adult care 1 ALL ATI quizzes
a client is admitted to the ER with a respiratory rate of 7/min. arterial blood gases (ABG) reveal the following values. which of the following is an appropriate analysis of the ABGs? pH: 7.22 PaCO2: 68 mm Hg PaO2: 78 mm Hg a-respiratory acidosis b-metabolic acidosis c-metabolic alkalosis d-respiratory alkalosis
A
a nurse in a clinic is caring for a client who has recently begun taking warfarin. the nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following? a-cabbage b-cantaloupe c-green beans d-white beans
A
a nurse in a clinic is reviewing the lab values of a client who has primary hypothyroidism. the nurse should anticipate an elevation of what? a-TSH b-free t4 c-serum t4 d-serum t3
A
a nurse in an ED is preparing to care for a client who is being brought in with multiple system trauma following an MVA. Which of the following should the nurse identify as the priority focus of care? a-airway protection b-decreasing intracranial pressure c-stabilizing cardiac arrhythmias d-preventing musculoskeletal disability
A
a nurse in the ED is caring for a client who reports chest pressure and SOB. which of the following lab tests should the nurse anticipate the provider to prescribe? a-troponin I b-lipase c-B-type natiruretic peptide d-aspartate aminotranferase
A
a nurse is admitting an older adult client who has diabetic neuropathy with painful, burning feet. which of the following interventions should the nurse anticipate the HCP to prescribe? a-place the bed cradle on the clients bed b-inspect the client's feet once weekly c-apply graduated compression stockings to the client's lower extremities d-put a heating pad on the client's feet
A
a nurse is assessing a client who has type 1 DM and finds the client lying in bed, sweating, and reporting feeling anxious. which of the following complications should the nurse suspect? a-hypoglycemia b-nephropathy c-hyperglycemia d-ketoacidosis
A
a nurse is assessing a patient who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider? a-movement of the trachea toward the unaffected side b-bubbling of the water in the water seal chamber with exhalation c-crepitus in the area above and surrounding the insertion site d-eyelets are not visible
A
a nurse is assessing the elastic bandage on the stump of a client who had a right below-the-knee amputation. which of the following findings should the nurse identify as a complication? a-pitting edema around the stump of the dressing b-looseness of the stump dressing c-the dressing forms a cone shape over the stump d-figure 8 wrapping around the stump
A
a nurse is caring for a client who has diverticular disease. when palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain? a-lower left quadrant b-upper left quadrant c-lower right quadrant d-upper right quadrant
A
a nurse is caring for a client who has polycystic kidney disease (PKD). which of the following findings should the nurse expect? a-flank pain b-hypotension c-confusion d-urinary retention
A
a nurse is caring for a client who is 1 day post-op following a subtotal thyroidectomy. the client reports a tingling sensation in the hands, soles of the feet, and around the lips. for which of the following findings should the nurse assess the client? a-chvostek's sign b-babinki's sign c-brudzinki's sign d-kernig's sign
A
a nurse is caring for a client who is being admitted fro an acute exacerbation of ulcerative colitis. which of the following actions should the nurse take first? a-review the client's electrolyte values b-check the client's perianal skin integrity c-investigate the client's emotional concerns d-obtain a dietary history from the client
A
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? a-respiratory acidosis b-respiratory alkalosis c-metabolic acidosis d-metabolic alkalosis
A
a nurse is caring for a client who reports an area of redness, warmth, tenderness, and pain in the right calf. the nurse anticipates which of the following orders when notifying the provider of this finding? a-obtain a venous duplex ultrasound b-obtain impedance plethysmography c-monitor homan's sign d-apply cold therapy
A
a nurse is monitoring a client who is on telemetry. which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm? a-the P wave falls before the QRS complex b-the T wave is in the inverted position c-the PR interval measures 0.22 sec d-the QRS duration is 0.20 sec
A
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? a-drink 3 L of fluid each day b-take 3,000 mg of vitamin C/day c-restrict calcium intake to one serving/day d-eat 12 oz of animal protein/day
A
a nurse is providing information about pain control for a client who has acute pain following a subtotal gastric resection. which of the following client statements indicates an understanding of pain control? a-i will call for pain medication before the previous dose wears off b-i will call for pain medication as my pain starts to increase again c-i will wait for you to evaluate my pain before asking for more medication d-i will ask for less medication to avoid addiction
