Review ATI Comprehensive Exam

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21. A nurse is performing assessments on newborns in the nursery. Which of the following findings should the nurse report to the provider? a. A two day old newborn who has a respiratory rate of 70 b. A 16 hour old new newborn who has yet to pass meconium c. A 2 day old newborn who has a small amount of blood tinged vaginal discharge d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal

** a. RR of 70 is high, RR for newborn is 30 - 60 is normal b. A 16 hour old new newborn who has yet to pass meconium- you got 24 hours to pass stool d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal

103. A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include? A. "This type of seizure can be mistaken for daydreaming" B. "The child usually has an aura prior to onset" C. This type of seizure last 30-60 sec" D. "This type of seizure has a gradual onset"

105. A nurse is reviewing the medical record of a client. The nurse should identify that the client is at risk for which of the following complication. (?? no other information was given) A Dumping syndrome (is a condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight. The condition can also develop in people who have had esophageal surgery.) B Ketoacidosis (You have many signs and symptoms of diabetic ketoacidosis — excessive thirst, frequent urination, nausea and vomiting, stomach pain, weakness or fatigue, shortness of breath, fruity-scented breath, and confusion.) C Hepatotoxicity (is defined as injury to the liver or impairment of the liver function caused by exposure to xenobiotics such as drugs, food additives, alcohol, chlorinated solvents, peroxidized fatty acids, fungal toxins, radioactive isotopes, environmental tox

108. A client who is pregnant voices her concern that her 3y/o son will feel left out once the newborn arrives. Which of the following statements by the nurse is appropriate? A. Offer your son a gift when the baby receives one B. Move your son to a toddler bed when the baby arrives C. Tell your son to kiss the baby D. Teach your son to change the baby diapers

117. A nurse is planning to administer vancomycin IV to a client. Which of the following actions should the nurse take to reduce the risk of an adverse reaction to the vancomycin? a. Give the dose over 60 min b. Administer the medication undiluted c. Obtain trough level 30 min after the medication infusion d. Inject 1% lidocaine prior to each dose

120. A nurse is caring for a client who has heart failure and is receiving a continuous IV infusion of low dose dopamine. Which of the following findings is the highest priority? a. Erythema 5 cm (2in) above the IV site b. Blood pressure 92/68 mm Hg c. Urine output 35mL/hr d. Pedal pulse of +1 bilaterally

154. A nurse is administering an analgesic to a client who has a chest tube. The provider is preparing to discontinue the chest tube before the medication has taken affect. Which of the following actions should the nurse prepare to take first? A. Inform the provider of the time of the last dose of pain medication. B. Document the sequence of events as they occur. C. Provide non-pharmacological pain management interventions. D. Instruct the client about the steps of the procedure

44. A nurse is caring for a client who will undergo a procedure. The client states he does not want the provider to discuss the results with his partner. Which of the following is an appropriate response for the nurse to make? a. You have the right to decide who receives information b. Your partner can be a great source of support for you at this time c. Is there a reason you don't want your partner to know about your procedure? d. The provider will be tactful when talking to your partner

45. A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb) from an original weight of 90.7 (200 lb). The nurse should identify the weight of the following total percentage? a. 7.5% b. 15% c. 8.1% d. 13.3%

64. A nurse is providing teaching to a client who will undergo a magnetic resonance imaging (MRI) scan. Which of the following statements is appropriate to include in the teaching? a. "You should not have this procedure if you are allergic to iodine" b. "You should not have this procedure if you have a tattoo." c. "The nurse will ask you to wear protective eyewear during this procedure." d. "The nurse will ask you to remove any transdermal patches prior to the procedure."

84. A nurse is caring for a client who has depression and is experiencing loss of appetite. Which of the following actions should the nurse take? a. Offer high-caloric, high-protein snacks b. Recommend the family provide the client privacy during meals c. Weigh the client once each day d. Encourage the client to eat foods selected by the dietitian

98. A nurse is providing teaching to a client who is to undergo a cardiac catheterization. Which of the following findings is expected during the procedure? A. Sensation of skin warmth B. Headache C. Increased salivation D. Numbness and tingling of the extremities

A home health nurse is preparing to assess a client who reports tingling around the mouth and laxative use at least once daily. Which of the following assessments should the nurse perform first? a. Test the client for Trousseau's sign b. Assess the client's skin turgor c. Check the client's motor strength d. Measure the client's pupil size

A nurse is administering an analgesic to a client who has a chest tube. The provider is preparing to discontinue the chest tube before the medication has taken effect. Which of the following actions should the nurse take first ? a. Inform the provider of the time of the last does of pain medication b. Document the sequence of events as they occur c. Provide non pharmacological pain management interventions d. Instruct the client about the steps of the procedure

A nurse is assessing a client's pulmonary artery wedge pressure (PAWP). The nurse should recognize that an elevated PAWP indicates which of the following complications? A. Left ventricular failure B. Cardiogenic shock C. Hypovolemia D. Hypotension

A nurse is assessing a clients PAWP. The nurse should recognize that an elevated PAWP indicates which of the following complication? a. Left ventricular failure b. Cardiogenic shock c. Hypovolemia d. Hypotension

A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make? a. "Your desire to be an organ donor must be documented in writing" b. "I cannot be a witness for your consent to donate" c. "You must be at least 21 years of age to become an organ donor" d. "Your name cannot be removed once you are listed on the organ donor list

A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate effectiveness of the procedure? A. Compare the client's current weight with preprocedure weight. B. Check the client's serum albumin levels C. Examine for leakage at the site of the procedure D. Confirm that the client is able to urinate

A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? a. Contractions b. Vomiting c. Hypertension d. Epigastric pain

A nurse is caring for a client who is in active labor and notes the FHR baselines has been 100/min for the past 15 min. The nurse should the identify which of the following conditions as a possible cause of fetal bradycardia? a. Maternal hypoglycemia b. Chorioamnionitis c. Fetal anemia d. Maternal fever

A nurse is caring for a client who reports diarrhea for 3 days. The nurse should monitor the client for which of the following manifestations? A. Orthostatic Hypertension B. Dependent Edema C. Decreased Hematocrit D. Neck Vein Distension

A nurse is planning care for a client who is scheduled to have a paracentesis. Which of the following actions should the nurse include in the plan of care? a. Instruct the client to empty her bladder prior to the procedure. b. Position the client over an overbed table prior to the procedure. c. Administer 1 L dextrose 5% in water IV bolus prior to the procedure. d. Initiate NPO status 4 hr prior to the procedure.

