exam 3 ATI
A B C E
a nurse is reviewing the lab findings of a pt who has cushings. which of the following findings should the nurse expect? SATA A. Na 150 B. K 3.3 C. Ca 8.0 D. lymphocyte count E. fasting glucose 145
A nurse is reviewing the medical record of a client who takes desmopressin for diabetes insipidus. Which of the following findings is an adverse effect of desmopressin. A. Hypovolemia B. Hypocalcemia C. Agitation D. Headache
D
C
a nurse is assessing a client. which of the following findings indicates that the pt has experienced a left hemispheric stroke? A. impulse control difficulty B. poor judgement C. inability to recognize familiar objects D. loss of depth perception
A nurse is admitting a client for a total hip arthroplasty. The client take hydrocortisone for Addison's disease. Which of the following actions is the nurse's priority? A. Administering a supplemental dose of hydrocortisone B. Instructing the client about coughing and deep breathing C. Collecting additional information about the client's history of Addison's disease D. Inserting an indwelling urinary catheter
A
A nurse is caring for a client who is take propylthiouracil. Which of the following findings should the nurse monitor for as an adverse effect of this medication? A. Bradycardia B. Insomnia C. Heat intolerance D. Weight loss
A
A nurse is completing discharge teaching about diet and fluid restrictions to a client who has a calcium oxalate-based kidney stone. Which of the following instructions should the nurse include in the teaching? A. Reduce intake of spinach B. Decrease broccoli intake C. Increase intake of Vitamin C supplements D. Limit consumption of purine substances
A
A nurse is teaching a client who has stage 2 chronic kidney disease about dietary management. Which of the following information should the nurse include in the instructions? A. Restrict protein intake B. Maintain a high-phosphorus diet C. Increase intake of foods high in potassium D. Limit dairy products to 1 cup/day
A
C
A nurse administered captopril to a client during a renal scan. Which of the following actions should the nurse take? A. assess for hypertension B. limit the client's fluid intake C. monitor for orthostatic hypotension D. encourage early ambulation
B C D E
A nurse is admitting a pt who has acute adrenal insufficiency. which of the following prescriptions should the nurse expect? SATA a. iv therapy with 0.45% sodium chloride b. regular insulin c. hydrocortisone sodium succinate d. sodium polystyrene sulfonate e. furosemide
B C D F
A nurse is assessing a pt for manifestations of parkinson's. which of the following is expected findings? SATA A. decreased vision B. pill rolling tremor of the fingers C. shuffling gate D. drooling E. bilateral ankle edema F. lack of facial expression
B
a nurse is assessing a pt during a water deprivation test. for which of the following complications should the nurse monitor the pt? A. bradycardia B. Orthostatic hypotension C. neck vein distention D. crackles in lungs
B
A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? A. Fluctuations in blood pressure B. Loss of cognitive function C. Ineffective cough D. Drooping eye lids
A, B, C, E
A nurse is caring for a client who has type 2 diabetes mellitus and will have excretory urography. Prior to the procedure, which of the following actions should the nurse take? (Select all that apply.) A. identify an allergy to seafood. B. withhold metformin for 24hr. C. administer an enema. D. obtain a blood coagulation profile. E. assess for asthma .