A
a nurse is providing pre-op teaching to a client who is to undergo an open bowel resection at 1300 next week. which of the following statements by the client indicates a need for further teaching? a-i will be able to eat solid food when i wake up from anesthesia b-i will have a glass of juice the morning of my surgery c-i understand what risks i can expect from this surgery d-i will take my time to relax if i get nervous the night before my surgery
A
a nurse is providing teaching for a client who is preparing for a below the knee amputation. which of the following statements is true regarding the post-op placement of a prosthesis? a-you will need to do special exercises in advance of getting your prosthesis b-you will be fitted for your prosthesis at the time of surgery c-a special pressure dressing will remain on to cushion your prosthesis d-the prosthesis will be adjustable depending on what shoe you are wearing
A
a nurse is providing teaching to a client about measures to prevent UTIs. which of the following client statements indicates a need for further teaching? a-i will need to wipe my perineal area from back to front after urination b-i will need to empty my bladder regularly and completely c-i will need to drink apple cider vinegar each day d-i need to drink 8 cups of liquid each day
A
a nurse is teaching a client who is taking metformin XR for type II DM. which of the following instructions should the nurse include in the teaching? a-take the medication with a meal b-you may crush or chew the medication c-this medication may cause an increase in perspiration d-this medication may turn your urine orange
A
a nurse is teaching a group of nursing students about pyelonephritis. which of the following should the nurse include? a-pyelonephritis increases a pregnant women's risk for preterm labor b-pyelonephritis is most often caused by staphylococcus saprophyticus c-pyelonephritis is an infection of the lower urinary tract d-pyelonephritis often causes no symptoms
A
a nurse working for a home health agency is teaching a client who has DM about disease management. which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels? a-6.3 b-7.8 c-8.5 d-10
A
a nurse is preparing a teaching session about reducing the risk of complications of DM. which of the following information should the nurse plan to include in the teaching? (SATA) a-reduce cholesterol and saturated fat intake b-increase physical activity and daily exercise c-enroll in a smoking-cessation program d-sustain hyperglycemia to reduce deterioration of nerve cells e-maintain optimal BP to prevent kidney damage
A, B, C, E
a nurse is caring for a male client who has PVD, is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (SATA) a-saw palmetto b-flaxseed oil c-glucosamine d-black cohosh e-gingko biloba
A, C, E
a nurse is caring for a client who has an acute ankle sprain. which of the following actions should the nurse take? (SATA) a-encourage rest b-perform passive ROM exercises to the ankle c-apply heat to the ankle d-place a compression bandage on the ankle e-elevate the ankle
A, D, E
a client who has type 2 diabetes mellitus asks the nurse "why did i develop diabetes?" which of the following responses should the nurse make? a-your body is destroying the cells that secrete insulin b-your body has insulin resistance and decreased insulin secretion c-an infection in your pancreas destroyed the cells that make insulin d-your kidneys are not able to absorb eater which leads to this
B
a client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following a procedure. which of the following responses should the nurse make? a-the laxative will prevent the absorption of magnesium b-the laxative helps eliminate the barium c-it is protocol at this facility d-makes the barium turn brown in the body
B
a nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. for which of the following client findings should the nurse intervene first? a-urticaria b-stridor c-vomiting d-hypotension
B
a nurse is assessing a client who has myxedema. which of the following findings should be expected? a-diarrhea b-facial edema c-tachycardia d-heat intolerance
B
a nurse is assessing a client who is in skeletal traction. the nurse should correct which of the following findings? a-the ropes are in the center of the wheel grooves b-the weights rest against the foot of the bed c-the weights are equal on each side d-the ropes are securely attached to the pins
B
a nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. the client reports working with a keyboard most of the time while at work. the nurse suspects carpal tunnel syndrome. which of the following tests should the nurse request that the client perform? a-hold the right arm straight b-hold the wrist at 90-degree flexion c-flex the right arm at the elbow d-extend the right arm upward
B