A nurse on an antepartum unit is prioritizing care for multiple clients. Which of the following clients should the nurse see first? a. A client who is at 36 weeks of gestation and has a biophysical profile score of 8 b. A client who has pregestational diabetes mellitus and an HbA1c of 6.2% c. A client who is at 28 weeks of gestation and reports leukorrhea d. A client who has preeclampsia and reports a persistent headache

66. A nurse is caring for a child who has sickle cell anemia and experiencing vaso-constrictive crisis. Which of the following actions should the nurse include in the plan of care? a. Initiate IV fluid replacement b. Start a 24-hr urine collection c. Give aspirin to reduce pain d. Encourage ambulation

A 24-urine collection is not the priority ASA (aspirin) might lead to reye's disease so give acetaminophen or ibuprofen instead Do not encourage ambulation b/c we want to promote rest due to decrease O2 consumption

121. A nurse is providing teaching about the use of crutches using a three-point gait to a client who has tibia fracture. Which of the following actions by the client indicates an understanding of the teaching? A. Positioning both hands on the grips with his elbows slightly flexed B. Supporting his body weight while leaning on the axillary crutch pads C. Stepping with his affected leg first when going up stairs D. Moving both crutches with the stronger leg forward

A (Support body weight using both Crutches when shifting weight) (Unaffected First when going upstairs)

A client's partner tells a staff nurse that he overhears laboratory staff discussing the result of the clients biopsy report while on the elevator. Which of the following actions should the nurse take? a. Report the information to the charge nurse b. review confidentiality policies with laboratory employees c. contact the laboratory manager regarding the situation d. Notify the facilities legal department

A - would be the job of the Facility manager or someone who audits or teaches HIPAA stuff - you are not high enough up the chain to do that - no need to go that far

A nurse is caring for a client who reports diarrhea for 3 days. The nurse should monitor the client for which of the following manifestations a. Orthostatic hypotension b. Dependant Edema c. Decreased Hematocrit d. Neck vein distention

A Dependant Edema- fluid volume excess Decreased Hematocrit - fluid volume excess d/t super diltion Neck vein distention - fluid volume excess

115. A nurse is reviewing the laboratory findings of a client who is receiving IV infusion of insulin. The client's lab findings reveal a potassium level of 5.5 mEq/L, BUN of 15 mg/dL, and a creatinine level of 1 mg/dL. Which of the following interventions is appropriate for the nurse to take? a. Place a cardiac monitor on the client b. Stop the IV infusion of insulin c. Administer oral potassium to the client d. Initiate a 24 hr urine collection

A NOT C because K+ is already high

A nurse is assessing a client who is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse recognize as a result of magnesium sulfate toxicity? a. Hyporeflexia b. Tachypnea c. Pruritus d. Polyuria

A Other signs include ( bradypnea, less than 12/min) Pruritus( sign of allergic reaction) (oliguria, less than 30 ml/hr)

77. A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following effects should the nurse include? A. Excessive sweating B. Increased urinary frequency C. Dry cough D. Metallic taste in mouth

A Sertraline (Zoloft) - SSRI p. 50 ch 7 pharm pdf SSRI for social anxiety , PTSD,

89. a nurse is providing discharge teaching about circumcision care to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? a. I will change my baby's diaper at least every 4 hours b. I will apply an ice pack to my baby's penis twice daily to decrease swelling c. I will wash the penis with soap and warm water until the circumcision has healed d. I will apply topical lidocaine following each diaper change

A Teach the parents to keep the area clean.

112. A nurse is caring for a client who has end stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure? a. Hypertension b. Primary glaucoma c. Osteoarthritis d. Amputation

A other contraindications include: having HIV, actively spreading cancer, or severe infection would exclude organ donation. Having a serious condition like cancer, HIV, diabetes, kidney disease, or heart disease can prevent you from donating as a living dono

A nurse is admitting a client who has acute heart failure. Which of the following prescriptions from the provider should the nurse anticipate? a. Administer enalapril 2.5 mg PO twice daily b. Ambulate the client every 4 hr while awake c. Provide the client with 4 g sodium diet d. Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr

A pt. should be on bedrest

A nurse is obtaining a client's medical history before initiating 1000 ml of 0.9% NaCl with 20 mEq/L KCl IV to correct hypokalemia. Which of the following findings is a contraindication to the client receiving this IV solution? A. Severe renal impairment. B. Chronic alcohol use disorder C. Multiple sclerosis D. Advanced cardiac disease.