B
A nurse is caring for a pt who asks why the provider bases the medication regimen on HbA1c results instead of the log of morning fasting blood glucose results. which of the following responses would the nurse make? A. "HbA1c measures how well insulin is regulating your blood glucose between meals" B. "HbA1c indicates how well you have regulated your blood glucose over the past 120 days" C. "HbA1c is the first test your doctor prescribed to determine that you have DM" D. "HbA1c determines if your doctor should adjust your insulin dose"
C
A nurse is caring for a pt who displays manifestations of stage 3 parkinson's disease. which of the following actions should the nurse include? A. recommending a community support group B. integrate a daily exercise routine C. provide a walker for ambulation D. Perform ADLs for the pt
B
A nurse is caring for a pt who has DI. which of the following urinalysis lab findings should the nurse expect? A. presence of glucose B. decreased specific gravity C. presence of ketones D. presence of RBC
B
A nurse is caring for a pt who has left homonymous hemianopsia. which of the following is an appropriate nursing intervention? A. teach the pt to scan to the right to see objects on the right side of his body B. place the bedside table on the right side of the bed C. orient the patient to the food on the plate using the clock method D. place the wheelchair on the pt left side
c
A nurse is caring for a pt who is 6 hour post op following a transsphenoidal hypophysectomy. the nurse should tst the pt's nasal drainage for the presence of which of the following? A. RBC B. ketones C. glucose D. streptococci
B D E
A nurse is developing a plan of care for the nutritional needs of a client who has stage 4 parkinson disease. which of the following actions should the nurse include? SATA A. provide three large balanced meals daily B. record diet and fluid intake daily C. document weight every other week D. offer cold fluids such as milkshakes E. offer nutritional supplements between meals
C
A nurse is planning to teach a pt who is being evaluated for addison's disease about ACTH stimulation test. the nurse should base the instructions on which of the following ? a. the ACTH stimulation test measures the response by the kidneys to ACTH b. in the presence of primary adrenal insufficiency, plasma cortisol levels rise in response to administration of ACTH c. ACTH is a hormone produced by the pituitary gland d. the pt is instructed to take a dose of ACTH by mouth the evening before the test
A B D E
A nurse is preparing to initiate hemodialysis for a pt who has acute kidney injury. which of the following actions should the nurse take? SATA A. review the medications the pt is currently taking B. assess the AV fistula for a bruit C. calculate the pt hourly UOP D. measure the pt weight E. check blood electrolytes F. use the access site area for venipuncture
B C D
A nurse is providing medication teaching for a pt who has Addison's disease and is taking hydrocortisone. which of the following instructions should the nurse include? SATA A. take the medication on an empty stomach B. notify the provider of any illness or stress C. report any manifestations of weakness or dizziness D. do not discontinue the medication suddenly E. eat a low sodium diet
A
A nurse is reinforcing teaching with a pt who has parkinson's and has a new prescription for bromocriptine. Which of the following instructions should the nurse include? A. rise slowly when standing B. except urine to become dark C. avoid foods containing tyramine D. report any skin discoloration
A B. C D
A nurse is reviewing lab results for a pt who has addisons. which of the following lab results should the nurse expect? SATA a. Na 130 b. K 6.1 c. Ca 11.6 d. BUN 28 e. fasting blood glucose 148
D
A nurse is teaching a client who has multiple sclerosis and a new prescription for baclofen. Which of the following statements should the nurse include in the teaching? A. "This medication will help you with your tremors." B. "This medication will help you with your bladder function." C. "This medication can cause your skin to bruise easily." D. "This medication can cause you ton experience dizziness."
D
A nurse is teaching a pt who has chronic kidney disease and is to begin hemodialysis. which of the following information should the nurse include in the teaching? A. hemodialysis restores kidney function B. hemodialysis replaces hormonal function of the renal system C. hemodialysis allows an unrestricted diet D. hemodialysis returns a balance to blood electrolytes
A, B, E
A nurse who is beginning a physical assessment of a client who has a new diagnosis of multiple sclerosis. Which of the following findings should the nurse expect? (Select all that apply.) A. Areas of paresthesia B. Involuntary eye movements C. Alopecia D. Increased salivation E. Ataxia
A nurse is planning care for a client who has ESKD. Which of the following should the nurse include in the plan of care? (Select all that apply.) A. Monitor the client's weight daily B. Encourage the client to comply with fluid restrictions C. Evaluate intake and output D. Instruct the client on restricting calories from carbohydrates E. Monitor for constipation
A, B, C, E
A nurse is teaching a client about protein needs when on dialysis. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Consume 35 kcal/kg of body weight to maintain body protein stores B. Take phosphate binders when eating protein-rich foods C. Increase biologic sources of protein (eggs, milk, and soy) D. Increase protein intake by 50% of the recommended dietary allowance (RDA) E. Consume daily protein intake in the morning
A,B,C,D
A nurse is developing a plan of care for a client who is scheduled for cerebral angiography with contrast media. Which of the following statements by the client should the nurse report to the provider? (Select all that apply.) A. "I think I might be pregnant." B. "I take warfarin." C. "I take antihypertensive medication." D. "I am allergic to shrimp" E. "I ate a light breakfast this morning."