a nurse is caring for a client who has DKA. which of the following manifestations should the nurse expect? a-malignant hypertension b-acetone odor to breath c-cheyne-stokes breathing d-BG level below 40 mg/dL
B
a nurse is caring for a client who has multiple long bone fractures caused by an MVA that happened 24 hours ago. the client tells then nurse that he is SOB and experiencing chest pain. the nurse should asses the client further for which of the following potential complications? a-hypovolemic shock b-fat embolism syndrome c-compartment syndrome d-venous thromboembolism
B
a nurse is caring for a client who has peptic ulcer disease. the nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation? a-hyperactive bowel sounds b-sudden abdominal pain c-increased BP d-bradycardia
B
a nurse is caring for a client who is post-op and is at risk for developing a venous thromboembolism. the nurse should instruct the client to avoid which of the following unsafe actions? a-elevating her feet b-massaging her legs c-flexing her ankles d-ambulating soon after surgery
B
a nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis. which of the following foods should be eliminated in the client's diet? a-cooked cabbage b-dried apricots c-ripe bananas d-ice cream
B
a nurse is interpreting a client's ECG strip. which of the following components of the ECG should the nurse examine to determine the time it takes for ventricular depolarization and repolarization? a-PR interval b-QT interval c-ST segment d-QRS complex
B
a nurse is planning care for a client who is post-op following a thyroidectomy. which of the following interventions should the nurse include in the plan? a-instruct the client to deep breathe every 4 hr b-check the client's voice every 2 hr c-place the head of the client's bed in the flat position d-hyperextend the client's neck
B
a nurse is providing teaching about ileostomy care to a client. which of the following statements by the client indicates a need for further teaching? a-i will empty my pouch when it becomes 1/3 full b-i will be certain to take enteric-coated medications c-i will change my entire pouch system at least weekly d-i will use caution when eating high fiber foods
B
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 should the nurse tell him to avoid? a-nonfat milk b-chocolate c-apples d-oatmeal
B
a nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 DM. which of the following instructions should the nurse include in the teaching? a-test your BG every 8 hrs b-check your urine for ketones when BG levels are greater than 240 mg/dL c-withhold your usual daily dose of insulin d-drink 240-360 mL of calorie-free liquids every 8 hr
B
a nurse is reviewing the lab tests for four clients. the nurse should recognize that which of the following clients has a manifestation of primary hyperparathryoidism? a-the client who has decrease calcium level b-the client who has increased magnesium level c-the client who has a decreased parathyroid hormone level d-the client who has an increased phosphorus level
B
a nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. which of the following information should the nurse include in the teaching? a-drying time is prolonged in a synthetic cast b-a synthetic cast weighs less c-a plaster cast requires expensive equipment for application d-a synthetic cast immobilized bone fractures more effectively
B
a nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. the nurse should include which of the following info? a-BET will reduce the fracture b-BET will relieve muscle spasms c-BET will maintain alignment of the pins d-BET will allow supported movement of the extremity
B
the nurse is caring for a client who sustained a femur fracture in an MVA and is placed in skeletal traction. the nurse may remove the weights from the traction device if which of the following occurs? a-the client complains of pain b-the client develops a life-threatening situation c-the client needs to have an xray of the femur d-the client has to be repositioned in the bed
B
a nurse is teaching a client who has a hiatal hernia about dietary recommendations. which of the following client statements indicates an understanding of the teaching? (SATA) a-i will lie down for 30 mins after meals b-i will consume less caffeine and fewer spicy foods c-i will sleep with the head of the bed elevated d-i will try not to gain weight e-i will drink less fluid
B, C, D
a nurse is giving a presentation about preventing DVT. which of the following should the nurse include as a risk factor for this disorder? (SATA) a-BMI of 20 b-oral contraceptive use c-HTN d-high calcium intake e-immobility
B, E
A nurse is providing discharge instructions to a client who developed deep-vein thrombosis post-op and is prescribed anticoagulation therapy. which of the following instructions should the nurse include? a-applying cold compresses to the leg b-wearing loose, non-constricting stockings c-flexing her knees and feet frequently d-taking an NSAID tablet daily
C
