ATI U3 mod a-f questions
A client in a provider office tell the nurse that "I fast for several days each week to help control my weight." The client takes fevetarmedications for various chronic issues; the nurse should explain to the client that which of the following mechanisms that results from fasting puts her at fisk for medication toxicily, A. Increasing the metabolism of the medications over time B Increasing the protein-binding response C. Increasing medications' transit time through the intestines D. Decreasing the excretion of medications
B
A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the following bed positions should the nurse use for safe care of this client? A. Supine B. Semi-Fowler's C.Semi-prone D. Trendelenburg
B
A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take? A. Use a 22-gauge needle. B. Select a site on the client's abdomen. C. Use the Z-track technique to displace the skin on the injection site. D. Observe for bleb formation to confirm proper placement.
B
A nurse is reviewing a client's medications. They include cimetidine and imipramine. Knowing that cimetidine decreases the metabolism of imipramine the nurse should identily that this combination is likely to result in which of the following effects? A. Decreased therapeutic effects of cimetidine B) Increased risk of imipramine toxicity C. Decreased risk of adverse effects of cimetidine D. Increased therapeutic effects of imipramine
B
A nurse is teaching an adult client how to administer ear drops. Which of the following statements should the nurse identify as an indication that the client understands? A. "I will straighten my ear canal by pulling my ear down and back." B. "I will gently apply pressure with my finger to the front part of my ear after putting in the drops." C. "I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops in.' D. "After the drops are in, I will place a cotton ball all the way into my ear canal."
B
A nurse manager is reviewing with the nurses on the unit in the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction? A. "I will place the client on their side" B. I will go to the nurse's station for assistance" C. I will note the time that the seizure begins D. I will prepare to insert an airway
B
A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? A. "A second nurse enters the prescription into the client's medical record." B. "Another nurse should listen to the phone call." C. "The provider can clarify the prescription when they sign the health record." D. "I should omit the 'read back' if this is a one-time prescription."
B
A nurse educator is reviewing proper body mechanics during employee orientation. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? (Select all that apply.) A. "My line of gravity should fall outside my base of support." B) "The lower my center of gravity, the more stability I have. C. "To broaden my base of support, I should spread my feet apart.' (D. "When I lift an object, I should hold it as close to my body as possible." E. When pulling an object, I should move my front foot forward."
B, c, d
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the sterile field? Select all that apply. a. The provider drops a sterile instrument onto the near side of the sterile field b. The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field c. The procedure is delayed 1 hr because the provider receives an emergency call d. The nurse turns to speak to someone who enters through the door behind the nurse e. The client's hand brushes against the outer edge of the sterile field
B, c, d
A nurse is preparing medications for a preschooler. Which of the following factors should the nurse identify as altering how a medication affects children? (Select all that apply) A. Increased gastric acid production B. Immature liver C. Higher body water content (D. Increased absorption of topical medications E. Increased gastric emptying time
B, c, d
to promote adherence, with medication self administration, a nurse is making recommendations for an older adult client. Which of the following instructions should the nurse include? (Select all that apply) A. Adjust dosage according to daily weight. B. Place pills in daily pill holders C. Ask for liquid forms if the dient has difficulty swallowing pills. D. Ask a relative to assist periodically, F. Request child-resistant caps on medication containers.
B, c, d
A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include? (Select all that apply) A. Most food poisoning s caused by a virus B. Immunocompromised individuals are at increased risk for complications from food poisonings C. Clients who are at high risk should eat or drink pasteurized dairy products D. Healthy individuals usually recover from the illness in a few weeks E. Handling raw and fresh food separately can prevent food poisoning
B, c, e
A nurse is collecting data from a client who takes haloperidol to treat schizophrenia. Which of the following findings should the nurse document as extrapyramidal symptoms (EPSs)? (Select all that apply) A. Orthostatic hypotension B. Tremors C. Acute dystonia D.decreased level of consciousness E. Restlessness
B, c, e
A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following should the nurse include? (Select all that apply) A. Place the client in a room that has negative air pressure of at least six exchanges per hour B. Wear a mask when providing care within 3 ft of the client C. Place a surgical mask on the client if transportation to another department is unavoidable D. Use sterile gloves when handling soiled linens E. Wear a gown when performing care that might result in contamination from secretions
B, c, e
A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? (Select all that apply.) A. Family members who smoke must be at least 10 ft from the client when oxygen is in use. B. Nail polish should not be used near a client who is receiving oxygen. C. A "No Smoking" sign should be placed on the front door. D. Cotton bedding and clothing should be replaced with items made from wool. E. A fire extinguisher should be readily available in the home.
