ATI PN Learning System Comprehensive Final Quiz

A nurse is caring for a client who is taking acarbose to treat type 2 diabetes mellitus. For which of the following adverse effects of this medication should the nurse monitor?

Diarrhea

A nurse is assisting with the care of a client who has Addison's disease and comes to the emergency department reporting nausea, vomiting, diarrhea, and abdominal pain. To prevent Addisonian crisis, the nurse should expect that the provider will prescribe which of the following medications?

Hydrocortisone

A nurse is reinforcing teaching with the parent of a child who has type 1 diabetes mellitus how to manage the child's disorder during illness, such as colds. Which of the following statements by the parent indicates an understanding of the teaching?

I'll check his blood glucose more often

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication?

INR 3.0

A nurse is collecting data from a client who has tuberculosis and a prescription for ethambutol. The nurse should inform the client that he is likely to develop which of the following alterations as an adverse effect of this medication?

Loss of red/green color discrimination

A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections during pregnancy. Which of the following responses should the nurse make?

The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more common.

A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse recommend for the client's plan of care?

Offering the client a diet high in fluid and fiber

A nurse is caring for a client who is postoperative following a laparotomy and has an indwelling urinary catheter and a Jackson-Pratt drain in place. Which of the following findings should indicate that the client is developing a postoperative complication?

Pulse oximetry of 85%

A nurse is collecting data from a client who has an acute visual disturbance and describes it as a "curtain" pulled over his visual field with occasional flashes of light. The nurse should notify the provider that this client might have which of the following disorders?

Retinal detachment

A nurse is evaluating the injection site for a client who had a Mantoux skin test 48 hr ago. The nurse finds 10 mm of induration with slight redness. Which of the following conclusions should the nurse make?

The client has had an exposure to tuberculosis.

A nurse is collecting data from a preschooler who has recurrent and persistent otitis media. When obtaining the child's history from her parent, which of the following questions should the nurse ask?

"Does anyone smoke around or in the same house as your child?"

A nurse is talking with a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include?

"Extended periods of immobility increase your risk for osteoporosis."

A nurse in a provider's office is talking with an older adult client who reports having trouble sleeping. Which of the following statements should the nurse identify as a possible cause for the client's sleeping difficulties?

"I often have a cup of coffee with my dessert before going to bed."

A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following statements should the nurse provide further reinforcement of teaching?

"I prefer tub baths to showering"

A nurse is reinforcing teaching with a client who has a spinal cord injury and will need to perform intermittent urinary self-catheterization at home after discharge. Which of the following statements indicates that the client understands the procedure?

"I will perform intermittent self-catheterization every 2 to 3 hours."

A nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following statements by the AP indicates that further instruction is required?

"If the client seems confused, i'll raise all four side rails so that he doesn't hurt himself."

A nurse is reinforcing teaching with the family of a child who has autism spectrum disorder. Which of the following statements indicates that the family understands the instructions?

"It will help our child if we structure our daily routine."

A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Which of the following statements indicates that the AP requires further instructions?

"It's almost time for your appointment. Let me do your hair for you and brush your teeth."

A nurse is collecting data from a 66-year-old client during a routine physical examination at her first clinic visit and she does not have her medical records. When the nurse asks if she has received the pneumococcal immunization, the client replies, "I am not sure, but it's been at least 5 years since I had any immunizations." Which of the following responses should the nurse make?

"Let's go ahead with giving you this immunization"

A provider tells a client who reports practicing Hinduism that, at 12-weeks of gestation, she needs more protein in her diet and suggests eating more meat. After the provider leaves the examination room, the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make?

"Lets discuss other foods that are also high in protein that you could substitute for meat."

A nurse is reinforcing teaching with a client who is going to have an electroencephalogram (EEG) in the morning. Which of the following information should the nurse provide the client?

"Shampoo your hair before the procedure, and don't put any styling products on it afterward."

A nurse is reinforcing teaching with a client who has come to the family planning clinic requesting an intrauterine device (IUD). Which of the following information should the nurse reinforce with the client?

"Your risk for ectopic pregnancy increases with an IUD."

A nurse in an urgent care center is collecting data from a group of clients who all have an odor of alcohol on their breath and multiple injuries to the head and extremities. Which of the following clients should the nurse report first to the charge nurse?

A client who is difficult to arouse and is unable to respond to questions

A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the client's insomnia?

The client watches television in her bed during the day.

A nurse is assisting with the plan of care for a client who is postoperative following a hip arthroplasty. In the client's medical record, the nurse notes a history of chronic obstructive pulmonary disease (COPD). Which of the following oxygen-delivery methods should the nurse recommend to use for this client?

