ATI- practice exit

A nurse is caring for a clent 2 hr after admission. The client has an O2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes wf medications should the nurse expect to administer?

Beta 2 agonist

A nurse is preparing to administer a dose of new prescription of prednisonse to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? (Selevet all the apply.)

Hypokalemia fluid retention black, tarry stools

A nurse is providing d/c teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching?

I can have an increase in my heart rate while taking this medication

A nurse is teaching a group of clients about influenza. Which of the following client statements indicates an understanding of the teaching?

I should wash my hand after blowing my nose to prevent spreading the virus

A nurse is reinforcing teaching with a client on the purpose of taking bronchodilator. Which of the following client statements indicates an understanding fot eh teaching?

I take this medication to prevent asthma attacks

A nurse is instruction a client ont he use of an incentive spirometer. Which of the following statements by the client indicates an understanding of the teaching?

I will take a deep breath and hold before exhaling

A nurse is providing dischange teaching to a client who has a new prescription for prednisone for asthma. Which of the following client statements indicates an understanding of teaching?

I will take my medication with meals

A home health nurse is teaching a client who has active TB. The provider has prescribed the following medication regiment: isoniazide, rifampin, pyrazinamide, and ethambutol. Which of the following client statements indicate the client understand the teaching? (Select all that apply.)

I will wash my hand each time I cough I will wear a mask when I am in public area

a nurse is providing d/c instructions to a female client who has rx for phenytoin. Which of the following information should the nurse include?

Take the medication the same time everyday.

A nurse is d/c a client who has COPD. Upon d/c, the client is concerned that he will never be able to leave his house now that he is on continuous oxygen. Which of the following is an appropriate response by the nurse?

There are portable oxygendelivery systems that you can take with you.

A nurse in the emergency department is caring for a client who is having an acute asthma attack. Which of the following assessment indicates that the respiratory status is declining? (Select all that apply.)

Wheezing Retraction of sternal muscles PVC's

A nurse is teaching a client who has TB. Which of the following statements should the nurse include in the teaching?

You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication

A nurse is teaching a client who has hx of psoriasis about photochemotherapy and ultraviolet light tx. Which of the following instructions should the nurse include in the teaching?

administer a psoralen medication before the treatment

A nurse is providing information about a new rx for corticosteroid cream to a client who has mild psoriasis. Which of the following instructions should the nurse include?

apply an occlusive dressing after application wear gloves after application to lesions on the hands avoid applying in skin folds

A nurse is instructing a client on home care after a culture for bacterial infection and cellulitis. Which of the following information should the nurse include in the teaching?

apply warm compresses to the affected area

a nurse is reviewing trigger factors that can cause seizures with a client who has a new dx of generalized seizures. Which of the following information should the nurse include in the review?

avoid overwhelming fatigue remove caffeinated products limit looking at flashing lights

A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? (Select all that apply.)

client who has dysphagia client who has AIDS Client who has a closed head injury and is receiving ventilation client who has myasthenia gravis

A nruse is assessing a client who has a history of asthma. Which of the following factors should the nurse identify as a risk for asthma?

environmental alergies

a nurse is education a female client on the use of calcipotrine topical medication for the tx of psoriasis. Which of the following information should the nurse include? (select all that apply.)

expect a stinging sensation upon application obtain a pregnancy test limit application to skin folds apply to the scalp

A nurse is assessing a client who reports sever HA and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?

implement droplet precautions

A nurse is planning care for a client who has meningitis and is at risk for increased ICP. Which of the following actions should the nurse plan to take?

implement seizure precautions turn off room lights and TV monitor for impaired extraocular movement

A nurse is caring for a client who just experienced a generalized seizure. Which of the following acitons should the nurse perform first?

keep the client in a side lying position

A nurse in a clinic is caring for a client whose partner states the client woke up this morning, did not recognize him, and did not know where she was. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority?

obtain baseline vital signs and oxygen saturation

A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the nurse use to identify manifestations of this disorder?

palpation of the orbital areas

A nruse is providing info about TB to a group of clients at a local community center. Which of the following manifestations should the nurse include in the teaching? (select all that apply.)

persistent cough fatigue night sweats purulent sputum

A nurse is assessing for the presence of Brudzinski's sign in a client who has suspected meningitis. Which of the following actions should the nurse take when performing this technique?

place client in supine position place hands behind the clients neck bend client's head toward chest

A nurse is providing teaching to the parent of a child who has contact dermatitis. Which of the following information should the nurse include?

place the child in a bath with colloidal oatmeal

A nurse is planning care for a client who has bacterial meningitis. Which of the following actions should the nurse include in the plan of care?

provide an emesis basin at the bedside administer antipyretic perform a skin assessment

A nurse is assessing a client who has a seizure disorder. The client reports he thinks he is about to have a seizure. Which of the following actions should the nurse implement?

provide privacy ease the client to the floor if standing move furniture away from the client loosen the client's clothing protect the clients head with padding

a nurse in a clinic is preparing to obtain a skin specimen from a client who has a suspected herpes infection. Which of the following actions should the nurse take? (Select all that apply.)

puncture the crusted area with a sterile needle place cotton tipped applicator in culturette tube place culturette tube in ice

A nurse is planning to instruct a client on how to perform pursed lip breathing. Which of the following should the nurse include in the plan of care?

take a deep breath in from your nose

a nurse is caring for a client who has suspected viral skin lesion. Which of the following laboratory findings should the nurse anticipate reviewing to confirm this dx

tzanck smear report

A nurse is caring for a client who has a new dx of TB and has been placed on multimedication regimen. Which of the following instructions should the nurse give the client related to ethambutol?

what for changes in vision

A nurse is preparing to administer a new prescription if isoniazid to a client who has TB. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

you might notice tingling of your hands