A (Stage IV Kidney Disease)

99. A nurse is transcribing new medication prescriptions for a group of clients. For which of the following prescriptions should the nurse contact the provider for clarification? A. Lorazepam .5 mg PO one tablet daily B. Hydrochlorothiazide 12.5 mg PO BID C. Triamcinolone acetonide 100 mcg/inhalation two puffs TID D. Zolpidem 10 mg PO one tablet at bedtime

A (it should be written as 0.5 so clarification is needed)

87. A nurse is assessing a client who had heart failure and is taking furosemide (Lasix). Which of the following findings should the nurse monitor? a. Hyponatremia b. Hyperkalemia c. Hypercalcemia d. hypoglycemia

A (loop-diuretic aka Lasix) wherever water goes sodium will follow

100. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? A. Swelling of the face B. Urinary frequency C. Faintness upon rising D. Bleeding gums

A (swelling face can indicate preeclampsia)

A nurse is assessing a client who is at 36 weeks gestation. Which of the following findings should the nurse report to the provider ? a. 3+ deep tendon reflexes b. Protruding hemorrhoids c. Urinary frequency d. Supine hypotension

A 3+ deep tendon reflexes -preeclampsia - teach them side lying position

51. A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all steps) a. Transport the client to another area of the nursing unit b. Activate the facility's fire alarm system c. Close all nearby windows and doors d. Use the unit's fire extinguisher to attempt to put out the fire

A, B, C, D

63. A nurse is preparing to witness a client's signature on a consent form for a colon resection. The nurse should recognize that which of the following information should be provided to the client by the provider before signing the form? (SATA) a. Explain the procedure b. Expected outcome of the procedure c. Potential complications d. Possible alternative treatments e. Cost of the procedure

A, B, C, D

94. A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the sequence of steps the nurse should follow when delegating tasks to the APs. A. Review the skill level of and qualifications of each AP B. Communicate appropriate tasks to the APs with specific expectations C. Monitor progress of task completion with each D. Evaluate the APs' performance of each task

A, B, C, D

47. A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg /hr transdermal patch. Which of the following instructions should the nurse include in the teaching? a. Avoid hot tub while wearing the patch b. Apply patch to your forearm c. Avoid high-fiber foods while taking this medication d. Remove the patch for 8 hours every day to reduce the risk for tolerance.

52. A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect? a. Heightened perceptual field b. Rapid speech c. Feelings of dread d. Purposeless activity

A. Rapid speech is seen in severe anxiety

A nurse is caring for a client following a stroke. The client has right-sided weakness and facial drooping. Which of the following nursing actions is the priority? a. Maintain NPO status for client b. Change client's position every 2 hours c. Perform range-of-motion exercises to client's extremities. d. Place the clients right hand in supination position.

A. (ABCs)

86. A nurse in an emergency department is caring for a toddler who has burns following a house fire. Which of the following actions should the nurse take first ? A. Check the mouth for smooth and smokey breath B. Calculate the fluid replacement based on vital signs and urinary output C. Determine the location and depth of burns D. Administer antibiotics to prevent sepsis.

A. (airway obstruction via foreign body)

75. A nurse is caring for a client who is postpartum and reports difficulty voiding. Which of the following findings should indicate to the nurse that the client's ability to eliminate urine from the bladder is restored? a. Two voids of 150 mL each over the past 2 hours b. Fundus 2 fingerbreadths above the umbilicus c. Uterine atonyd. d. Fundus firm and to the right of the abdominal midline

A. 2X30ml = 60mls - Fundus 2 fingerbreadths BELOW or at the umbilicus - Uterine atony (Fundus not firm which means possible hemorrhage) - fundus not midline, bladder may cause shifting if patient not voiding properly)

A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? a. A client who was just given a glass of orange juice for a low blood glucose level b. A client who is schedule for a procedure in 1 hr c. A client who has 100 mL fluid remaining in his IV bag d. A client who received a pain medication 30 min ago for postoperative pain

A. A client who was just given a glass of orange juice for a low blood glucose level Patients B & C can wait

29. A nurse in the emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? a. Below the knee amputation b. 10cm (4 in) laceration c. Fractured tibia d. 95% full thickness body burn

A. Below the knee amputation → ESI Level 1 - 10cm (4 in) laceration → ESI Level 4 - Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other extremity dislocation then level 1. - 95% full thickness body burn --> expectorant --> black triage

83. A nurse is caring for a client following a cardiac catheterization through the left groin. Which of the following actions should the nurse take? P . 164 ch 27 medsurge a. Monitor the dorsalis pedis pulse every 15 mins b. Maintain strict bedrest for first 12 hr c. Keep the client NPO for 24 hr d. Place the client in Fowler's position

A. Circulation Strict bed rest - only for prescribed time, older adults usually are up to 4 hours. - doesn't say anything about restrictions AFTER the procedure , and npo b4 the procedure is up to 8 hours. - Supine position

43. A community health nurse receives a referral for a family home visit. Which of the following tasks should the nurse perform first? a. Clarify the source of the referral b. Implement the nursing process c. Schedule a time for the home visit d. Contact the family by phone

A. Clarify the source of the referral

11. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? a. Eat a light snack before bedtime b. Stay in bed at least 1 hr if unable to fall asleep c. Take a 1 hr nap during the day d. Perform exercises prior to bedtime

A. Eat a light snack before bedtime

10. A nurse is preparing to perform a sterile dressing change. Which of the following actions should the nurse take when setting up the sterile field? a. Place the cap from the solution sterile side up on clean surface b. Open the outermost flap of the sterile kit toward the body c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field d. Set up the sterile field 5 cm (2 in) below waist level

A. Place the cap from the solution sterile side up on a clean surface *** b. Open the outermost flap of the sterile kit toward the body→ flap AWAY from the body's first c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5 cm (1-inch) border around any sterile drape or wrap that is considered contaminated. d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level; should be ABOVE waist level

111. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan? a. Measure the client's urine output every hour. b. Restrict the client's total fluid intake to 250ml/hr. c. Monitor the FHR via Doppler every 30 min d. Give the client protamine if sign of magnesium sulfate toxicity occur.

