium chloride irrigation to remove any surface debris or old exudate. *Incorrect Answers: A. The nurse should wear clean gloves to collect a wound culture specimen. The nurse's hands will not touch the wound or the culture swab. C. Pooled drainage can collect microorganisms that are not the pathogens causing the wound infection. D. The nurse should gently swab back and forth over the clean areas at the base of the wound to collect the pathogens causing the infection. The edges of the wound may harbor microorganisms from the skin that are not infecting the wound.

A nurse on a telemetry unit is caring for a client who had a myocardial infarction. The client states, "All this equipment is making me nervous." Which of the following responses should the nurse offer? A. "You won't need the equipment for very long B. "All of this equipment can be frightening C. "Why does the equipment bother you?" D. "Let me tell you about what each machine does"

Correct Answer: B. "All of this equipment can be frightening." -This statement is therapeutic because the nurse is reflecting the client's statement. The client is feeling fearful, and this response shows the nurse understands those feelings, which will encourage the client to communicate more.

A nurse is reviewing the laboratory reports of a client who is receiving enteral feedings, Which of the following values indicates a complication of enterat feeding that the nurse should report to the provider? A. Sodium 143 mEq/L Potassium 42 mEq/L C. BUN 25 mg/dl. D Glucose 185 mg/dl

Correct Answer: C BUN 25 mg/dL A BUN level of 25 mg/dl, is above the expected reference range of 10 to 20 mg/d and indicates dehydration, which is a complication of enteral feedings. The nurse should report this laboratory value to the provider.

A hospice nurse is reviewing religious practices of a group of clients with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. People who practice the islamic faith pray over the deceased for a period of 5 days before burial B. People who practice the Hindu faith bury the deceasent with their head facing north C. People who practice Judaism stay with the body of the deceased until burial D. People who are practicing the Buddhist faith have the female family members prepare the body following death

Correct Answer: C People who practice Judaism stay with the body of the deceased until burial. -In the Jewish faith, a family member when stays with the body until burial occurs. Incorrect Answers: A. For those who practice the Islamic faith, the body of the deceased is washed and wrapped during a ritual and then buried, possibly following death. B. People who practice the Hindu faith may place the body with the head facing north, fearing death. However, cremation rather than burial is practiced by those of the Hindu faith

A nurse is planning care for a client who has anorexia and nausea due to cancer treatment. Which of the following interventions should the nurse include? A. Serve foods at warm or hot temperatures B. Offer the client low-density foods C. Make sure the client lies supine after meals D. Limit drinking liquids with food

Correct Answer: D Limit drinking liquids with food -Drinking beverages with food leads to early satiety and bloating, which results in the client consuming fewer calories. A. The nurse should make sure the client receives cold or room-temperature foods. B. To improve the client's nutritional intake, the nurse should ensure that the client consumes high-protein, high-calorie, and nutrient-dense foods. It is also recommended for the client to eat these foods at the beginning of meals.

A nurse in the emergency department is assessing a client who has deep, rapid respirations. Arterial blood gas analysis includes the following values: pH 7.25, PaCO2 40, and HCO3-18. Which of the following acid-base imbalances should the nurse identify and report to the provider? A. Respiratory alkalosis B. Metabolic alkalosis C. Respiratory acidosis D. Metabolic acidosis

Correct Answer: D Metabolic acidosis -A pH of 7.25 indicates acidosis. If the cause is respiratory, pH and PaCO2 values will deviate in opposite directions. Since the PaCO2 is within the expected reference range, despite the low pH, the cause must be metabolic. Therefore, the nurse should report to the provider that the client has metabolic acidosis.

A nurse in a provider's office is reviewing the medical records of a group of clients. Which of the following clients is at risk for iron deficiency? Select all that apply) A. A Patient who is postmenopausal B. A client who is a vegetarian C. A middle adult male client D. A patient who is pregnant E. A toddler who is overweight

Correct Answers: B. D. E. A client who is a vegetarian might require additional iron because the availability of iron in vegetable food sources is limited. During pregnancy, maternal blood volume increases, and the fetus requires additional iron. Therefore, the RDA of iron for clients who are pregnant is increased to 27 mg per day. Toddlers who are overweight may get most of their calories from milk and foods that are not considered healthy, which increases their risk for iron deficiency anemia. Incorrect Answers: A. iron requirements are increased for women who have excessive blood loss due to menstruation: Generally, postmenopausal women de not require additional iron. C. Most adult males consume adequate iron in their diet and do not require supplementation

Symptoms of hyperlipidemia include:

Shortness of breath Dizziness Chest pain Numbness or tingling Swelling in the hands and feet Poor wound healing Skin problems or discoloration High blood pressure