A nasal cannula

A nurse is collecting data from a client who has AIDS and is taking zidovudine. Which of the following findings is the priority for the nurse to report to the provider?

Decreased hemoglobin

A nurse is caring for a client who has dehydration. Which of the following laboratory values should the nurse expect for this client?

Hct 55%

A nurse is talking with a parent of a preschooler. The parent reports that her child grows upset at night and does not go to bed at a consistent time. Which of the following instructions should the nurse give the parent?

"Use a stable, relaxing routine, such as a bath and story time, before bed"

A nurse at a family planning clinic is preparing to give a presentation to clients about how to use a diaphragm. Which of the following information should the nurse plan to include in the session?

"Use spermicidal jelly whenever you use your diaphragm."

A nurse in an acute mental health facility is caring for a client who has schizophrenia. The client asks the nurse, "Can I vote in the upcoming presidential election?" Which of the following responses should the nurse make?

"We can work together to find out how you can get a mail-in ballot."

A nurse is reinforcing teaching with a client who is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery. Which of the following information should the nurse include?

"Your procedure will only take 10 to 15 minutes for each eye."

A nurse is reinforcing discharge teaching with a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (Select all that apply.)

-"Do not stop taking this medication abruptly" -"Count your radial pulse daily" -"Change positions slowly."

A nurse is reinforcing teaching about body mechanics with assistive personnel. Which of the following instructions should the nurse include? (Select all that apply.)

-Sit with your back supported -Keep your knees at hip level -Use an ergonomically designed computer keyboard

A nurse is reinforcing teaching for a client who has coronary artery disease about the difference between angina pectoris and a myocardial infarction (MI). Which of the following manifestations should the nurse identify as indications of an MI? (Select all that apply.)

-nausea and vomiting -diaphoresis and dizziness -anxiety and feelings of doom

A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this child during hospitalization?

A 10 piece wooden puzzle

A community health nurse is contributing to the plan of care for four high-risk newborns who were discharged yesterday. Which of the following newborns should the nurse recommend to care for first?

A 4 day-old newborn who has an elevated bilirubin level and requires phototherapy.

A nurse on a pediatric unit receives the laboratory results for several clients. Which of the following results should the nurse report to the provider?

A client who has diabetic ketoacidosis (DKA) and a blood glucose of 375 mg/dL

A nurse in a long-term care facility is caring for a group of clients. One of the clients is walking in the hallway and bumping into walls and does not respond to his name. Which of the following actions should the nurse take first?

Accompany the client back to his room

A nurse on a pediatric unit is assisting with the plan of care for a preschooler who will be having a surgical procedure in the morning. The child has been crying despite his parent's presence at his bedside. The nurse should recommend engaging the child in therapeutic play for the care plan because it offers which of the following benefits?

Allows the child to manipulate toy medical equipment

A nurse delegates newly licensed nurse to provide one-on-one observation for a client who requires suicide precautions. Which of the following actions by the newly licensed nurse indicates the need for further reinforcement of teaching?

Ambulates the client's roommate while the client sleeps

A nurse in an urgent care center is reviewing laboratory results for several clients who have manifestations of influenza. Which of the following clients should the nurse report to the provider immediately?

An infant whose WBC count is 24,000/mm^3

A nurse is caring for a client who has regular occupational exposure to sunlight and comes to the clinic for evaluation of several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma?

An irregularly shaped brown lesion with light blue areas on the neck

A nurse is caring for a client who has a platelet count of 50,000/mm3. After discontinuing the client's peripheral IV site, which of the following actions should the nurse take?

Apply pressure to the catheter removal site for 10 min.

A nurse in an acute care clinic is talking with a client who reports that her osteoarthritis pain in her knees is increasing each day. The client wants to discuss nonpharmacological approaches that will help relieve her pain. Which of the following interventions should the nurse suggest?

Applying warm compresses to sore joints

A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the following data should the nurse use as a common example of a suggestive finding?

Arm cast for a spiral fracture of the forearm

A nurse is assisting with developing a plan of care for a client who has gastroesophageal reflux disease (GERD). The nurse should suggest monitoring the client for which of the following complications?

Aspiration

A nurse is assisting with the admission of a child who has a urinary tract infection (UTI) and a history of myelomeningocele. After the admission history is complete, which of the following actions should the nurse recommend?

Attach a latex allergy alert identification band

A nurse is caring for a client who spent the past several minutes mumbling about being "doomed to die," and is now pacing in an increasingly agitated and angry manner. Which of the following actions is the nurse's priority?

