ATI Remediation-Exam 2
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
anti-platelet aggregate
A nurse is caring for a client who has had a myocardial infarction. Upon his first visit to the cardiac rehabilitation, he tells the nurse that he doesn't understand why he needs to be there because there is nothing more to do, as the damage is done. Which of the following is the correct nursing response?
"Cardiac rehabilitation cannot undo the damage to your heart but it can help you get back to your previous level of activity safely"
A nurse is providing teaching to a client about interventions to reduce the risk of developing cardiovascular disease. Which of the following statements by the client should indicate to the nurse the need for further teaching?
"Increasing my intake of foods containing trans-fatty acids can lower my risk"
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). the nurse recognizes that which of the following prescriptions by the provider requires clarification?
0.9% normal saline IV at 50 mL/hr continuous
A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?
A room with air exhaust directly to the outdoor environment
A nurse is teaching a client about snacks that are appropriate on a low-fat, low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates a need for further teaching?
A slice of cheese contains high levels of fat and sodium
A nurse is caring for a female client in the ED who reports shortness of breath and pain in the lung area. She states that she started taking birth control pills 3 weeks ago and that she smokes. Her heart rate is 110/min, respiratory rate 40/min, and blood pressure 140/80 mm Hg. Her arterial blood gases are pH 7.50, PaCO2 29 mm Hg, PaO2 60 mm Hg, HCO3 20 mEq/L, and SaO2 86%. Which of the following is the priority nursing intervention?
Administer oxygen via face mask
A nurse at an urgent care clinic is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?
Administering a nebulized beta-adrenergic
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to asses in this client?
Dyspnea, barrel chest, clubbing of the fingers
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?
Encourage fluid intake at and between meals
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 of kidney stones
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Increase respiratory rate, increased heart rate, increased blood pressure
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?
Muscle tremors
A nurse is caring for a client with a tracheostomy. The client's partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client's discharge?
Performing the procedure independently
A nurse is completing discharge planning for a client who has bacterial endocarditis. The client will need to receive 12 weeks of antibiotic therapy. Which of the following venous access devices should the nurse identify as appropriate for the client?
Peripherally inserted central catheter
The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate?
Radial pulse in the left arm
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 hours
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?
These tests help determine the degree of damage to the heart tissues
A nurse is caring for a client who has an indwelling urinary catheter and a prescription for a urine specimen for culture and sensitivity. Which of the following actions should the nurse take?
Withdraw 3 to 5 mL of urine from the port
A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate
Withhold food and liquids until the client's gag reflux returns.
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
pH below 7.35