A. monitor for toxicity

101. A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following finding should the nurse identify as the priority? A. Excoriation of the skin on the neck and chest B. Dysphagia C. Client reports a pain level of 6 on scale from 0-10 D. Xerostomia (condition where the mouth doesn't make enough saliva)

104. A nurse in a surgical suite is planning care for a client who requires surgery and has a latex sensitivity. Which of the following is appropriate for this client? A. Disinfect and powder any latex products before use B. Tape stockinet over monitoring device and cords C. Schedule the client as the last surgery of the day D. Remove poopsocks from the IV

107. A CN (charge nurse) is providing teaching for group of newly licensed nurse about grieving process. Which of the following information should the CN include in the teaching? A. Client can expect to have feeling of hopelessness B. Client might feel guilt over some aspect of their loss C. Client will experience anhedonia (inability to feel pleasure) D. Client will experience low self-esteem

122. A nurse is assessing a 24-month-old toddler during a well-child visit. Which of the following developmental tasks should the toddler be able to perform? A. Hop on one foot B. Kick a ball forward C. Climb Stairs with alternate feet D. Ride a tricycle

57. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? a. "I will take sucralfate with meals three times per day" b. "I will avoid foods and drinks that contain caffeine" c. "I will decrease my daily protein intake to 15 grams per day" d. "I will use ibuprofen as needed to control abdominal pain"

59. A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel? a. Assess effectiveness of antiemetic medication b. Perform chest compressions during cardiac resuscitation c. Perform a dressing change for a new amputee d. Apply a transdermal nicotine patch

62. A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use? a. Asthma b. Hypertension c. Fibromyalgia d. Fibrocystic breast condition

69. A nurse is caring for a client who is dissatisfied with the care from the provider and decides to leave the facility against medical advice. After notifying the provider, which of the following actions is appropriate for the nurse to take? a. Summon a security guard b. Explain the risks of leaving c. Complete an incident report d. Notify a social worker

70. A nurse is making an initial postpartum home visit. Which of the following client statements should the nurse identify as a manifestation of increased risk for child abuse? a. "I try to respond to the baby quickly ." b. "I think the baby should be sleeping through the night by now. c. "I have several friends who come by to help out with the baby." d. "I want to meet other parents to see if they are going through the same thing.

92. A nurse is planning to administer Atenolol to a client. Which of the following should the nurse assess prior to administering the medication? A. BUN B. Blood pressure C. Respiratory rate D. aPTT

93. A nurse is orienting a newly licensed nurse while caring for clients who are in labor. Which of the following pain management strategies by the newly licensed nurse requires intervention? A. Encouraging the client to use jet therapy on her lower back for 1 hr B. Placing a transcutaneous electrical nerve stimulation (TENS) unit on a client's abdomen C. Using effleurage on a client's lower abdomen D. Instructing a client's partner how to apply counterpressure to the client's sacral spine for 30 min

A nurse in a PACU is transferring care of a client to a nurse on the medical surgical unit. Which of the following statements should the nurse include in the hand off report ? a. The client was intubated without complication b. The estimated blood loss was 250 ml c. There was a total of 10 sponges used during the procedure - what kind d. The client is a member of the board of directors

A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report? A. The client was intubated without complications. B. The estimated blood loss was 250 milliliters. C. There was a total of 10 sponges used during the procedures. D. The client is a member of the board of directors.

A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state? a. "How long have you been hearing the voices?" b. "What are the voices telling you?" c. "Have you taken your medication today?" d. "I realize the voices are real to you, but I don't hear anything."-

A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client's coccyx and abrasions around the wrists. Which of the following actions should the nurse take to address the suspicions of elder abuse? a. Inform the transferring agency of the client's condition. b. Privately interview the client about her condition. c. Notify risk management d. Contact the family regarding the client's condition.

A nurse is assessing a client who is 36 weeks of gestation. Which of the following findings should the nurse report to the provider? A. 3+ deep tendon reflexes (common finding in women with preeclampsia and does not require action unless there are symptoms of magnesium toxicity.) B. Protruding Hemorrhoids C. Urinary Frequency (expected) D. Supine Hypotension

A nurse is assessing the heart sounds of a client who has acute pericarditis. Which of the following clinical manifestations is an expected finding for this client? a. Report of occipital headache b. Scratchy, high pitched sound upon chest auscultation c. ECG demonstrates a depressed ST segment d. White, diffuse peritonsillar pustules

A nurse is auscultating heart sounds of an adult client experiencing dyspnea. The nurse hears a soft, turbulent sound between beats at the left midclavicular line in the fifth intercostal space. Which of the following is an appropriate documentation of the findings? a. Fourth heart sound at the aortic area b. Murmur at the mitral area c. Third heart sound at the tricuspid area d. Pericardial friction rub at the pulmonic area

A nurse is devdeloping an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder? A. The client is overly concerned about minor details. B. The client exhibits impulsive behavior. C. The client is exceptionally clingy to others. D. The client may act seductively.- histrionic

A nurse is providing prenatal teaching for a client who is scheduled for an amniocentesis. Which of the following statements indicates that the client understands the teaching? a. I need to have an enema before the test b. I should urinate before the test c. I will lie on my left side during the test d. I will drink an oral glucose solution during the test

A nurse is collecting a specimen for urinalysis and culture from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take during collection? a. Drain the specimen from the drainage bag b. Clamp the catheter distal to the injection port c. Collect 2 mL of urine for each specimen d. Obtain the urinalysis specimen before the culture specimen

B (not sterile use the port for culture and UA)

A community health nurse is teaching a client who has type 1 diabetes mellitus and is 10 weeks of gestation about managing diabetes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? a. "I will decrease my protein intake during the third trimester" b. "I will need to increase my insulin doses later in my pregnancy" c. "I will increase my carbs at breakfast and limit them the rest of the day" d. "I will decrease my calorie consumption during the first trimester"

B ( increase protein for basic growth) (increase calorie)

118. A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching ? a. Take magnesium hydroxide for indigestion b. Eat 1g/kg of protein per day c. Drink at least 3L of fluid daily d. Consume foods high in potassium

B - Not A for pts. with CKD or dialysis - Not C because too much fluid - Not D because low potassium diet is needed

113. A nurse is caring for a client who has COPD and is 5kg (11lb) below her ideal body weight. The client experiences shortness of breath when eating. Which of the following actions should the nurse take? a. Administer a bronchodilator following meals. b. Request non gas forming foods from the dietary department c. Limit the client's food consumption between meals. d. Arrange for a low protein diet.

