NURS 400: Exam 1 ATI questions

a nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. which of the following statements should the nurse include in the teaching?

"you may experience drowsiness while taking this medication."

a nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. which of the following solutions should the nurse prepare to infuse for this client?

0.45% sodium chloride

a nurse is admitting a. 6 month old infant who has dehydration. which of the following amounts of urine output should indicate to the nurse that the treatment has corrected the fluid imbalance?

2 mL/kg/hr

a nurse is reviewing the lab results of a client who is dehydrated. which of the following BUN lab values should the nurse report to the provider?

25 mg/DL

a nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. the client reports a tingling sensation in the hands, the soles of the feet, and around the lips. for which of the following findings should the nurse assess the client?

Chvostek sign

a nurse is planning care for a client who has acute glomerulonephritis. which of the following interventions hsould the nurse include?

administer antibiotics

a nurse is caring for a client who reports recurrent flank pain, nausea, and vomitnig for 24 hours. which of the following actions is the priority?

administer pain medication

a nurse is discussing kidney transplant with a client who has ESRD. which of the following should the nurse identify as a contraindication for this treatment?

alcohol use disorder

a nurse is providing dietary teaching to a client who has frequent kidney stones. which of the following instructions should the nurse include in the teaching?

avoid eating tree nuts, like almonds

a nurse is reviewing discharge instructions with a client following a right cataract extraction. which of the following instructions hsould the nurse include?

avoid lifting anything heavier than 4.5 kg for 1 week

a nurse is caring for a client who is postoperative following a transurethral resection of the prostate. which of the following complications is the priority for the nurse to monitor for?

hemorrhage

a nurse is providing dietary teaching for a client who takes furosemide. the nurse should recommend which of the following foods as the best source of potassium?

bananas

a nurse is caring for a client who has metabolix alkalosis. which of the manifestations should the nruse monitor?

bicarbonate excess circumoral paresethesia dizziness

a nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. which of the following should the nurse recognize as the most reliable indicator of fluid loss?

body weight

a nurse is caring for a client who has HF and is receiving IV furosemide. the nurse should monitor the client for which of the following electrolyte imbalances?

hyperuricemia

a nurse is caring for a client who has prescription for KCL 20 meq PO daily. the nurse reviews the clients most recent lab results and finds the client potassiun level is 5.2 meq/l. which of the following actions should the nurse take?

call the prescribing physican and inform her of the clients serum potassium level results

a nurse in a provider office is reviewing the lab results of a client who takes furosemide for hypertension. the nurse notes that the client potassium level is 3.3 meq/l. the nurse should monitor the client for which of the following complications>

cardiac dysrhthmias

a nurse is caring for a client who has an indwelling urinary catheter. which of the following actions should the nurse take to prevent infection>

check the catheter tubing for kinks or twisting

a nurse is caring for a client who is 4 hr postoperative following a transurethral resection of the prostate (TURP). the nurse notes that the clients indwelling urinary catheter has not drained in the past hour. which of the following actions should the nurse take first?

check the tubing for kinks

a nurse is caring for 4 hospitalized clients. which of the following clients should the nurse identify as being at risk for FVD?

client who has gastroenterititis and is febrile

a nurse is caring for a client who is receiving mydiatritc eye drops. which of the following manfiestations should the nurse know that the client developed a systemic anticholinergic effect?

constipation

a nurse is caring for a client who has postoperative ileus and an NG tube that has drained 2,500mL in the past 6 hr. which of the for?

decreased potassium level

a nurse is admitting a client who has a partial hearing loss. which of the following is the priority action by the nurse?

determine if the client uses hearing aids

a nurse in the ED is caring for ac lient who collasped after playing football on a hot day. after reviewing the admission lab finding, the nurse recognizes these findings are consistent with which?

deydration

a nurse is reviewing the medical record of a client with UTI. which of the following is a risk factor>

diabetes mellitus

a nurse is caring for a client following his first HD treatment. the client reports a headache, nausea, restlessness. the nurse should identify these findings as manifestations of which of the following complications.

dialysis disequilibrium

a nurse is caring for a client who has BPH. the nurse should expect which of the following?

difficulty starting the flow of urine

a nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. which of the following adverse should the nurse include in the teaching?

dizziness

a nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. which of the following assessments is an indication that the client might be experiencing circulatory overload?

dyspnea

a nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosenide. which of the following instruction should the nurse include>

eat foods that contain plenty of potassium

a nurse is planning care for a client who has urolithiasis. which of the following actions should the nurse take?

encourage intake of at least 3 L of fluids per day

a nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. his BUN is 32, creatinine 1.1, hematocrit 50%. which intervention is appropriate?

evaluate urine foe amount and for specific gravity

a nurse is assessing a child who has nephrotic syndrome. which of the following findings should the nurse expect?