A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? a-dietary iron restrictions b-intestinal malabsorption syndrome c-chronic blood loss d-intestinal parasites
C
a nurse administers desmopressin to a client who has diabetes insipidus. the nurse recognizes that which of the following lab findings indicates a therapeutic effect of this medication? a-serum sodium 146 mEq/L b-blood glucose 80 mg/dL c-urine specific gravity 1.015 d-blood urea nitrogen (BUN) 15 mg/dL
C
a nurse is assessing a client who has hyperthyroidism. the nurse should expect the client to report which of the following manifestations? a-sensitivity to cold b-constipation c-frequent mood changes d-weight gain of 10 lb in 3 weeks
C
a nurse is assessing a client who has hypoparathyroidism. which of the following findings should the nurse expect? a-flaccid muscles b-negative chvostek's sign c-client reports of numbness in his hands d-client report of anorexia
C
a nurse is assessing a client who has peritonitis. which of the following findings should the nurse expect? a-hyperactive bowel sounds b-increased urinary output c-rigid abdomen d-frequent bowel movements
C
a nurse is assessing a client who is 3 days post-op following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flatus. which of the following conditions should the nurse suspect? a-ulcerative colitis b-cholecystitis c-paralytic ileus d-wound dehiscence
C
a nurse is caring for a client who came to the ED reporting chest pain. the provider suspects a myocardial infarction. while waiting for the troponin levels report, the client asks what this blood test will show. which of the following explanations should the nurse provide the client? a-troponin is an enzyme that indicates damage to the heart, brain, and skeletal tissues b-troponin is a lipid whose levels reflect the risk for coronary artery disease c-troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart d-troponin is a protein that helps transport O2 throughout the body
C
a nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. which of the following actions should the nurse take? a-clamp the chest tube prior to transferring the client to the wheelchair b-disconnect the chest tube from the drainage system during the transport c-keep the drainage system below the level of the client's chest at all times d-empty the collection chamber prior to transport
C
a nurse is caring for a client who has a fractured tibia as a result of a fall. the xray shows that the bone is splintered into several different pieces around the shaft. the nurse should identify that the client has which of the following types of fracture? a-impacted b-transverse c-comminuted d-oblique
C
a nurse is caring for a client who is 1 day post-op following a transsphenoidal hypophysectomy. while assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. which of the following should the nurse do first? a-document the amount of drainage b-obtain a culture of the drainage c-check the drainage for glucose d-notify the client's provider
C
a nurse is caring for a client who is 1-day postoperative following a left lower lobectomy and a chest tube has been placed. when assessing the client's three-chamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. which of the following actions should the nurse take? a-continue to monitor the client as this is an expected finding b-add more water to the suction control chamber c-verify that the suction regulator is on and check the tubing for leaks d-milk the chest tube and dislodge any clots in the tubing
C
a nurse is caring for a client who is post-op following a vascular surgery. which of the following signs should indicate to the nurse that the client has developed a thrombus? a-positive kernig's sign b-positive homan's sign c-dull, aching calf pain d-soft, piliable calf muscle
C
a nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hours. which of the following actions is the nurse's priority? a-monitor i and o b-strain the urine c-administer pain meds d-administer an antiemetic
C
a nurse is caring for a client with DM who is prescribed regular insulin via a sliding scale. after administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? a-0720 b-0730 c-0745 d-0815
C
a nurse is interpreting an ECG strip of a client who has bradycardia. which of the following cardiac components should the nurse identify as the role of the P wave? a-ventricular depolarization b-slow repolarization of ventricular pukinje fibers c-atrial depolarizatiom d-early ventricular repolarization
C
a nurse is monitoring an older adult client immediately following a bronchoscopy? the nurse's priority is to monitor the client for which of the following? a-observing for confusion b-auscultating breath sounds c-confirming the gag reflex d-measuring blood pressure
C
a nurse is planning care for a client who has diverticulitis. the nurse should plan to monitor the client for which of the following complications? a-chron's disease b-ulcerative colitis c-peritonitis d-dysphagia