B - bronchodilator BEFORE meals Do not limit clients food consumption HIGH protein diet

50. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication? a. Avocados b. Whole grain bread c. Pepperoni pizza d. Smoked salmon

B Phenelzine is a monoamine oxidase inhibitor (MAOI) that is used to treat symptoms of atypical depression in adults when other medicines have not been effective. Avoid smoked or pickled meat, poultry, or fish, such as sausage, pepperoni, salami, anchovies, or herring. Do not eat dried fruit (such as raisins), bananas, avocados, raspberries, or very ripe fruit. Do not drink alcoholic beverages

80. a nurse is preparing an inservice for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? a. placing a yellow bracelet on a client who is at risk for falls b. administering potassium via IV bolus c. documenting communication with a provider in the progress notes of the client's medical record d. leaving a nasogastric tube clamped after administering oral medication

B Yellow bracelet indicates fall risk = correct

A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include? a. Increase intake of foods high in gluten b. Consume food high in bran fiber c. Sweeten foods with fructose corn syrup d. Increase intake of milk product

B Limit gas forming foods, caffeine, alcohol. Encourage high fiber and fluids

41. A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks me about dying." which of the following responses by the nurse is appropriate? (SATA) A. Hospice will take good care of your mom, so I wouldn't worry about that. B. Lets talk about your moms cancer and how it will progress from here C. Tell me how you're feeling about your mom dying D. Tell her not to worry. She still has plenty of time left. E. You sound like you have questions about your mom dying. Let's talk about it.

B & C & E

A nurse is developing an in service about personality disorders Which of the following information should the nurse include when discussing borderline personality disorder? a. The client is overly concerned about minor details b. The client exhibits impulsive behavior c. The client is exceptionally clingy to others d. The client might act seductively

B - spending money or giving away money/possessions

A nurse is assessing a client Telemetry strip. Which of the following findings should the nurse report to the provider? a. Heart rate 98 per minute b. ST segment elevations c. 2 PVCs per minute d. Widened P wave

B = infarction

90. a home health nurse is caring for an adult client who reports, "I keep coughing when I try to swallow my food, but not at other times." Which of the following actions should the nurse take? a. encourage the client to increase fluid intake b. initiate a consultation with a speech c. instruct the client that this is due to increased salivary flow that occurs with aging d. recommend an antitussive 30 minutes prior to each meal

B initiate a consultation with a speech→ language pathologist; swallow eval R: p56 AMS Refer to speech language therapist for dysarthria and dysphagia

106. A nurse is caring for a client who has lung cancer and has a sealed radiation implant. Which of the following action should nurse take? (SATA) A. Place the client in a semi-private room B. Wear a lead apron when providing care C. Limit visitors to 30 mins D. Instruct visitors who are pregnant to remain 3 ft from the client E. Close the door to the client's room

B, C, E

46. A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Which of the following interventions should the nurse implement? a. Perform fundal massage b. Pour water from a squeeze bottle over the perineal area c. Insert an indwelling urinary catheter. d. Apply cold therapy to the client's perineal area.

B. Fundal massage is performed if the fundus is boggy Warm therapy should be applied to the perineal area

17. A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions should the nurse include in the plan of care? a. Give scheduled doses of acetaminophen every 6 hr b. Monitor the child's cardiac status c. Administer antibiotics via intermittent IV bolus for 24 hr d. Provide stimulation with children of the same age in the playroom

B. monitor the child's cardiac status

*60. A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender? a. The client takes vitamin C daily b. The client has a history of alcohol use disorder c. The client has a history of asthma d. The client takes furosemide twice daily

109. A nurse is obtaining a nutritional health hx on a client who reports problems with constipation. Which of the following should the nurse identify as a cause of constipation? A. Following high-fiber diet B. Currently taking probiotics C. New prescription for an iron supplement D. Intolerance to lactose

160. A nurse is providing teaching to family members of a client who has dementia. Which of the following instructions should the nurse include in the teaching? A. Engage the client in activities that increase sensory stimulation. B. Discourage physical activity during the day. C. Establish a toileting schedule for the client. D. Use clothing with buttons and zippers.

56. A nurse and an assistive personnel (AP) are caring for a group of clients. Which of the following tasks is appropriate for the nurse to delegate to the AP? a. Documenting the report of pain for a client who is postoperative b. Administering oral fluids to a client who has dysphagia c. Applying a condom catheter to a pt. who has a SCI d. Reviewing active range-of-motion exercise with a client who had a stroke

73. A nurse is caring for a client who has pernicious anemia, Which of the following laboratory values should the nurse evaluate effectiveness of the treatment ? A. Folate level B. INR level C. Vitamin b12 level D. Creatinine level

74. A nurse is assigning tasks to assistive personnel(AP). Which of the following tasks should the nurse assign to the AP? a. Suction a new tracheostomy b. Remove an NG tube c. Perform post mortem care d. Change the dressing on an implanted central venous access device

91. A nurse is caring for a client who is insulin dependent and is undergoing tests to determine if his blood glucose is being adequately controlled. The nurse should identify that which of the following laboratory values is the best indicator of adequate blood glucose control? A. Postprandial blood glucose 190 mg/dl B. Fasting blood glucose 60 mg/dl C. HbA1c 6.5% D. Hct 42%

96. A nurse is caring for a school-age child who is 2 hr postoperative following a cardiac catheterization. The nurse observes blood on the child's dressing. Which of the following actions should the nurse take? A. Apply intermittent pressure 2.5 cm (1 in) below the percutaneous skin site. B. Apply continuous pressure 2.5 cm (1 in) below the percutaneous skin site. C. Apply continuous pressure 2.5 cm (1 in) above the percutaneous skin site. D. Apply intermittent pressure 2.5 cm (1 in) above the percutaneous skin site.