facial edema

a nurse is caring for a client who has benign prostatic hyperplasia (BPH). which of the following meds should the nurse plan to admiister?

finasteride

a nurse is caring for a client who has PKD. which of the following findings should the nurse expect?

flank pain

a nurse in a community clinic is assessing an older adult client for manifestations of dehydration. which of the following findings should the nurse expect?

furrows in the tongue

a nurse is perparing to administer potassium chloride to a client who is receiving diuretic therapy. the nurse reviews the clients potassium level results and discovers the clients potassiun level is 3.2. which of the following action should the nurse take?

give the ordered KCL as prescribed

a nurse in an opthalanology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. the nurse should expect the client to report

having a decreased abiity to perceive colors

a nurse is caring for a client who has ESKD and reports having SOB and swelling in his lower extremities. upon assessment, the nurse notes the client has crackles in his lungs and an elevated BP. the nurse should suspect which of the following based on the clients manifestations.

hypervolemia

a nurse is caring for a client who has HF and new prescription for furosemide. for which of the following adverse effects should the nurse monitor?

hypokalemia

a nurse is caring for a client who has nephrotic syndrome and is receiving high dose corticosteroid therapy. which of the following electrolytes imbalances should the nurse monitor?

hypokalemia

a nurse is providing dietary teaching to a client who has calcium oxalate kidney stones. which of the following statements indicates an understanding

i may eat a banana with breakfast

a nurse is caring for a client following cataract surgery. which of the following comments from the client shold the nurse report to the client provider?

i need something for the pain in my eye. i cannot stand it

a nurse is providing teaching to a client who has nephrotic syndrome. the nuse should recognize that which of the following client statements indciates a need for further teaching?

i should increase my sodium intake

a nurse is teaching a client about how to use her new hearing aids. which of the following statements should the nurse identify as an indication that the client needs further instruction?

i will clean the hearing aids with alcohol wipes

a nurse is caring for a client who is postoperative following a TURP. the nurse should plan to administer the client PRN bethanechol when the client reports which of the following manifestations?

inability to void

a nurse on a med surg unit is perfomring an admission assessment of a client who has COPD/emphysema. the client reports that he has a frequent productive cough and SOB. the nurse should anticipate which of the following assessment findings?

increased anteroposteroir diameter of the chest

a nurse is planning care for a client who has cystitis. which of the following interventions should the nurse include in the plan?

instruct to avoid drinking carbonated beverages

a nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. the nurse should instruct the client to increase dietary intake of which of the following substances?

iron

a nurse in an energency department is assessing an infant who is dehydrated. which of the following findings should the nurse expect?

irritability

a nurse is teaching a group of nursing students about pyelonephritis. which of the following statements should the nurse include in the teaching?

it increases a pregnant woman risk for preterm labor

a home health nurse is teaching an older adult client who just had cataract surgery. which of the following instructions should the nurse include?

keep your head straight up

a nurse is caring for a client with HCO3 18, PaCO2 28, Ph 7.30. which is the imbalance

metabolic acidosis

a nurse is reviewing a client lab report of arterial blood gas pH 7.28, HCO3 18, PACO2 36. what does this mean?

metabolic acidosis

a nurse is teaching a client who has a new prescription for ciprofloxacin to treat an uncomolicated UTI. which of the following instructions should the nurse include?

monitor for tendon pain

a nurse is assessing a preschooler who has calciu level of 8. which of the following findings should the nurse ecpect?

muscle tremors

a nurse is assessing a client who has a sodium level of 116 meq/l. which of the following findings should the nurse expect?

nausea and vomiting

a nurse is caring for a child who has acute gastroenteritis but it able to tolerate oral fluids. the nurse should anticipate providing which of the following types of fluid?

oral rehydratio nsolution

a nurse is caring for a client who is 2 hr postoperative following a transurethral resection o the prostate (TURP) gland. which of the following assessments should the nurse view to be an indication of a postoperative complication?

output of burdundy colored urine

a nurse is assessing notes that the client has constant leakage of small amounts of urine and a bladder that is dsitended and palpable. the nurse should associate these findings with which of the following urinary incontinence?

overflow

a nurse is caring for a client who has AKI. which of the following arterial blood gas values would the nurse expect this client to have?

pH 7.26, HCO 14, PACO2 30

a nurse is reviewing the Abg of a client who has metabolic acidosis. which of the folowing results should the nurse expect to see?

pH below 7.35

a nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. the nurse should prepare to administer which of the following meds?

phenylephrine

a nurse is providing dietary teaching to a client who has CKD. the nurse should instruct the client to limit which of the following?

phosphorous sodium protein

a nurse is caring for a client with meinere disease and asks if he is allowed to ambulate independently. which of the folowing responses should the nurse make>

please ring for assistance when you wish to get out of bed

a nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. which would the nurse expect

poor skin turgor flat neck veins hypotension

a nurse is caring for a client who has HF and a new prescription for furosemide. which of the following lab values should the nurse review before administering furosemide?