C
a nurse is providing teaching for a client who has experienced an acute episode of gastritis. which of the following instructions should the nurse include in the teaching? a-limit drinking milk b-take NSAIDs for the pain c-avoid drinking alcohol d-limit strenuous exercise
C
a nurse is providing teaching to a client who has DM about carbohydrate intake needs when exercising. which of the following foods should the nurse include as containing 15g serving of carbs? a-2 slices of bread b-1 cup sugar-free yogurt c-1 cup milk d-1 cup regular ice cream
C
a nurse is teaching a client who is pre-op for a colectomy. the client asks the nurse why he needs a large-bore NG tube. which of the following statements should the nurse make? a-the tube is routine standard following this type of surgery b-the tube will allow us to provide you with nutrition c-the tube will remove gas and fluid from your stomach d-the tube can be explained after surgery
C
a nurse on a med-surge unit is caring for 4 clients who are 24-36 hr post-op. which of the following surgical procedures places the client at risk for DVT? a-myringotomy b-laparoscopic appendectomy c-hip arthroplasty d-cataract extraction
C
the nurse is reviewing the provider's prescriptions for a client experiencing a paralytic ileus following an appendectomy. which of the following actions should the nurse expect to take? a-administer an antacid b-provide a bulk-forming c-insert an NG tube d-apply a truss
C
a nurse in a provider's office is assessing a client who has wrist pain. which of the following findings is a manifestation of carpal tunnel syndrome? a-decreased radial pulse b-positive trousseau's sign c-cool extremeties d-positive phalen's sign
D
a nurse is assessing a client who has thyrotoxicosis after taking too high a level of levothyroxine. which of the following manifestations should the nurse expect? a-drowsiness b-bradycardia c-dry skin d-heat intolerance
D
a nurse is caring for a client 8 hr post-op following a total knee replacement. which of the following actions should the nurse take? a-place a pillow under the affected limb b-apply cool compresses to the affected limb evert 6 hr c-promote bed rest for 5-7 days d-encourage increased fluid intake
D
a nurse is planning care for a client who has urolithiasis. which of the following actions should the nurse take? a-apply cold compress to the client's flank area b-restrict protein intake to 2 servings/day c-discourage ambulation d-encourage intake of at least 3 L of fluids/day
D
a nurse is preparing a client for a kidney biopsy. which of the following client conditions should the nurse identify as a contraindication for this diagnostic test? a-elevated creatinine level b-flank pain c-urinary retention d-bleeding tendencies
D
a nurse is providing discharge teaching to a client who has a plaster of paris walking cast on his left lower leg. which of the following instructions should the nurse include? a-apply ice to your foot after walking b-a must odor is normal as the cast ages b-there is no need to cover the cast when showering d-report any numbness or pain in your toes
D
a nurse is providing teaching to a client about completing a creatinine clearance test. which of the following instructions should the nurse include? a-you will need to collect all of your urine for the next 12 hours b- you will need to store the urine container in a dark location c-you will need to start the collection time with your first urine specimen of the day d-you will need to avoid rigorous exercise during the test
D
a nurse is providing teaching to a client about interventions to reduce the risk of developing CV disease. which of the following statements by the client should indicate to the nurse the need for further teaching? a-a weight loss program can decrease my LDL cholesterol level b-exercising regularly will increase HDL cholesterol levels c-adding foods containing omega-3 fatty acids to my diet can lower my risk d-increasing my intake of foods containing trans-fatty acids can lower my risk
D
a nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). which of the following statements should be included? a-elevate the head of your bed by 18 inches b-avoid snacking between meals c-limit foods high in fiber d-avoid eating 2-3 hours before bedtime
D
a nurse is teaching a client how to do fecal occult blood testing. which of the following statements by the client indicates a need for further teaching? a-i will continue my low-dose aspirin therapy regimen b-i will refrain from eating raw fruits and veggies c-i will avoid steak and other red meat d-i will continue taking my coumadin as prescribed
D
a nurse is teaching an older adult client who has DM about preventing the long-term complications of retinopathy and nephropathy. which of the following instructions should the nurse include? a-have an eye exam once per year b-examine your feet carefully every day c-wear compression stockings daily d-maintain stable BG levels
D