A. "I think I might be pregnant." B. "I take warfarin." D. "I am allergic to shrimp" E. "I ate a light breakfast this morning."
C D
a nurse is assessing a pt who has prerenal AKI. which of the following findings should the nurse expect?SATA A. reduce BUN B. elevated cardiac enzymes C. reduced UOP D. elevated blood Cr E. elevated calcium
A nurse is teaching about diet restrictions to a client who has acute kidney injury and is on hemodialysis. Which of the following recommendations should the nurse include in the teaching? A. Limit calcium intake to 2,500 mg/day B. Decrease total fat intake to 45% of daily calories C. Decrease potassium intake to 60 to 70 mEq/kg D. Limit sodium intake to 4.5 g/day
C
A
At the beginning of a shift, a nurse is assessing a pt who has cushings disease. which of the following findings is priority? A. weight gain B. fatigue C. fragile skin D. joint pain
A nurse is providing education to a client who is to undergo an EEG the next day. Which of the following information should the nurse include in the teaching? A. "Do not wash your hair the morning of the procedure." B. "Try to stay awake most of the night prior to the procedure." C. "The procedure will take approximately 15 minutes." D. "You will need to lie flat for 4 hours after the procedure."
B. "Try to stay awake most of the night prior to the procedure."
A nurse is caring for a client who is postprocedure following lumbar puncture and reports throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply.) A. Use the GCS when assessing the pt. B. Assist the client to a supine position C. Administer an opioid medication D. Encourage the client to increase fluid intake E. Instruct the client to perform deep breathing and coughing exercises
B. Assist the client to a supine position C. Administer an opioid medication D. Encourage the client to increase fluid intake
A nurse is assessing a client for changes in the LOC using the GCS. The client opens his eyes when spoken to, speaks incoherently, and moves his extremities when pain is applied. Which of the following GCS scored should the nurse document? A. E2+V3+M5=10 B. E3+V4+M4=11 C. E4+V5+M6=15 D. E2+V2+M4=8
B. E3+V4+M4=11
A nurse is caring for a client who experience a traumatic head injury and has an intraventricular catheter (ventriculostomy) for ICP monitoring. The nurse should monitor the client for which of the following complications related to the ventriculostomy? A. Headache B. Infection C. Aphasia D. HTN
B. Infection
A nurse is teaching a client who has Grave's disease and a new prescription for propranolol. Which of the following client statements indicates effective teaching? A. "Propranolol helps increase blood flow to my thyroid gland." B. "Propranolol is used to prevent excess glucose in my blood." C. "Propranolol will decrease my tremors and fast heart beat." D. "Propranolol promotes a decrease of thyroid hormone in my body."