potassium

a nurse is reviewing the lab data of a client following HD. the nurse should expect to find a decrease in which of the following lab values?

potassium

a nurse is caring for a client who has serum potassium level of 5.5. the provider prescriebs polystyrene sylfonate. if this med is effective, the nurse should expect which of the following changes on the client ECG?

reduction of T wave amplitude

a nurse is planning care for a client who is 2 hr postoperative following a transurethral resection of the prostate. the client is receiving continouous bladder irrigation. which of the following interventions should the nurse include

remind the client he might feel a constant urge to void

a urse is assessing a client who is experiencing prostatic hypertrophy. which of the folowing findings assoicated with urinary retention should the nurse expect?

report of feeling pressure tenderness over the symphysis pubis distended bladder voiding 30 mL frequently

a nurse is caring for a client who has pH 7.3, PACO2 50. which of the following is this?

respiratory acidosis

a nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?

respiratory acidosis

a nurse is talking with a client who is scheduled for surgery to repair retinal detachment. which of the following preoperative instructions should the nurse include>

restrict head movements

a nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. which of the following instructions should the nurse include?

restrict lifting objects greater than 10 lbs

a home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. which of the following findings should the nurse identify as a safety risk?

scatter rugs are present

a nurse is reviewing lab findings for 4 clients. which of the following clients has manifestations of acute kidney injury?

serum creatinine 6 mg/dl

a nurse is caring for a client who has CKD and states she has heartburn. the provider prescribes aluminum hydroxide. the client asks why cant i just take the antacid my husband has at home? the nurse explains to the client that aluminum hydroxide is the preferred antacid because it lowers which of the following?

serum phosphorous levels

a nurse is assessing a client who is taking clorothiazide sodium. the nurse recognizes which of the following as a manifestation of hypokalemia?

shallow respirations

a nurse is caring for a client who has ESRD. which of the following are expected findings?

slurred speech bone pain prutitus

a nurse is reviewing the lab report of a client and identifies a serum potassium level of 6.8. which of the following meds should the nurse plan to administer?

sodium polysyterene

a nurse is caring for a child who has OM with effusion. the nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

sudden pain relief

a nurse in a long term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. after the provider determines no medical cause for the client incontinence which of the following interventions should the nurse inititate to manage this behavior?

take the client to the bathroom every 2 hours

a nurse at an outpatient surgery center is providing discharge teching to a client and his spouse following surgical removal of a cataract. which of the following should the nurse include?

the client should wear dark glasses while outdoor

a nurse at a clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. which of the following instructions should the nurse provide?

this medication should be applied on a regular schedule for the rest of the clients life

a nurse is caring for a client who had total thyrodiectomy and a serum calcium of 7.6. which of the following should the nurse expect?

tingling of the extremities

a nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. which of the following foods should the nurse instruct the client to avoid?

tomatoes bananas raisins

a nurse is caring for a child who has OM. which of the following assessments would the nurse expect?

tugging on the affected ear lobe

a nurse is teaching a client who has AKI about the oliguric phase. which of the following information should the nurse include in the teaching?

urine output is less than 400 mL per 24 hour

a nurse is caring for a client who has impaired renal function, for which of the following findings should the nurse identify to notify the HCP?

urine output of 175 ml in past 8 hours

a nurse is reviewing the lab results of a client who has FVD. the nurse would expect which of the following?

urine specific gravity 1.036

The nurse is caring for a client who is receiving IV fluids to correct dehydration. which of the following lab values should indicate to the nurse that the client is effectively responding to treatment?

urine specific gtravity 1.020

a nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. which of the following interventions should the nurse implement to ensure proper dialysate exchange?

warm the dialysate solution prior to instillation

a nurse is caring for a client who sustained blood loss. which of the following is a manifestation of hypovolemia?

weak pulse

a nurse is assessing a client wo has hypokalemia as a result of nausea, vomiting, and diarrhea. which of the following findings should the nurse expect?

weak, irregular pulse

a nurse is providing education for a client who has glaucoma. which of the following statments should the nurse include in the teaching?

without treatment, glaucoma can cuase blindness

a nurse is assessing a toddler who has acute nephrotic syndrome. which of the following should the nurse report to the provider?

yellow nasal discharge

a nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. which of the folowing infromation should the nurse include?

you should anticipate pain the first week during the inflow of dialysate

a nurse is teaching a client who has a new diagnosis of urge incontienence. which of the following information should the nurse include in the teachig?

you should limit fluids in the evening you should restrict your intake of caffeine your provider might prescribe anticholinergic meds

a nurse is teaching a client who has a UTI and is taking ciprofloxacin. which of the following instructions should the nurse give to the client?

you should report any tendon discomfort you experience while taking this med