ATI Break Quiz 4

a nurse is teaching a client who has human immunodeficiency virus (HIV) about how the virus is transmitted. which of the following statements should the nurse include in the teaching? -"HIV can be transmitted as soon as a person develops manifestations" -"HIV can be transmitted to anyone who has had contact with infected blood" -"HIV is transmitted through the respiratory route via droplets" -"HIV is transmitted only during the active phase of the virus"

"HIV can be transmitted to anyone who has had contact with infected blood"

a nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. the nurse should identify that which of the following client statements indicates a therapeutic action of the medication? -"my mouth seems very dry lately" -"i've noticed my heart beating faster" -"i am able to urinate more freely" -"i've noticed i can take a deep breath more easily"

"I am able to urinate more freely"

a nurse is providing teaching to a client who has a chronic cough and is scheduled for a bronchoscopy. which of the following client statements indicates an understanding of the teaching?" -"i can keep my dentures in during the procedure" -"i am allowed only clear liquids prior to the procedure" -"a tissue sample might be obtained during the procedure" -"a signed consent form is not required for this procedure"

"a tissue sample might be obtained during the procedure"

a nurse is reinforcing teaching about preventing engorgement to a client who is planning to use formula to feed her newborn. which of the following instructions should the nurse include? -"apply ice packs to your breasts" -"hand express milk from your breasts 3 times each day" -"try to avoid wearing a bra as much as possible throughout the day" -"request a prescription for medication to suppress lactation"

"apply ice packs to your breasts"

a client who has stage II breast cancer asks the nurse about sites of metastasis for this cancer. which of the following responses should the nurse provide? -"it's too soon to worry about something that might not happen" -"breast cancer tends to metastasize to the stomach" -"metastasis is unlikely since we detected your cancer early" -"breast cancer tends to metastasize to the bones"

"breast cancer tends to metastasize to the bones"

a nurse is teaching a client who had dyspepsia about prescribed antacids. which of the following statements should the nurse include in the teaching? -"take the antacids 1 hour apart from other medications" -"increase your sodium intake to avoid hyponatremia" -"avoid combining antacids due to an increased risk of adverse effects" -"antacids are taken 3 times daily"

"take antacids 1 hour apart from other medications"

a nurse is performing a routine prenatal examination of a client who is in the second trimester. the client reports backaches with no other symptoms and refuses medication. which of the following responses should the nurse make? -"try pelvic tilt exercises" -"limit your physical activity" -"soak in a warm bubble bath" -"lie flat on your back for 1 hour"

"try pelvic tilt exercises"

a nurse is talking with a parent of a preschooler. the parents reports that she struggles to get her child to go to bed at a consistent time. she explains that the child gets out of bed, enters his parents' room, and cries when they tell him to stay in his own bed. which of the following instructions should the nurse give the parent? -"use a stable, relaxing routine like a bath and story time before bed" -"make sure the room is completely dark when placing your child in bed" -"let your child go to sleep in your lap and then put him in his bed" -"respond consistently if your child cries out for you after putting him to bed"

"use a stable, relaxing routine like a bath and story time before bed"

a nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. which of the following statements should the nurse include in the teaching? -"you should drink 8 oz of a regular soft drink if you experience hypoglycemia" -"you should drink 4 oz of orange juice if you experience hypoglycemia" -"you should take 2 glucose tablets if you experience hypoglycemia" -"you should take 3 tsp of sugar if you experience hypoglycemia"

"you should drink 4 oz of orange juice if you experience hypoglycemia"

a nurse completing an assessment on a client. which of the following findings should the nurse identify as a risk factor for coronary artery disease? -hypothyroidism -hypertension -diabetes mellitus -hyperlipidemia -tobacco smoking

-hypertension -diabetes mellitus -hyperlipidemia -tobacco smoking

a nurse is preparing to administer cefaclor 750 mg PO in 3 divided doses. Cefaclor 500 mg/tablet is available. how many tablets should the nurse administer with each dose?

