ATI Elimination Quiz

A nurse is planning on teaching a client who is scheduled to an intravenous pyelogram. Which of the following statements should the nurse include in the teaching?

"After the procedure, you will be encouraged to drink plenty of fluids"

The 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"

A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include?

"Eat four small meals each day"

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

"I don't eat shellfish because it gives me hives"

A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?

Increased BUN

A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?

"I will lie on my right side to sleep at night"

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching?

"I will need to wipe my perineal area from back to front after urination"

A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?

"I'll use the cleansing wipe from front to back"

A nurse is teaching an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching?

"Increase dietary intake of raw vegetables"

A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse make?

"Lie on your right side when sleeping"

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

"Pyelonephritis increases a pregnant woman's risk for preterm labor"

A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?

"You may have pink-tinged urine after this procedure"

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?

"Your baby should wet 6-8 diapers per day"

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow.

Inspection, auscultation, light palpation, deep palpation

A nurse on a medical unit is assessing four clients for urinary retention. Which of the following clients have manifestations of urinary retention?

A client who reports urinary frequency

A nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. Which of the following actions is the nurse's priority?

Administer pain medication

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown?

Apply a moisture barrier ointment to the client's skin.

A nurse is teaching a client who has GERD about managing his illness. Which of the following recommendations should the nurse include in the teaching?

Avoid eating within 3 hrs of bedtime

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 5 hr postoperative following a transurethral resection of the prostate. The nurse notes that the client's 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 providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following. foods should the nurse tell him to avoid?

Chocolate

A nurse is caring for an older adult client who has a urinary tract infection (UTI). Which of the following manifestations should the nurse identify as a finding specifically associated with this client?

Confusion

A nurse is assessing an older client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions can cause incontinence in the older adult client?

Cystitis

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Drink 3 L of fluid every day

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

Dehydration

A nurse is reviewing the medical record of a client who has a UTI. Which of the following findings should the nurse recognize as a risk factor?

Diabetes mellitus

The nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect which of the following findings?

Difficulty starting the flow of urine

A nurse is caring for a client who has paraplegia following an automobile accident. The client is on an intermittent urinary catheterization program. Which of the following findings indicates the need for catheterization?

Dribbling of urine

A nurse is evaluating the laboratory report for a client who has severe diarrhea and a fever. Which of the following laboratory findings should the nurse identify as an indication that the client has a parasitic infection rather than a bacterial infection?

Elevated eosinophil count

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 client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Family history

A nurse is caring for a client who reports having chronic constipation. Which of the following herbal supplements should the nurse recommend?

Flaxseed

A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvis fractures?

Hematuria

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

Instruct the client to avoid drinking carbonated beverages

A nurse is teaching a client who has constipation about a high-fiber diet. Which of the following foods should be included as sources of fiber?

Kidney beans, whole wheat bread, blackberries

A nurse is administering a tap water enema to a client who is constipated. During the administration of the enema, the client states he is having abdominal cramps. Which of the following actions should the nurse take to relieve the client's discomfort?

Lower the height of the solution container

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

Pale pink

A nurse in a long-term care facility is observing an assistant personnel changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?

Places clean linen that touched the floor in the soiled linen bag

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's incontinence, which of the following interventions should the nurse initiate to manage this behavior?

Take the client to the bathroom every 2 hr

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching?

The client should follow a high fiber diet to establish bowel regularity

A nurse is assessing a client who has a colostomy. Which of the following findings should the nurse report to the provider?

The stoma is pale in color

A nurse is caring for a 3-year-old child who was admitted with acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?

Urine specific gravity 1.015

A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take?

Use sterile technique, ensure drainage tubing is patent and w/o obstruction, notify surgeon if urine is bright red or has clots

A nurse is assessing a client who 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 creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. Which of the following interventions should the nurse include in the plan?

Wipe perineal area with warm water and apply a barrier cream

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching?

anticholinergic medications, limit fluids in the evening, restrict caffeine

A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation?

ignoring the urge to defecate, inadequate fluid intake, excessive laxative use

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

overflow incontinence

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?

poor skin turgor, hypotension, flat neck veins