ATI Exam 2 Questions

A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? A. "I will store the medication at room temperature." B. "I will take the medicine every morning on an empty stomach." C. "I will spit the medication out after swishing it around my mouth." D. "I will only need to take this medication for a few days."

A. "I will store the medication at room temperature."

A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include? A. "Your baby will receive a hepatitis B vaccine prior to discharge." B. "Your baby should receive the pneumococcal conjugate vaccine on his first birthday." C. "Your baby should receive the measles, mumps, rubella vaccine at 6 months." D. "Your baby will receive the first diphtheria, tetanus, pertussis vaccine at the 2 week well-baby visit."

A. "Your baby will receive a hepatitis B vaccine prior to discharge."

A nurse is reviewing guidelines for prophylactic antibiotics. The nurse should identify that prophylactic antibiotic therapy is not recommended for which of the following clients? A. A client who has a fever of unknown origin B. A client who has a prosthetic heart valve is having dental surgery C. A client following total hip arthroplasty D. A client who had an emergency cesarean section

A. A client who has a fever of unknown origin

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects? A. Black, tarry stools B. Bone pain C. Dry mouth D. Polyuria

A. Black, tarry stools

A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply.) A. Botulism can produce paralysis within 12 to 72 hr following exposure. B. Notify the Centers for Disease Control and Prevention (CDC) when more than three cases are confirmed. C. Botulism is acquired through direct contact with an infected person. D. Vomiting and diarrhea are expected findings following exposure. E. Botulism is a toxin found in castor beans.

A. Botulism can produce paralysis within 12 to 72 hr following exposure. D. Vomiting and diarrhea are expected findings following exposure.

A nurse is teaching a client who is to begin long-term therapy with prednisone to treat rheumatoid arthritis. The nurse should instruct the client to take which of the following supplements while taking this medication? A. Calcium and vitamin D B. Biotin and vitamin B2 C. Folic acid and vitamin C D. Pantothenic acid and vitamin B6

A. Calcium and vitamin D

A nurse is caring for a school-age child who has a systemic disorder and is receiving antibiotics, immunosuppressants, and corticosteroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should suspect which of the following conditions? A. Candidiasis B. Dermatitis C. Herpes simplex D. Squamous cell carcinoma

A. Candidiasis

A nurse is caring for a client who was exposed to anthrax. Which of the following antibiotics should the nurse plan to administer? A. Ciprofloxacin B. Fluconazole C. Tobramycin D. Vancomycin

A. Ciprofloxacin

A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take? A. Disinfect equipment in the client's room daily. B. Place the client in a protective environment. C. Use alcohol hand sanitizer after completing tasks for the client. D. Have the client wear a mask when out of the room.

A. Disinfect equipment in the client's room daily.

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer? A. Fab antibody fragments B. Flumazenil C. Acetylcysteine D. Naloxone

A. Fab antibody fragments

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.) A. Measles, mumps rubella (MMR) B. Diphtheria, tetanus and acellular pertussis (DTaP) C. Varicella (VAR) D. Rotavirus (RV) E. Human papillomavirus (HPV4)

A. Measles, mumps rubella (MMR) C. Varicella (VAR)

A nurse is creating a plan of care for a client who is in the late stage of inhalation anthrax. Which of the following is appropriate to include in the plan of care? A. Provide respiratory support. B. Place the client in droplet isolation. C. Administer antihypertensive medications. D. Monitor ascites.

A. Provide respiratory support.

A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction? A. Pruritus B. Diarrhea C. Dark urine D. Fever

A. Pruritus (itching)

A nurse is assessing a client prior to administering a seasonal influenza vaccine. The client says he read about an influenza vaccine that is given as a nasal spray and wants to receive it. The nurse should recognize that which of the following findings is a contraindication for the client receiving the live attenuated influenza vaccine (LAIV)? A. The client's age is 62. B. The client smokes one pack of cigarettes a day C. The client has a history of myocardial infarction. D. The client has recently traveled to Europe.