0.5 tablets

a nurse is preparing to administer desmopressin 0.3 mcg/kg in 0.9% sodium chloride mL IV over 30 min to a client who weights 154 lb. how many ocg of medication should the client receive

21 mcg

a nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL for infusion over 10 hr. the drop factor of the manual IV tubing is 15 gtt/mL. the nurse should set the manual IV infusion to deliver how many gtt/min?

25 gtt/min

a nurse is preparing to administer cefixime 4 mg/kg PO twice daily to a preschooler who weighs 31 lb. how many milligrams should the nurse administer with each dose?

56 milligrams

a nurse is preparing to administer an enteral feeding through an NG tube at 250 mL over 4 hr. the nurse should set the pymp to deliver how many mL/hr?

63 mL/hr

a nurse is preparing to administer naloxone to a newborn. which of the following conditions can require administration of this medication? -IV narcotics administered to the mother during labor -maternal drug use -hyaline membrane disease -meconium aspiration

IV narcotics administered to the mother during labor

a nurse is caring for a client who is suspected to have tuberculosis. which of the following findings should the nurse expect? -recent weight gain -high fever -rhinitis -blood-streaked sputum

blood-streaked sputum

a nurse is assisting a client who has dysphagia at mealtimes. which of the following actions should the nurse take? -assist the client into a semi-sitting position -have the client lean slightly backward -advise the client to tuck his chin downward -instruct the client to tilt his head slightly backward

advise the client to tuck his chin downward

a nurse is caring for a client with stage 4 ovarian cancer who has decided to stop treatment and enter hospice care. which of the following ethical principles is the nurse displating by supporting the client in her decision? -responsibility -accountability -advocacy -confidentiality

advocacy

a nurse on an eating disorders acute care unit is assessing a client and observes the presence of lanugo on her skin. the nurse should identify that this finding is consistent with which of the following eating disorders? -anorexia nervosa -bulimia nervosa -binge eating disorder -pica

anorexia nervosa

a nurse is teaching a client who has extensive deep partial- and full-thickness burns and requires a topical antimicrobial medication. the goal of this medication therapy is to reduce which of the following outcomes? -bacterial growth -scarring -skin graft size -pain

bacterial growth

a client comes to the emergency department in severe respiratory distress following left-sided blunt chest trauma. the nurse notes absent breath sounds on the client's left side and a tracheal shift to the right. for which of the following procedures should the nurse prepare the client? -tracheostomy placement -thoracentesis -CT scan of the chest -chest tube insertion

chest tube insertion

a nurse is caring for a client who is 2 days postoperative following a gastric bypass. the nurse notes that bowel sounds are present. which of the following foods should the nurse provide at the initial feeding? -vanilla pudding -apple juice -diet ginger ale -clear liquids

clear liquids

a nurse on an inpatient unit is assessing a client who has claustrophobia. the nurse determines the client's condition has improved when he can perform which of the following tasks? -ride in an elevator -attend a class where several service animals are present -sit in a large room with several people he does not know -go for a swim in an outdoor pool

ride in an elevator

a nurse is providing teaching to a client who has type 1 diabetes mellitus about hypoglycemia. which of the following manifestations should the nurse include in the teaching? -shakiness -urinary frequency -dry mucous membranes -excess thirst

shakiness

a nurse is caring for a client who has severe anxiety disorder and is in a state of panic in the dayroom. which of the following actions should the nurse take? -speak to the client in a calm voice -leave the client alone to regain control -encourage the client to express her feelings -place the client in restraints

speak to the client in a calm voice

a nurse is assessing the gross and fine motor behaviors of a toddler. which of the following behaviors should the nurse identify as an expected achievement for a 3-year-old child? -walking backward while moving heel to toe -standing on 1 foot for several seconds -using scissors to cut out shapes -printing letters with a pencil

standing on 1 foot for several seconds

a nurse is providing posteroperative teaching about the management of dumping syndrome to a client who had a partial gastrectomy. which of the following instructions should the nurse include in the teaching? -consume at least 4 oz of fluid with meals" -"take a short walk after each meal" -"use honey to flavor foods such as cereal" -"eat protein with each meal"