Attempt to reduce environmental stimuli

A nurse in a prenatal clinic is collecting data from several clients. Which of the following client reports should the nurse identify as an expected physiologic adaptation to pregnancy?

Breast tenderness

A nurse responds to a call from an assistive personnel that a client has had a seizure and is unconscious. Which of the following data should the nurse collect first?

Check airway patency

A health care facility's leadership team is implementing a new computerized charting system. Before the implementation date, which of the following actions should the charge nurses take first?

Collect the staff's input about planning and implementing the change

A nurse is preparing to administer medications to a client who is unconscious. The nurse should bring the medication administration record (MAR) to the client's bedside and perform which of the following verification procedures?

Compare the medical record number and name on the MAR with the client's identification band

A nurse is caring for a client who has new diagnosis of acute systemic lupus erythematosus (SLE) and is to begin medication therapy. Which of the following types of medications should the nurse expect to administer?

Corticosteroids

A nurse is assisting with the admission of a client to the medical unit and asks him if he has advance directives. The client states, "I have a document with me that names someone who can make health care decisions for me if I am not able." The nurse should identify that the client is referring to which of the following documents?

Durable power of attorney document

A nurse is collecting data from a client who is taking varenicline for smoking cessation. Which of the following findings is nurse's priority?

Erratic behavior

A nurse is discussing fire safety with newly hired nurses. The nurse should identify which of the following actions as the priority if a fire occurs in the healthcare facility?

Evacuate clients from the unit.

A new resident provider asks the nurse for an access code to review a client's online record. The resident is not scheduled to attend the facility's orientation computer class until next week. Which of the following actions should the nurse take?

Explain that it's against policy to share access codes and refer the resident to his supervisor

A nurse participating in a community health fair is providing information to a client who has a BP of 150/90 mmHg during a blood pressure screening. Which of the following actions should the nurse take?

Give the client a written record of his BP to bring to his provider

A nurse is reviewing the laboratory report for a client who has chronic kidney disease (CKD). The nurse finds the the following laboratory test results: potassium 6.8 mEq/L, calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL. Which of the following findings is the priority for the nurse to report to the provider?

Hyperkalemia

A nurse in a substance use disorder program is interacting with a client. Which of the following statements indicates that the client is using intellectualization as a way of coping with the anxiety of admission?

I have read that problems with substances can have a variety of predisposing factors

A nurse is reinforcing teaching with a client who has hyperthyroidism about managing this disorder. Which of the following recommendations should the nurse include?

Increase her caloric intake with meals.

A nurse is assisting with the admission of a client who has manifestations that suggest tuberculosis. Which of the following actions is the nurse's priority?

Initiate airborne precautions

A nurse is caring for a client who takes warfarin to treat chronic atrial fibrillation and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make?

It is likely that ginkgo biloba will interfere with the effectiveness of his other medications

A nurse is reinforcing teaching with a school-age child who has just had a fiberglass cast application following a lower-extremity fracture. Which of the following instructions should the nurse reinforce with the child and his parents about care during the first 48 hr?

Keep the cast above the level of your heart

A nurse is caring for a client who has a terminal illness. The family wants to care for the client at home. Which of the following statements indicates that the nurse understands family-centered care?

Lets set up a meeting time with the doctor to discuss your options for home care.

A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer from the bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how to perform this task?

Locks the brakes on the bed and the wheelchair before moving the client.

A nurse is contributing to the plan of care for a client who is receiving mechanical ventilation. Which of the following recommendations should the nurse make?

Maintain the head of the bed at 30 degrees

A nurse is caring for an infant who is experiencing dehydration. Which of the following data related to hydration status is the nurse's priority to collect?

Measure the client's weight daily

A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following medication prescriptions should the nurse verify with the provider?

Meperidine

A nurse on a medical-surgical unit is caring for a client who develops deep, rapid respirations. Arterial blood gas analysis includes these 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?

Metabolic Acidosis

A nurse is talking with the parent of a 4-month-old infant about growth and development. Which of the following statements indicates that the parent needs further instructions?

My baby loves to play with the pillows in her crib

A nurse in an urgent care center is collecting data from an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report to the provider as an indication of impending airway obstruction?

Nasal flaring

A nurse is reinforcing discharge teaching to a client who does not speak the same language as the nurse. The client's neighbor, who speaks the client's native language and the nurse's, arrives to drive the client home. Which of the following actions should the nurse take?

Obtain the services of an interpreter

A nurse is reinforcing teaching with the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following information should the nurse provide the parent?