A. The client's age is 62.

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider? A. WBC 2300/mm3 B. RBC 5 million/mm3 C. Hemoglobin 12 g/dL D. Platelets 155,000/mm3

A. WBC 2300/mm3

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching? A. "Most clients do not experience nausea." B. "Hair loss is common and includes eyebrows and eyelashes." C. "Most clients start to gain weight during their treatment." D. "Clients lose their hair, but it usually grows back nice and thick."

B. "Hair loss is common and includes eyebrows and eyelashes."

A nurse is teaching a client who has diabetes mellitus and a new prescription for prednisone for a rash. Which of the following statements by the client indicates the need for further teaching? A. "I might need to increase my regular insulin during this time." B. "I will gradually stop the prednisone when my rash goes away." C. "I might feel a little emotional when I am on this medicine." D. "I might have a hard time falling asleep while taking prednisone."

B. "I will gradually stop the prednisone when my rash goes away."

A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects? A. Anorexia and malnutrition B. Bleeding from the gums C. Diarrhea and dehydration D. Full body alopecia

B. Bleeding from the gums

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? A. Replace the catheter every 3 days. B. Check the catheter tubing for kinks or twisting. C. Irrigate the catheter once each shift. D. Clean the perineal area with an antiseptic solution daily

B. Check the catheter tubing for kinks or twisting.

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication? A. Reduces risk of infection B. Decreases inflammation C. Improves peripheral blood flow D. Increases bone density

B. Decreases inflammation

A nurse in a community health clinic is administering seasonal inactive influenza vaccine. Before administering it, the nurse must confirm that the client is not allergic to which of the following? A. Shellfish B. Eggs C. Gelatin D. Yeast

B. Eggs

A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care? A. All visitors from entering the client's room B. Fresh flowers and potted plants in the room C. Oral fluid intake to between meals only D. Activities that could result in bleeding

B. Fresh flowers and potted plants in the room

A nurse is obtaining a medical history from a client who is requesting the herpes zoster (HZV) vaccine. The nurse should identify which of the following findings as a contraindication for receiving this vaccine? A. Postoperative hip arthroplasty B. Long-term use of prednisone for COPD C. History of varicella as an adolescent D. Recent travel to the Middle East

B. Long-term use of prednisone for COPD

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects? A. Vitamin K B. Protamine sulfate C. Acetylcysteine D. Deferasirox

B. Protamine sulfate

A nurse is caring for a client who has E. coli infection and a prescription for gentamicin 5mg/kg/day by intermittent IV bolus every 8 hr. Which of the following manifestations indicate the client is experiencing gentamicin toxicity? (Select all that apply.) A. Insomnia B. Tinnitus C. Dizziness D. Restlessness E. Xerostomia

B. Tinnitus C. Dizziness

A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names? A. Chickenpox B. Whooping cough C. Mumps D. Fifth disease

B. Whooping cough

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take my flu vaccine within one week of starting this medication." B. "I can expect a sore throat for the first week after starting this medication." C. "I should eat more bananas while taking this medication." D. "I should take aspirin for minor aches and pains while taking this medication."

C. "I should eat more bananas while taking this medication."

A nurse is teaching a client who has a new prescription for amoxicillin-clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take this medication until my sore throat goes away." B. "I should take this medication on an empty stomach between meals." C. "I will stop taking this medication if I develop itching." D. "I will double my dose, if I miss one."

C. "I will stop taking this medication if I develop itching."

A nurse is teaching a client who has a new prescription for erythromycin. Which of the following information should the nurse include? A. "Take this medication with a glass of grapefruit juice." B. "Expect your skin to turn yellow." C. "Monitor for ringing in your ears." D. "Increase fiber intake to prevent constipation."

C. "Monitor for ringing in your ears."

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication? A. Sodium 140 mEq/L B. Potassium 4.5 mEq/L C. BUN 55 mg/dL D. Glucose 120 mg/dL

C. BUN 55 mg/dL

A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take? A. Document that the client experienced an anaphylactic reaction to the medication. B. Change the IV infusion site. C. Decrease the infusion rate on the IV. D. Apply cold compresses to the neck area.

C. Decrease the infusion rate on the IV.

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level? A. Draw a trough level at 0900 and a peak level at 2100. B. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. C. Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose. D. Draw a peak level at 0900 and a trough level at 2100.