C
A nurse is caring for a client who is taking somatropin to stimulate growth. The nurse should plan to monitor the client's urine for which of the following? A. Bilirubin B. Protein C. Potassium D. Calcium
D
A nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. Which of the following dosage schedules should the nurse expect for this client? A. The client will start at a high dosage, and the amount will be tapered as needed B. The client will remain on the initial dosage during the course of treatment C. The client's dosage will be adjusted daily based on blood levels D. The client will start on a low dosage, which can be gradually increased
D
C
a nurse is caring for a pt who develops disequilibrium syndrome after receiving hemodialysis. which of the following actions should the nurse take? A. administer opioid B. monitor for HTN C. assess level of consciousness D. increase the dialysis exchange rate
A, B, C, D
a client who is scheduled for kidney transplantation surgery is assessed by the nurse for risk factors of surgery. which of the following findings increase the client's risk of surgery? (select all that apply.) A. age older than 70 years B. BMI of 41 C. administer NPH insulin each morning D. past history of lymphoma E. blood pressure averaging 120/70 mm Hg
A, B, C, E
a nurse is assessing a client who has end-stage kidney disease. which of the following findings should the nurse expect? (Select all that apply.) A. anuria B. marked azotemia C. crackles in the lungs D. increased calcium levels E. proteinuria
A C
a nurse is caring for a pt who has SIADH. which of the following findings should the nurse expect? SATA A. decreased blood Na B. urine specific gravity 1.001 C. blood osmolarity 230 D. polyuria E. increased thirst
A B C E
a nurse is caring for a pt who has experienced a right hemispheric stroke. The nurse should expect the pt to have difficulty with which of the following? A. impulse control B. moving the left side C. depth perception D. speaking E. situational awareness
A B E
a nurse is caring for a pt who has global aphasia. which of the following should the nurse include in the pt plan of care? SATA A. speak to pt at a slower rate B. assist the pt to use cards with pictures C. speak to the pt in a loud voice D. complete sentences that the pt cannot finish E. give instructions one step at a time
D
a nurse is caring for a pt who has parkinsons and is starting to display bradykinesia. which of the following. is an appropriate action by the nurse? A. teach the pt to walk more quickly B. complete passive range of motion exercise daily C. place the pt on low protein, low calorie D. give the pt extra time to perform activities
A
a nurse is caring for a pt who has primary adrenal insufficiency and is preparing to undergo an ACTH stimulation test. which of the following findings should the nurse expect after an IV injection of cosyntropin? A. No change in plasma cortisol B. elevated fasting blood glucose C. decreased Na D. increase UOP
D
a nurse is explaining care for a pt who has acromegaly and is post op following transsphenoidal hypophysectomy. which of the following interventions should the nurse include in the plan? A. maintain the pt in low fowler's B. Encourage deep breathing and coughing C. encourage the pt to brush their teeth when they are awake D. observe dressing drainage for the presence of gluice
B
a nurse is monitoring a client who has a kidney biopsy for postoperative complications. Which of the following complications should the nurse identify as causing the greatest risk to the client? A. infection B. hemorrhage C. hematuria D. pain
A B D
a nurse is planning care for a pt who has cushings disease. the nurse should identify that the pts who have cushing's disease are at an increased risk for which of the following? SATA A. infection B. gastric ulcer C. renal calculi D. bone fractures E. dysphagia
A B C E
a nurse is planning care for a pt who has dysphagia and a new dietary prescription. which of the following should the nurse include in the plan of care? SATA A. have a suction equipment available for use B. feed the pt thickened liquids C. place food on the unaffected side of the pt mouth D. assign an AP to feed the pt slowly E. teach the pt to swallow with the neck flexed
A B C
a nurse is planning care for a pt who has postrenal AKI due to metastatic cancer. the pt has a blood Cr of 5 mg/dl . which of the following interventions should the nurse include in the plan? SATA A. provide a high protein diet B. assess the urine for blood C. monitor for intermittent anuria D. provide NSAIDS for pain
C
a nurse is planning care for a pt who has prerenal acute kidney injury following abdominal aortic aneurysm repair. UOP is 60 mL in the past 2 hr, and BP is 92/58 mm hg. the nurse should expect which of the following interventions? A. prepare the pt for a CT scan with contrast dye B. plan to administer nitroprusside C. prepare to administer a fluid challenge D. plan to position the pt in trendelenburg