B, c, e
A nurse is reviewing hand hygiene techniques with a group of assistive personnel. (AP). Which of the following instructions should the nurse include when discussing hand washing? (Select all that apply) A. Apply 3-5mL of liquid soap to dry hands B. Wash the hands with soap and water for at least 15 seconds C. Rinse the hands with hot water D. Use a clean paper towel to turn off hand faucets E. Allow the hands to air dry after washing
B, d
A nurse Is caring for a client who is 1 day postoperative and reports a pain level of 10 on a scale of 0 to 10. After reviewing the clients medication administration record, which of the following medications should the nurse administer? A. Meperidine 75 mg IM B. Fentanyl 50 mcg/hr transdermal patch C) Morphine 2 mg IV D.Oxycodone 10 mg PO
C
A nurse in an outpatient surgical center is admitting a client for a laparoscopic procedure. The client has a prescription for preoperative diazepam. Prior to administering the medication, which of the following actions is the nurse's priority? A. Teaching the client about the purpose of the medication B. Giving the medication at the administration time the provider prescribed C. Identifying the client's medication allergies D. Documenting the client's anxiety level
C
A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make? A. "Lie on your back with our head and shoulders supported by a pillow." B. "Have your head turned to the side while you lie on your stomach." C. "Have a table beside your bed so you can sit on the bedside and rest your arms on the table." D. "Lie on your side with your top arm resting on the bed and your weight on your hip."
C
A nurse is teaching a client who is lactating about taking medications. Which of the following actions should the nurse recommend to minimize in the entry of medication into breast milk? A. Drink 8 oz of milk with each dose of medication. B. Use medications that have an extended half-life. (C. Take each dose right after breastfeeding. D. Pump breast milk and freeze it prior to feeding to the newborn.
C
A nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority? A. Extinguish the fire B. Activate the fire alarm C. Move clients who are nearby D. Close all open doors on the unit
C
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every day. The nurse should identify this as which of the following types of prescription? A. Single B. Stat C. Routine D. Now
C
When entering a clients room to charge a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field? A. Keep the sterile field at least 6ft away from the client's bedside B. Instruct the client to refrain from coughing and sneezing during the dressing change C. Place a mask on the client to limit the spread of micro-organisms into the surgical wound D keep a box of facial tissues nearby for the client to use during the dressing change
C
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A. Hypotension B. Bradycardia C. Clammy skin D. Bradypnea
A
A nurse in an outpatient clinic is caring for a client who has a new prescription for an antihypertensive medication. Which of the following instructions should the nurse give the client? A "Get up and change positions slowly." B. "Avoid eating aged cheese and smoked meat." C. "Report any usual bruising or bleeding to the doctor immediately." D. "Eat the same amount of foods that contain vitamin K every day.
A
A nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority? A. Complete a fall-risk assessment B. Educate the client and family about fall risks C. Eliminate safety hazards from the clients environment D. Make sure the client uses assistive aids in their possession
A
A nurse is teachin a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? A "Flush the tube before and after each medication. B. "Mix your medications with your enteral feeding. C. "Push tablets through the tube slowly." D. "Mix all the crushed medications prior to dissolving them in water.'
A
A nurse prepares an injection of morphine to administer to a client who reports pain, then asks a second nurse to give the injection because another assigned client needs to use a bedpan. Which of the following actions should the second nurse take? A. Offer to assist the client who needs the bedpan. B. Administer the injection the other nurse prepared. C. Prepare another syringe and administer the injection. D. Tell the client who needs the bedpan to wait while the nurse gives someone else medication.
