Concepts ATI questions
C
A nurse in a providers office is collecting data from a client who states he was recently exposed to tuberculosis. Which of the following findings is a clinical manifestation of pulmonary tuberculosis? A.) pericardial friction rub B.) weight gain C.) night sweats D.) cyanosis of the fingertips
B,C
A nurse is teaching a client about ipratropium. The nurse should include that this drug has which of the following adverse effects? (Select all that apply) A.) muscle tremors B.) urinary retention C.) dry mouth D.) insomnia E.) tachycardia
C
A nurse in the clinic is reinforcing teaching with a client who is to have a tuberculin skin test. Which of the following information should the nurse include? A.) if the test is positive, it means you have an active case of tuberculosis B.) if the test is positive, you should have another tuberculin skin test in three weeks C.) you must return to the clinic to have the test read in two or three days D.) A nurse will use a small Lancet to scratch the skin of your forearm before applying the tuberculin substance
D
A nurse is assisting the provider to prepare a client for a thoracentesis. The nurse should instruct the client that which of the following positions will be used for this procedure? A.) lying flat on the affected side B.) probe with arms raised over the head C.) supine with the head of bed elevated D.) sitting while leaning forward over the bedside table
D
A nurse is assisting with discharge teaching for a client who is postoperative following a rhinoplasty. Which of the following instructions should the nurse include? A.) apply warm compresses to the face B.) take aspirin 650 mg by mouth for mild pain C.) Close your mouth while sneezing D.) Lie on your back with your head elevated 30° while resting
C
A nurse is assisting with the care for a client who had a chest tube inserted 12 hours ago. The nurse notes a crackling sensation upon palpation of the skin on the right side of the clients chest. The nurse should notify the charge nurse that the client is demonstrating a clinical manifestation of which of the following complications? A.) friction rub B.) crackles C.) crepitus D.) tactile fremitus
B
A nurse is assisting with the development of a teaching plan about how to prevent an acute asthma attack for a young adult client. Which of the following points should the nurse plan to discuss first? A.) talk about how to eliminate environmental triggers that precipitate attack B.) determine the clients perception of the disease process and what might have triggered the current attack C.) discuss with the client about the clients medication regimen D.) review the manifestations of respiratory infections
C
A nurse is assisting with the plan of care for a client following placement of a chest tube one hour ago. Which of the following actions should the nurse include in the plan of care? A.) clamp the chest tube if there is continuous bubbling in the water seal chamber B.) keep the chest tube drainage system at the level of the right atrium C.) tape all connections between the chest tube and drainage system D.) empty the collection chamber and record the amount of drainage every eight hours
A
A nurse is assisting with the plan of care for a client who has chronic obstructive pulmonary disease and is malnourished. Which of the following recommendations to promote nutritional intake should the nurse include in the plan? A.) eat high calorie foods first B.) increase intake of water at meal times C.) perform active range of motion exercises before meals D.) keep saltine crackers nearby for snacking
D
A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the clients airway secretions? A.) The client is unable to speak B.) The clients airway secretions were last sections two hours ago C.) The client coughs and expectorates a large mucous plug D.) The client has course crackles in the lung fields
C
A nurse is caring for a client who is taking codeine. The nurse should identify that which of the following assessments is priority to make? A.) blood pressure B.) apical heart rate C.) respirations D.) Level of consciousness
B
A nurse is caring for an older adult client who has chronic obstructive pulmonary disease and pneumonia. The nurse should monitor the client for which of the following acid base imbalances? A.) respiratory alkalosis B.) respiratory acidosis C.) metabolic alkalosis D.) metabolic acidosis
D
A nurse is collecting data from a client who has a prescription for cisplatin IV to treat lung cancer. Which of the following client findings is an adverse effect of this medication? A.) hallucinations B.) pruritus C.) hand and foot syndrome D.) tinnitus
C