A B C E
a nurse is planning care for a pt who has stage 4 CKD. which of the following actions should the nurse include in the plan of care? SATA A. assess for jvd B. provide frequent mouth rinses C. auscultate for a pleural friction rub D. provide a high sodium diet E. monitor for dysrhythmias
A B D E
a nurse is planning care for a pt who will undergo peritoneal dialysis. which of the following actions should the nurse take? SATA A. monitor blood glucose levels B. report cloudy dialysate return C. warm the dialysate in a microwave oven D. assess for SOB E. check the access site dressing for wetness F. maintain medical asepsis when accessing the catheter insertion site
A, B, C, E
a nurse is planning postoperative care for a client following a kidney transplant. which of the following actions should the nurse include? (select all that apply.) A. obtain daily weights B. assess dressings for bloody drainage C. replace hourly urine output with IV fluids D. expect oliguria in the first 4hr E. monitor blood electrolytes
A B C D
a nurse is planning postprocedure care for a pt who received hemodialysis. which of the following interventions should the nurse include in the plan of care? SATA A. check BUN and blood Cr B. administer medications the nurse withheld prior to dialysis C. observe for findings of hypovolemia D. assess the access site for bleeding E. evaluate blood pressure on the arm with AV access
C D
a nurse is providing discharge teaching for a pt who had a transsphenoidal hypophysectomy. which of the following instructions should the nurse include? SATA A. brush teeth after every meal or snack B. avoid bending at the knees C. eat a high fiber diet D. notify the provider of increased swallowing E. notify the provider of a diminished sense of smell
D
a nurse is providing teaching to a pt who has a new diagnosis of DI. which of the following pt statements indicated an understanding of the teaching? A. "i can drink up to 2 quarts of fluid a day" B. "i will meed use insulin to control my blood glucose levels" C. "i should expect to gain weight during this illness" D. " i might experience confusion or balance problems"
B
a nurse is reviewing pt lab data. which of the following findings is expected for a pt who has stage 4 CKD? A. BUN 15 mg/dl B. GFR 20 ml/min C. blood Cr 1.1 mg/dl D. K 5.0 meq/L
A C D E
a nurse is reviewing the health record of a pt who has SIADH. which of the following lab findings should the nurse expect? SATA A. low Na B. high K C. increased urine osmolality D. high urine Na E. increased urine specific gravity
A
a nurse is reviewing the lab findings for a pt who might have hyperthyroidism. the nurse should identify an elevation of which of the following substances as an indication that the pt has this d/o? A. triiodothyronine B. plasma free metanephrine C. urine cortisol D. urine osmolality
C
a nurse is reviewing the results of a client's urinalysis. the findings indicate the urine is positive for leukocyte esterase and nitrites. which of the following actions should the nurse take? A. repeat the test early the next morning B. start a 24hr urine collection for creatinine clearance C. obtain a clean-catch urine specimen for culture and sensitivity. D. insert an indwelling catheter urinary catheter to collect a urine specimen
C
a nurse is teaching a client who is postoperative following a kidney transplant and is taking cyclosporine. which of the following instructions should the nurse include? A. "Decrease your intake of protein-rich foods." B. "take this medication with grapefruit juice." C. "monitor for and report a sore throat to your provider." D. Expect your skin to turn yellow."
A, C, D
a nurse is teaching a client who is scheduled for a kidney transplant about organ rejection. which of the following statements should the nurse include? (select all that apply.) A. "expect an immediate removal of the donor kidney for a hyperacute rejection." B. "you might need to begin dialysis to monitor your kidney function for a hyperacute rejection." C. "a fever is a manifestation of an acute rejection." D. "fluid retention is a manifestation of an acute rejection." E. "your provider will increase your immunosuppressive medications for a chronic rejection."
D
a nurse is teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the following statements should the nurse include in the teaching? A. "You will receive contrast dye during the procedure." B. ""An enema is necessary before the procedure." C. "You will need to lie in a prone position during the procedure." D. "The procedure determines whether you have a kidney stone."