A charge nurse is preparing to lead negotiations among nursing staff due to conflict about overtime requirements. Which of the following strategies should the charge nurse use to promote effective negotiation? a. Identify Solutions prior to negotiation b. personalize the conflict c. Attempt to understand both sides of the issue d. Focus on how the conflict occurred

A charge nurse on a medical surgical unit is assisting with the emergency responses plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current client should the nurse recommend for early discharge ? a. A client who has COPD and a respiratory rate of 44/ min - RR is too high out of range b. A client who has cancer with a sealed implant for radiation therapy - an implant is inside them, and its active c. A client who is 1 day postoperative following a vertebroplasty d. A client who is receiving heparin for deep vein thrombosis - as said in class Heparin for Hospital and that other Coumadin for home

A nurse is assessing a client following a ischemic (hemorrhagic) stroke. Which of the following findings is the priority for the nurse to report to the provider? A. The client reports a metallic taste in his mouth B. A client reports a decreased appetite C. The client coughs after swallowing D. The client has poor fitting dentures

A nurse is assessing a client who is prescribed valproic acid. Which of the following laboratory tests should the nurse monitor? a. Arterial blood gas b. Serum potassium c. Liver function test d. Serum creatinine

A nurse is observing a newly licensed nurse who is administering Total parenteral Nutrition tpn to a client. Which of the following actions by the newly licensed nurse indicates a need for the nurse to intervene? a. Plans for a check of the clients fingerstick glucose every 6 hours b. Schedules a bag and tubing change for 24 hours after the start of the infusion c. Uses the tpn IV tubing to administer the clients next dose of antibiotic d. Increases the tpn infusion rate each hour until the prescribed rate is achieved

A nurse is obtaining a medical history from a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should report which of the following conditions is a contraindication for the use of metformin? a. Seizure disorder b. Polycystic ovary syndrome c. Renal insufficiency d. Gluten intolerance

A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan? A. Withdraw the client's TV privileges if he does not attend group therapy B. Place the client in seclusion when exhibits signs of anxiety C. Encourage the client to take frequent rest periods. D. Encourage the client to spend time in the day room

A nurse is providing a preoperative teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nurse include in the teaching? a. "Continuous PCA infusion is designed to allow fluctuating plasma medication levels." b. "The PCA will deliver a double dose of medication when you push the button twice." c. "You should push the button before physical activity to allow maximum pain control." d. "You can adjust the amount of pain medication you receive by pushing on the keypad."

A nurse is providing teaching to family members of a client who has dementia. Which of the following instructions should the nurse include in the teaching ? a. Engage the client in activities that increase sensory stimulation. b. Discourage physical activity during the day c. Establish a toileting schedule for the client d. Use clothing with buttons and zippers

A nurse is teaching a client who has an ileostomy about the care of his stoma site. Which of the following statements by the client requires further teaching? a. "I should clean my stoma with warm water"( can use low ph soap and water) b. " My stoma should be bright pink or red"(pink, red and moist) c. "I should change the stoma pouch every day" d. "I should cut my pouch opening ⅛ inch larger than my stoma"(allow expansion)

The nurse is caring for a client who has histrionic personality disorder. Which of the following findings should the nurse expect? a. Repeated acts of unlawful Behavior b. Suspicious demeanor c. Seductive Behavior d. Lack of remorse

55. A community health nurse is planning primary prevention activities to reduce the occurrence of abuse. Which of the following strategies should the nurse include in the plan? a. Instruct healthcare professionals to identify abusive situations b. Locate financial support to open a shelter for abuse survivors c. Teach parenting skills for families at risk for abuse d. Connect abuse survivors with legal counsel

C Answer A is (screening=secondary prevention) Answer B and D are 3rd = tertiary prevention

A nurse is preparing to administer three medications to a client who is receiving continuous enteral tube feeding through an NG tube. Which of the following actions is appropriate for the nurse to take? a. ADD medication directly to enteral feeding b. Dissolve the medications together c. Use a syringe to allow the medications to Flow by gravity d. Flush the NG tube with 5 ml water

C - Crush meds first before adding - some meds can mix, others can't - flush NG tube with 10ml

A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. which of the following group facilitation techniques should the nurse include in the teaching? a. Yield in situations of conflict to maintain group Harmony b. Share personal opinions to help influence the group's values c. Use modeling to help the clients improve their interpersonal skills d. Measure the accomplishments of the group against a previous group

C - If conflict arises it is your responsibility to contain it - your focus is having group share their personal thoughts and feelings to facilitate discussion - no comparison

116. A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching? a. I can go jogging after 2 weeks. b. I can lift objects that are less than 10 seconds. c. I can resume activities, such as sewing. d. I should bend at the waist when putting on my shoes.

C - not A because need to avoid vigorous activity - not B because avoid lifting more than 5 lbs - not D because avoid bending at waist level

A nurse is completing an admission assess for a client who has narcissistic personality disorder. Which of the findings should the nurse expect? A. Ritualistic behavior B. Exhibits separation anxiety C. Preoccupied with aging D. Suspicious of others.

C A = OCD B = Dependent D = Paranoid

A nurse is teaching a client who has a newly documented latex allergy. Which of the following statements by the clients indicates an understanding of the teaching? a. I will remove dairy products from my diet b. I will remove peanuts from my diet c. I will remove bananas from my diet d. I will remove gluten from my diet

C People allergic to latex also allergic to avocado, banana, chestnut, kiwi, passion fruit, plum, strawberry, tomato

119. A nurse is delegating tasks to an assistive personnel group of clients. Which of the following statements should the nurse make? a. Take the client in room 106 to radiology b. Take the vital signs of the clients on the side of the unit c. Tell me the standing weight of the client in room 102 before breakfast d. The client in room 109 has spilled his water pitcher

C Rationale: right direction/communication. Leadership.