A nurse is preparing to assist a provider to withdraw arterial blood from a clients radial artery for measurements of ABG. Which of the following actions should the nurse plan to take? A.) hyperventilate the client with 100% oxygen prior to obtaining the specimen B.) apply ice to the site after obtaining the specimen C.) check the circulation in the clients ulnar artery prior to obtaining the specimen D.) release pressure applied to the puncture site one minute after the needle is withdrawn
D
A nurse is reinforcing preoperative teaching with a client who is to undergo a pneumonectomy. The client states, "I am afraid it will hurt to cough after the surgery." Which of the following statements should the nurse make? A.) After the surgeon removes the lung, you will not need to cough B.) i'll make sure you get a cough suppressant to keep you from straining the incision when you cough C.) don't worry. He will have a pump that delivers pain medication as you need it, so you will have very little pain D.) I will show you how to splint your incision while coughing
B
A nurse is reinforcing teaching about pursed-lip breathing for a client who has chronic obstructive pulmonary disease and emphysema. The nurse should explain that this breathing technique does which of the following? A.) increases oxygen intake B.) keeps the airways open on exhalation C.) uses the intercostal muscles D.) strengthens the diaphragm
B
A nurse is reinforcing teaching with a client who has cystic fibrosis and a prescription for daily chest physiotherapy. The nurse should instruct the client that which of the following is the purpose of these treatments? A.) to encourage deep breath's B.) to mobilize secretions in the airways C.) to dilate the bronchioles D.) To stimulate the cough reflex
A
A nurse is reinforcing teaching with the client about pulmonary function tests. Which of the following tests measures the volume of air the lungs can hold at the end of maximum inhalation? A.) total lung capacity B.) Vital lung capacity C.) functional residual capacity D.) residual volume
D
A nurse is teaching a client about albuterol. The nurse should instruct the client to monitor for and report which of the following as an adverse effect of this drug? A.) fever B.) bruising C.) polyuria D.) Palpitations
B
A nurse is teaching a client about ipratropium. Which of the following instructions should the nurse include? A.) do not drink anything for 30 minutes after using the drug B.) wait five minutes between using the drug and another inhaled drug C.) this drug is used to thin respiratory secretions D.) check pulse rate and inhaling the drugs
D
A nurse is teaching a client about montelukast. Which of the following instructions should the nurse include? A.) use a spacer to improve inhalation B.) take the drug at the onset of bronchospasm C.) rinse mouth to prevent an oral fungal infection D.) Take the drug once a day in the evening
C
A nurse is teaching a client about the use of a mucolytic to treat a cough. The nurse should include that a mucolytic has which of the following therapeutic effects? A.) Suppresses the cough stimulus B.) Reduces inflammation C.) Thins and loosens mucus D.) dries secretions
B
A nurse is teaching a client about the use of an expectorant to treat a cough. The nurse should include that an expectorant has which of the following therapeutic effects? A.) suppresses the cough stimulus B.) reduces surface tension C.) reduces inflammation D.) dries mucous membranes
C
A nurse is teaching a client about the use of beclomethasone to treat asthma. The nurse should explain that the drug has which of the following therapeutic effects? A.) thins mucus B.) relaxes bronchial smooth muscle C.) decreases inflammation D.) increases the cough threshold
D
A nurse is teaching a client about the use of cromolym sodium to prevent bronchospasm. The nurse should explain that the drug has which of the following therapeutic effects? A.) Increases leukocyte activity B.) blocks muscarinic receptors C.) causes bronchodilation D.) Reduces inflammation
C
A nurse is teaching a client about the used of antihistamines to treat allergic rhinitis. The nurse explain explain that these drugs are effective because they perform which of the following actions? A.) decrease viscosity of nasal secretions B.) block H2 receptors C.) prevent histamine from finding to receptors D.) reduce nasal congestion
C
A nurse is teaching a client about using intranasal glucocorticoids. Which of the following instructions should the nurse give? A.) start at a low-dose and gradually increase it B.) take the drug as needed for nasal congestion C.) allow at least two weeks for the full therapeutic affect D.) use the drug prior to exercise
A