A
A nurse is teaching a client who has a new prescription for oxybutynin about managing the medication's anticholinergic effects. Which of the following instructions should the nurse include? (Select all that apply' A) Take sips of water frequently. B. Wear sunglasses.when.outdoors in sunlight. C. use a soft toothbrush when brushing feeth. D. Take the medication with an antacid (E) Urinate prior to taking the medication.
A, b, e
A nurse is reviewing a client's prescribed medications at the beginning of the day shift. Which of the following 0900 medications can be given anytime between 0700 and 1100? (Select all that apply.) A. A once-daily multivitamin B. Eye drops prescribed every 3 hr C. An antibiotic prescribed every 8 hr D. A blood pressure pill prescribed twice daily E. A subcutaneous injection prescribed once weekly
A, e
A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply) A. Planning and evaluating control and prevention strategies B determining public health priorities C. Ensuring proper medical treatments D. Identifying endemic disease E. Monitoring for common-source outbreaks
A, b, c, e
A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following instructions should the nurse manager include? (Select all that apply.) (A. Request assistance when repositioning a client. B Avoid twisting your spine or bending at the waist. C. Keep your knees slightly lower than your hips when sitting for long periods of time. D. Use smooth movements when lifting and moving clients. E. Take a break from repetitive movements every 2 to 3 hr to flex and stretch your joints and muscles.
A, b, d
A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. Which of the following are manifestations of a systemic infection? (Select all that apply) A. Fever B. Malaise C. Edema D. Pain or tenderness E. Increase in pulse and respiratory rate
A, b, e
A nurse educator is teaching newly licensed nurses about safe medication administration. Which of the following statements indicates understanding? (Select all that apply.) A. "I will observe for adverse effects." B. "I will monitor for therapeutic effects." C. "I will prescribe the appropriate dose." D. "I will change the dose if adverse effects occur." E. "I will refuse to give a medication if I believe it is unsafe."
A, b, e
A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (Select all that apply) A. Place a belt restraint on the client when they are sitting on the bedside commode B. Keep the bed in its lowest position with all side rails up C. Make sure that the client's call light is within reach D. Provide the client with nonskid footwear E. Complete a fall-risk assessment
C, d, e
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following objects can the nurse touch without breaking sterile technique (Select all that apply) A. bottle containing sterile solution B. edge of sterile drape at the base of the field C. inner wrapping of an item on the sterile field D. irrigation syringe on the sterile field E. one gloved hand with the other gloved hand
C, d, e
A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include? A. Carbon monoxide has a distinct color B. Water heaters should be inspected every 5 years C. The lungs are damaged from carbon monoxide inhalation D. Carbon monoxide binds with hemoglobin in the body
D
A nurse educator is conducting a parenting class for new guardians of infants. Which of the following statements made by a participant indicates understanding? A. I will set my water heater at 130*F B.once my baby can sit up, they should be safe in the bathtub C. I will place my baby on their stomach to sleep D. Once my infant starts to push up, i will remove the mobile from over the crib
D
A nurse in an outpatient clinic is teaching a client who is in the first trimester of pregnancy. Which of the following statements should the nurse make? A. "You will need to get a rubella immunization if you haven't had one prior to pregnancy." B. "You can safely take over- the-counter medications." C. "You should avoid any vitamin preparations containing iron." D "Your provider can prescribe medication for nausea if you need it."
D
A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is the nurse's priority at this time? A. Obtain a walker for the client to use to transfer back to bed. B. Call for additional staff to assist with the transfer. C. Use a transfer belt and assist the client back into bed. D. Determine the client's ability to help with the transfer.
D
A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection? A. Prodromal B. Incubation C. Convalescence D. Illness
D
A nurse is teaching a client about medication at discharge. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I can open the time-release capsule with the beads in it and sprinkle them on my oatmeal. B. "If I am having difficulty swallowing. I will add the liquid medication to a prepared package of pudding. C. I can crush the enteric coated oil if needed." D."I will eat two crackers with the pain pills."
D
A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first? A. The flap closest to the body B. The right side flap C. The left side flap D. The flap farthest from the body
D.
A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up blood. The client has manifestations of which of the following conditions? A. Allergic reaction B. Ringworm C. Systemic lupus erythematosus D. Tuberculosis
D.