C. Draw a trough level immediately prior to administering the medication and a peak level 30 min after the dose.

A nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following isolation precautions should the nurse plan to use while caring for these clients? A. Airborne B. Contact C. Droplet D. Protective

C. Droplet

A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care? A. Cleanse the perineum from back to front. B. Obtain a prescription for an indwelling urinary catheter. C. Encourage fluid intake at and between meals. D. Offer the client the bedpan every 2 hr.

C. Encourage fluid intake at and between meals.

A nurse is caring for a client who is to start taking cyclosporine following a kidney transplant. The nurse should instruct the client that which of the following foods can have an adverse interaction with this medication? A. Pepperoni B. Orange juice C. Grapefruit juice D. Smoked salmon

C. Grapefruit juice

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection? A. Temperature 36.1° C (97.0° F) B. Insomnia C. Oliguria D. Weight loss

C. Oliguria

A nurse is caring for a client involved in a suspected bioterrorism event involving exposure to cutaneous anthrax. Which of the following manifestations should the nurse anticipate? A. Respiratory distress B. Flu-like symptoms C. Skin lesions with pruritus D. Bloody diarrhea

C. Skin lesions with pruritus

A nurse is collecting data on a client who has a new prescription for ampicillin. The nurse should recognize which of the following findings is a priority? A. Nausea B. Vomiting C. Wheezing D. Moniliasis

C. Wheezing

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide? A. "Treatment with this medication will last for 1 month." B. "This medication can cause insomnia." C. "It is best to take the medication with meals." D. "Urine and other secretions might turn orange."

D. "Urine and other secretions might turn orange."

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? A. "If the medicine causes an upset stomach, take an antacid at the same time." B. "Limit your daily fluid intake while taking this medication." C. "This medication can cause photophobia, so be sure to wear sunglasses outdoors." D. "You should report any tendon discomfort you experience while taking this medication."

D. "You should report any tendon discomfort you experience while taking this medication."

A nurse in a community health center is assessing the results of a tuberculin skin test she performed for a client. Which of the following results indicates exposure to and a possible infection with tuberculosis (TB)? A. 4 mm erythema B. 5 mm induration C. 10 mm wheal D. 15 mm induration

D. 15 mm induration

A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. Which of the following actions should the nurse plan to take? A. Tell the client to expect dark stools following chemotherapy. B. Have the client floss 4 times daily. C. Have the client swish with commercial mouthwash before therapy. D. Administer an antiemetic prior to the procedure.

D. Administer an antiemetic prior to the procedure.

A nurse is caring for a client who received an injection of penicillin G procaine. The client begins to experience dyspnea and tongue swelling. Which of the following actions should the nurse perform first? A. Obtain intravenous fluids for administration. B. Record the observed data in medical record. C. Deliver a dose of aminophylline by inhalation. D. Administer epinephrine subcutaneously.

D. Administer epinephrine subcutaneously.

A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication? A. Cardiac dysrhythmia B. Metabolic alkalosis C. Renal failure D. Aplastic anemia

D. Aplastic anemia

A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider? A. Localized redness at the catheter insertion site B. Client report of a headache C. Client report of tinnitus D. Audible inspiratory stridor

D. Audible inspiratory stridor

A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care? A. Insert an indwelling catheter to monitor sediment in the urine. B. Take the client's temperature once per shift. C. Provide the client with fresh fruit to avoid constipation. D. Limit the number of health care workers entering the room.

D. Limit the number of health care workers entering the room.

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching? A. Take the tablets on an empty stomach. B. Expect stools to turn black. C. Anticipate the tablets to smell like vinegar. D. Monitor for tinnitus.

D. Monitor for tinnitus.

A nurse working on a medical unit is completing the admission of a client who reports a severe allergy to penicillin. Which of the following actions should the nurse take? A. Have the client purchase a medication alert bracelet to wear in the hospital. B. Notify dietary services to adjust the client's diet. C. Remove all objects that contain latex from the client's room. D. Verify the client's medication prescriptions do not include cephalosporin.

D. Verify the client's medication prescriptions do not include cephalosporin.

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection? A. BUN B. Potassium C. RBC count D. WBC count

D. WBC count