A nurse is teaching a client who has a prescription for albuterol via inhaler for asthma management. For which of the following reasons should the nurse instruct the client to use the albuterol inhaler before using the fluticasone inhaler? A.) albuterol will increase the absorption of fluticasone B.) albuterol will decrease inflammation C.) albuterol will reduce nasal secretions D.) fluticasone will reduce the adverse effects of albuterol
D
A nurse is teaching a client who has a prescription for zileuton. Which of the following instructions should the nurse include? A.) check apical pulse before checking the drug B.) take the drug only as needed before exercising C.) rinse mouth after using the drug D.) have laboratory tests performed at regular intervals
D
A nurse is teaching a client who is beginning fluticasone propionate/salmeterol therapy. Which of the following instructions should the nurse include? A.) take the drug as needed for acute asthma B.) follow a low sodium diet C.) use an alternate day dosing schedule D.) Increase weight-bearing activity
A
A nurse is teaching a client who is taking prednisone for an acute asthma exacerbation. Which of the following instructions should the nurse include? A.) avoid taking nonsteroidal anti-inflammatory drugs B.) rinse your mouth after taking the medication to prevent a yeast infection C.) stop taking the medication if you become nauseous D.) change position slowly when standing up
B
A nurse is teaching an adult client about diphenhydramine. The nurse should inform the client to expect which of the following adverse effects while taking this drug? A.) muscle tremors B.) drowsiness C.) excitation D.) Insomnia
A
A nurse on a medical call surgical unit is caring for a client who is postoperative following a hip replacement surgery. Client reports feeling apprehensive and restless. The nurse collects additional data from the client. Which of the following findings is an indication of pulmonary embolism? A.) sudden onset of dyspnea B.) tracheal deviation C.) bradycardia D.) difficulty swallowing
B
A nurse on a medical unit is assisting with the care of a client who aspirated gastric contents prior to admission. The provider prescribed 100% oxygen by nonrebreather mask after the client reported severe dyspnea. Which of the following findings is a clinical manifestation of acute respiratory distress syndrome (ARDS)? A.) Tympanic temp 38 C (100.4 F) B.) PaO2 50 mm Hg C.) rhonchi D.) hypopnea
A
A nurse on a medical unit is assisting with the care of a client who has a possible closed pneumothorax and significant bruising of the left chest following a motor vehicle crash. The client reports severe left chest pain on inspiration. The nurse should hear which of the following findings when auscultating the clients lung sounds? A.) absence of breath sounds B.) exploratory wheezing C.) inspiratory stridor D.) rhonchi
A
For which of the following reasons should a nurse instructed client to avoid taking guaifenesin with combination over the counter cold products? A.) over-the-counter cold products can also contain guaifenesin B.) blood glucose levels are increased C.) rebound congestion is likely D.) Drug tolerance is likely
B
Legal restrictions apply to the purchase of pseudoephedrine because of which of the following risks? A.) respiratory depression B.) drug abuse C.) Drug tolerance D.) rebound congestion
A
Nurse is preparing to administer phenylphrine to a client. The nurse should identify that which of the following manifestations is an adverse effect of this drug? A.) headache B.) sleepiness C.) hypertension D.) Constipation
A
Or which of the following reasons show the client attach a spacer to metered dose inhaler? A.) to increase the amount of drug delivered to the lungs B.) to increase the amount of drug delivered to the oropharnyx C.) to increase the amount of drug delivered on exhalation D.) To increase the speed of drug delivery into the mouth
A
The nurse in an urgent care clinic he's collecting data from the client reports exposure to anthrax. Which of the following findings is an indication of the prodromal stage of inhalation anthrax? A.) dry cough B.) rhinitis C.) sore throat D.) swollen lymph nodes
C
The nurse is caring for a client who is having difficulty mobilizing thick respiratory secretions. Which of the following drugs should the nurse expect us to administer to the client? A.) Ipratropium B.) Beclomethasone C.) acetylcysteine D.) Azelastine
B
The nurse should identify that Dextromethophran can have which of the following effects when combined with morphine? A.) reduces antitussive effect of dextromethophran B.) potentiation of depression of CNS actions C.) increased renal reabsorption of the dextromethophran D.) Delete analgesic effect of the opioid