"eat protein with each meal"

a nurse is caring for a middle-aged adult client. the nurse should identify which of the following statements as an indication that the client has completed Erikson's developmental task for her age group -"i am comfortable with my decision to choose a lifelong partner" -"i think i have done a good job with my children since they are all independent now" -"as i look back over my life, i can see that i have achieved most of the goals I set for myself" -"i love my work so much that it is difficult to think about retirement"

"i think i have done a good job with my children since they are all independent now"

a nurse is providing teaching about home care to the guardian of a school-aged child who has seizures. which of the following statements by the guardian indicates an understanding of the teaching? -"i will call an ambulance if my child's seizure lasts more than 10 minutes" -"i will offer my child clear liquids immediately following a seizure" -"i will tightly hold my child to restrain her during a seizure" -"i will turn my child onto her side when a seizure begins"

"i will turn my child onto her side when a seizure begins"

a nurse is providing teaching for new parents on safe sleeping recommendations to reduce the risk of sudden infant death syndrome (SIDS). which of the following instructions should the nurse include? -"room sharing is recommended while the infant sleeps" -"bundle the infant snugly in 2 blankets at bedtime" -"only use bumper pads that can be securely attached to the crib rails" -"the side-lying position is safest for infant sleeping"

"room sharing is recommended while the infant sleeps"

a nurse is caring for a client who is at 26 weeks gestation and reports constipation. which of the following responses by the nurse is appropriate? -"you should drink 1 oz of mineral oil every morning" -"you should walk for at least 30 min every day" -"you should eat at least 3 oz of red meat per day" -"you should stop taking your prenatal vitamin"

"you should walk for at least 30 min every day"

a nurse is caring for a client who has a lesion on the back of his right hand. the client asks the nurse which type of skin cancer is the most serious. which of the following responses by the nurse is appropriate? -basal cell carcinoma -melanoma -actinic keratosis -squamous cell carcinoma

melanoma

a nurse receives a report for a client who is in labor and is experiencing contractions that are 4 min apart. which of the following patterns should the nurse expect on the fetal monitor tracing? -contractions that last for 60 sec each with a 4 min rest between contractions -contractions that last for 60 sec each with a 3 min rest between contractions -a contraction that lasts for 4 min followed by a period of relaxation -contractions that last for 45 sec each with a 3 min rest between contractions

contractions that last for 60 sec each with a 3 min

a nurse is planning care for a client who has acute systemic lupus erythematosus (SLE) and is scheduled to begin treatment for systemic manifestations. which of the following types of medications should the nurse plan to administer? -corticosteroids -antimalarials -antidepressants -opioids

corticosteroids

a nurse is caring for a client who takes Ginkgo biloba daily at home. which of the following effects should the nurse expect from the use of this herbal supplement? -decreased platelet aggregation -prevention of migraine headaches -increased risk of deep-vein thrombosis -lowered cholesterol and triglyceride levels

decreased platelet aggregation

a nurse is performing an otoscopic examination of a client's right ear. the light reflex is visible in the right lower quadrant of the tympanic membrane. which of the following actions should the nurse take in response to this finding? -obtain an audiology referral -document this as an expected finding -irrigate the ear with warm water -document mild inflammation

document this as an expected finding

a nurse is assessing a client who is pregnant and reports increased nasal stuffiness. the nurse should inform the client that which of the following hormones is responsible for this discomfort? -relaxin -estrogen -progesterone -human chorionic somatomammotropin (HCS)

estrogen

while participating in a community health fair, a nurse is providing information to a client who has a blood pressure of 150/90 mHg during screening. which of the following actions should the nurse take? -give the client a written record of his BP to bring to his provider -encourage the client to go to the nearest emergency department -instruct the client to follow-up with a provider within 6 months -explain to the client that he is not at risk unless he has manifestations of hypertension