85. A nurse is caring for a client who requests to ambulate in the hallway with his own clothing. The nurse is demonstrating which of the following ethical principles when respecting the client's decision to wear his own clothing ? a. Non maleficence b. Veracity c. Autonomy d. Justice

C R: p47 ati leadership Autonomy: The ability of the client to make personal decisions, even when those decisions might not be in the client's own best interest

A nurse in an emergency department is caring for a client who reports cocaine use 1 hr ago. Which of the following findings should the nurse expect? a. Memory loss b. Slurred speech c. Elevated temperature d. hypotension

C Dizziness, tremor, blurred vision, seizures, fever, tachycardia, hypertension

A nurse is preparing to remove an IV catheter from the arm of a client who has phlebitis at the peripheral IV site. Which of the following actions should the nurse plan to take? a. Insert a new IV catheter distal to the discontinued IV site b. apply pressure dressing at the IV site c. Please a warm moist compress on the site d. Express drainage from the IV site and send it to be cultured

C Phlebitis is characterized by pain, increased skin temperature, and redness along the vein. It is commonly treated by discontinuing the IV line and applying a moist, warm compress over the area.

A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? A. A client who has COPD and a respiratory rate of 44/min B. A client who has cancer with a sealed implant for radiation treatment. C. A client who is 1 day postoperative following a vertebroplasty D. A client who is receiving heparin for deep vein thrombosis.

C & D

A newly licensed nurse is reviewing the role of a nurse in disaster planning. Which of the following is an activity a nurse should engage in to assist in disaster preparedness? A. Participate in community drills and mock events. B. Vaccinate susceptible children and adults against smallpox C. Assess types, levels and scopes of disasters. D. Make quarantine preparations for those exposed to anthrax

C - Assess first

A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan? A. Swaddle the newborn with this leg extended. B. Maintain eye contact with the newborn during feedings. C. Minimize noise in the newborn environment D. Administer naloxone to the newborn

C ● Reduce environmental stimuli (decrease lights, lower noise level). treat with Currently, the most common first-line medications used to treat NAS include morphine, methadone, and buprenorphine

68. A nurse is caring for an adult client who has chronic anemia and is scheduled to receive a transfusion of 1 unit of packed RBCs. Which of the following actions should the nurse take? a. Check the client's vital signs from the previous shift prior to the initiation of the transfusion b. Set the IV infusion pump to administer the blood over 6 hr c. Flush the blood transfusion tube with 0.9% sodium chloride prior to the transfusion d. Administer the blood via a 21-gauge IV needle

C. assess VS prior to infusion then be with them for first 15 - 30 minutes.

42. A nurse is reviewing the medical records of four clients. The nurse should identify that which of the following client findings follow up care? a. A client who is taking bumetanide and has potassium level of 3.6 mEq/L b. A client who is scheduled for colonoscopy and taking sodium phosphate c. A client who received a Mantoux test 48 hours ago and has induration d. A client who is taking warfarin and has INR of 1.8

C. A client who received a Mantoux test 48 hours ago and has induration --> May have positive TB presently or had it in the past, will need further interventions INR of 1.8 while taking warfarin is normal

76. A nurse is caring for a client who has acute glomerulonephritis .Which of the following should the nurse expect ? a. Polyuria b. Hypotension c. Hematuria d. Weight loss

C. Hematuria - urinalysis will show red blood cells and protein, also reddish brown col colored urine Oliguria will be expected, not polyuria HTN expected, not hypo Weight gain expected, not loss

12. A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the nurse take first? a. Educate the client about current medical diagnosis b. Refer the client to a meal delivery program c. Identify environmental hazards in the home d. Arrange for client transportation to follow-up appointments Rationale Priority: Assess first.

C. Identify environmental hazards in the home ** Assess first always A, B, D are interventions

9. A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence? a. Experiencing delusions b. Male gender c. Previous violent behavior d. A history of being in prison

C. Previous violent behavior Risk factors also include: past history of aggression, poor impulse control, and violence. Comorbidity that leads to acts of violence (psychotic delusions, command hallucinations, violent angry reactions with cognitive disorders).

61. A nurse is caring for a client who has major depressive disorder and a new prescription for amitriptyline. The nurse should monitor for which of the following adverse effects? a. Increased salivation b. Weight loss c. Urinary retention d. Hypertension

C. Urinary retention (anticholinergic effects) Amitriptyline will cause dry mouth (not increased salivation) due to anticholinergic effects and orthostatic hypotension (not HTN)

102. A nurse is assessing a client who is 2 hrs postpartum for uterine atony. Which of the following action should the nurse take? A. Monitor the client's urinary output B. Check the client VS C. Evaluate the client's pain level D. Palpate the client's fundus

110. A nurse is assessing a newborn who has patent ductus arteriosus (a normal blood vessel that connects two major arteries — the aorta and the pulmonary artery — that carry blood away from the heart). Which of the following findings should the nurse except? A. Increase PaO2 B. Hypoglycemia C. Board-like abdomen D. Bounding pulse

123. A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make? A. Im sure you can find alternative remedies through an online support group B. If there are therapies available to you, your provider will tell you about them C. Feel free to try whatever therapies that fit within your personal belief system D. We can review some information to help you select a safe alternative practitioner.