Oral glucocoritcoids are more likely to slow linear growth in children

A nurse is assisting with the care of a client who had a precipitous delivery. The nurse should identify the collection of which of the following data as the priority during the fourth stage of labor?

Palpating the client's fundus

A nurse is caring for a client who has pseudomembranous colitis due to a Clostridium difficile infection. Which of the following interventions is the nurse's priority?

Performing hand hygiene before and after contact with the client

A nurse at a long-term care facility notes that a client who has dementia is having problems with orientation. Which of the following actions should the nurse take to improve the client's level of orientation?

Post a large calendar on the bulletin board

A nurse is assigned to care for several clients who are postoperative. The nurse should identify the client taking which of the following medications is at risk for delayed wound healing?

Prednisone to treat persistent arthritis exacerbations

A nurse is reviewing the medical history of a client who has presbyopia. With which of the following activities should the nurse expect the client to have difficulty?

Reading the newspaper

A newly licensed nurse in an urgent care center is caring for a child who has bruises that the nurse suspects are due to child abuse. Which of the following actions should the nurse take?

Report the suspected abuse to local authorities

A nurse is reinforcing teaching about self-administration of NPH insulin with a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include?

Rotate injection sites within the same area

A charge nurse in a skilled nursing facility notes several recent conflicts among staff on different shifts. Which of the following strategies should the charge nurse plan to use to resolve these conflicts?

Set up a series of meetings for all staff members to attend to discuss issues.

A nurse on a mental health unit is caring for a client who has antisocial personality disorder and is becoming increasingly loud and belligerent. Which of the following approaches should the nurse use to manage this client's behavior?

Speak to the client with clear, calm, caring statements

A nurse is reinforcing teaching with a client about a surgical procedure that she will undergo later in the day. The client states that no one has spoken to her about the procedure before. Which of the following actions should the nurse take?

Stop reinforcing the teaching and check with the surgeon about informed consent

A nurse is reinforcing teaching with a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client?

Stop taking the herbal supplement while taking the medication

A nurse is monitoring a client who is receiving a transfusion of packed red blood cells. Which of the following actions should the nurse take first when suspecting a transfusion reaction?

Stop the infusion

A nurse on a pediatric mental health unit is caring for a school-age child. Which of the following questions or statements should the nurse make to foster rapport and engage him in conversation?

Tell me about your favorite video game

A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. The nurse should identify that an increase in which of the following parameters is an early indication of agranulocytosis?

Temperature

Results of enzyme-linked immunosorbent assay (ELISA) testing for an 18-month-old infant who has Pneumocystis carinii pneumonia indicate that she is HIV-positive. When assisting with planning care, the nurse should consider which of the following factors?

The infant's mother is likely HIV positive

A nurse is reinforcing teaching with a client about treatment options for profound sensorineural hearing loss. The nurse should include which of the following information about the function of cochlear implants?

Transmits impulses directly to auditory nerve endings nerve endings

A nurse is preparing to administer 10 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take?

Use separate syringes for administering insulin glargine and NPH insulin

A nurse is reinforcing discharge teaching with a client who had a transient ischemic attack (TIA). The nurse should instruct the client to monitor which of the following parameters at home?

blood pressure

A nurse is reinforcing teaching with a client who has hypothyroidism and is taking levothyroxine. The nurse should instruct the client to report which of the following manifestations to the provider?

chest pain

A nurse is caring for a client during her first prenatal visit and notes that she is lactose intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client?

collard greens

A nurse is reinforcing teaching with the parents of an infant who has a cleft palate. The parents ask the nurse how long they should wait before he should have corrective surgery. The nurse should explain that the parents should wait no longer than 6 to 12 months to prevent which of the following outcomes?

difficulty with language acquisition

A nurse is contributing to the plan of care for a client who had a stroke and is to receive feeding via a gastrostomy tube. Which of the following actions should the nurse recommend to take prior to initiating each feeding?

elevate the head of the bed

A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the hearing aid is making a whistling sound. The nurse should identify which of the following factors as the source for this sound?

excessive wax in the ear canal

A nurse is reinforcing teaching with a client who has a new prescription for doxycycline. The nurse should reinforce to the client the need to monitor for which of the following adverse effects of this medication?

photosensitivity

A nurse is reinforcing discharge teaching with a client who has had a transient ischemic attack (TIA). Which of the following instructions should the nurse include?

reduce dietary sodium

A nurse is assisting with planning recreational activities for a young adult client who has an acute exacerbation of schizophrenia. Which of the following activities should the nurse recommend for this client?

walking with a staff member