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

a nurse is reviewing the medical record of a female client. which of the following findings should the nurse identify as a risk factor for osteoporosis? -decreased intake of phosphate-containing foods -spending several hours in the sun daily -increased estrogen levels -history of anorexia nervosa

history of anorexia nervosa

a nurse is preparing to give a change-of-shift report to the oncoming nurse. which of the following pieces of information should the nurse include -routine care procedures for the client -biographical information -assumptions regarding relationships among the client's family members -objective measurements about the client's condition

objective measurements about the client's condition

a nurse is teaching a newly licensed nursing about collecting a 24-hr urine specimen for creatinine clearance. which of the following instructions should the nurse include? -include the first voided specimen at the start of the collection period -discard the last voided specimen at the end of the collection period -place signs in the bathroom as a reminder about the test in progress -instruct the client to increase exercise during the 24-hr period

place signs in the bathroom as a reminder about the test in progress

a nurse is evaluating a client's use of crutches. the nurse should identify that which of the following actions by the client indicates safe usage of this equipment -the client places a crutch on each side when assuming a sitting position -the client moves the unaffected leg onto a step first when descending stairs -the client places weight on the axillae when walking -the client has slightly flexed elbows when ambulating with the crutched

the client has slightly flexed elbows when ambulating with the crutches

a nurse is caring for a client who is dehydrated and is receiving continuous tube feeding through a pump at 75 mL/hr. when the nurse assesses the client at 0800, which of the following findings requires intervention? -a full pitcher of water is sitting on the client's bedside table within the client's reach -the disposable feeding bag is from the previous day at 1000 and contains 200 mL of feeding -the client is lying on the right side with a visible dependent loop in the feeding tube -the head of the bed is elevated to 20 degrees

the head of the bed is elevated to 20 degrees

a nurse at a community health department is discussing the nutritional needs of children with a group of parents and guardians. which of the following pieces of information should the nurse include? -infants should be transitioned to low-calorie milk at 12 months -preschoolers need 10-12 g of protein per day -toddlers can be given up to 120-180 mL (4-6 oz) of juice per day -school-age children should be encouraged to avoid afternoon snacks

toddlers can be given up to 120-180 mL 94-6 oz) of juice per day

a nurse is caring for a client who is receiving intermittent peritoneal dialysis. the nurse observes that the peritoneal dialysis. the nurse observes that the peritoneal fluid is not adequately draining. which of the following actions should the nurse take? -turn the client from side to side -elevate the height of the dialysate bag -lower the head of the client's bed -advance the catheter approximately 2.5 cm (1 in) further

turn the client from side to side

a nurse is reviewing informed consent with a client who is scheduled for a cardiac catheterization. which of the following is the responsibility of the nurse? -explaining procedure to the client" -offering alternative treatments -informing the client of the consequences of refusing the procedure -verifying the client's understanding of the procedure being performed

verifying the client's understanding of the procedure being performed

a nurse is caring for a client who has pernicious anemia. which of the following factors should the nurse identify with this condition? -iron deficiency -hemolytic blood loss -folic acid deficiency -vitamin B12 deficiency

vitamin B12 deficiency

a nurse is determining an Apgar score for a newborn who was born 1 minute ago. for which of the following findings should the nurse assign a score of 1? -heart rate 116/min -weak cry -flaccid muscles -no response to stimuli

weak cry

a nurse is obtaining a capillary blood sample to determine a client's blood glucose level. the nurse prepares and punctures the client's finger for the procedure but does not obtain an adequate amount of blood. which of the following actions should the nurse take next? -smear the small amount of blood onto the testing strip -hold the finger above heart level -massage the client's fingertip -wrap the client's finger in a warm washcloth

wrap the client's finger in a warm washcloth