159. A nurse is caring for four clients who are scheduled for surgery the same day. Which of the following laboratory values indicates the need for intervention before surgery? A. Fasting blood glucose 108 mg/dl (WNL) B. WBC 9,800/mm (WNL) C. Creatinine 0.9 mg/dl (WNL) D. Potassium 5.2 mEq/L

49. A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? a. We should discuss resources to implement in your daily life b. Let me show you simple relaxation exercises to manage stress. c. Let's talk about how you can change your response to stress d. We should establish our roles in the initial session

54. A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding? a. Upper extremity hypotension b. Increased intracranial pressure c. Frequent nosebleeds d. Weak femoral pulses

71. A nurse is caring for an infant who has gastroenteritis. Which of the following assessments should the nurse report to the provider? a. Temperature 38 C(100.4 F) and pulse rate 124/min p b. Decreased appetite and irritability c. Pale and 24-hour fluid deficit of 30 mL d. Sunken fontanels and dry mucous membranes

72. A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding, The nurse does not speak the same language as the client . The client partner and a 10 year old child are accompanying her. Which of the following actions should the nurse take to gather the clients information? a. Ask a student nurse who speaks the same language to translate b. Have the child translate c. Allow the clients partner to translate d. Request a female translator interpreter through the facility

78. A nurse is providing teaching to the parents of a newborn about genetic screening. Which of the following statements should the nurse include in the teaching? a. your baby will be given 2 ounces of water to drink prior to the test b. this test will be repeated when your baby is 2 months old c. a nurse will draw blood from your baby's inner elbow d. this test should be performed after you baby is 24 hours old

82. A nurse is caring for an adolescent client who has cystic fibrosis. Which of the following actions should the nurse instruct the client to take prior to initiating postural drainage? a. Take pancrelipase b. Complete oral hygiene c. Eat a meal d. Use albuterol inhaler

95. A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching? A. "I should take antibiotics when I have a virus." B. "I should wash my hands for 10 seconds with hot water after working in the garden." C. "I can clean my cat's litter box during my pregnancy." D. "I can visit my nephew who has chickenpox 5 days after the sores have crusted."

97. A nurse is reviewing the medical record of a client who has a prescription for intermittent heat therapy for a foot injury. Which if the following findings should the nurse identify as a contraindication for heat therapy? A. Phlebitis B. Abdominal aortic aneurysm C. Osteoarthritis D. Peripheral neuropathy

A nurse is assessing a client's respirations which of the following actions should the nurse take? a. Assess respirations before counting radial pulsations b. Multiply the number of respirations in 15 seconds by 4 c. Inform the client that has breaths will be counted- may raise or lower breath rate due to fear d. Count respirations for 1 minute if the rhythm is irregular

A nurse is caring for four client who are scheduled for surgery the same day. Which of the following laboratory values indicates the need for intervention before surgery ? a. Fasting blood glucose 108 mg/ dl b. WBC 9,800 mm3 > 4,800 is normal c. Creatnine 0.9 mg/dl , < 1.0 is normal d. Potaissium 5.2 meq / L 3.5 - 5.0 =

A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states, "I don't know what to do. Everything has been happening so quickly." Which of the following responses by the nurse is therapeutic? a. "You should make sure your partner takes the prescribed medication." b. "Why do you think your partner's symptoms are progressing so quickly?" c. "You did the right thing by bringing your partner in for treatment." d. "Can you talk about what was happening with your partner at home?"

A nurse is preparing to catheterize a toddler for a urine culture. Which of the following is an appropriate action for the nurse to take? a. Discard the first 10 mL of urine. b. Apply EMLA cream prior to the procedure. c. Obtain a 12 French catheter. d. Don sterile gloves prior to the procedure.

A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching? A. "You can add the medication to a half-cup of your child's favorite juice." B. "Repeat the dose if your child vomits within 1 hour after taking the medication." C. "Limit your child's potassium intake while she is taking this medication." D. "Have your child drink a small glass of water after swallowing the medication."

A nurse is teaching a client how to perform kegel exercises. Which of the following client statements indicates understanding of the teaching? a. I will alternately contract and relax my gluteal muscles b. I will perform the exercises once each day before bed c. I will try to hold my urine for a little after i first feel the urge to urinate d. I will determine which muscles to contract by starting and stopping my urine stream

A nurse in a prenatal Clinic is teaching a client about non pharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching? a. My nurse can teach me biofeedback at the beginning of labor b. A transcutaneous electrical nerve stimulator will help with pelvic pressure c. The nurse will initiate acupuncture when I arrive at the unit d. I can use my ultrasound picture as a focal point during contractions

D - biofeedback would be taught earlier to control other pain, not pain of labor - TEE nerve stimulator - This would mess with the readings of the pt and baby - No needles during labor

65. A nurse in a provider's office is reviewing a female client's medical record during a routine visit. The nurse should recommend increasing dietary intake of which of the following vitamins? a. Vitamin D b. Vitamin K c. Vitamin A d. Vitamin B12

D H&P: postmenopausal, hx DVT and iron deficiency anemia, works indoors, consumes 1-2 alcoholic beverages per week

A nurse is assessing a client who requests an oral contraceptive. Which of the following findings in the client's medical history should the nurse identify as a contraindication for the use of a combination oral contraceptive? a. Concurrent use of levothyroxine b. Allergy to penicillin c. Recurrent urinary tract infections d. Migraines with aura

D Rationale: MN RM 10.0 Ch.1 p.6; Exacerbates conditions affected by fluid retention, such as migraine, epilepsy, asthma, kidney, or heart disease.

114. A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infectious disease that should be reported to the state health department? a. Candidiasis b. Herpes simplex virus c. Human papillomavirus d. Chlamydia

D candidiasis = is a fungal infection caused by a yeast (a type of fungus)

A nurse on a surgical pediatric care unit receives report prior to providing care for a group of clients. Which of the following clients should the nurse assess first? a. A 15 year old who is 6 hr postop following a herniorrhaphy and reports pain at the IV site b. 3 month old who is 1 day postop following cleft lip repair and has a pulse of 120 c. 12 year old who is 2 days postop following an appendectomy and is refusing to ambulate d. 8 year old client who is 12 hr postop following a tonsillectomy and is experiencing frequent swallowing

D. ** Bleeding

8. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity. Which of the following actions should the nurse take? a. Position the client supine b. Prepare an IV bolus of dextrose 5% in water c. Administer methylergonovine IM d. Administer calcium gluconate IV

D. Administer calcium gluconate IV (antidote) Always have an injectable form of calcium gluconate available when administering magnesium sulfate by IV.

1. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client's peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client's condition every 15 minutes

D. Document the client's condition every 15 minutes

30. A nurse is preparing a change of shift report for an adult female client who is postoperative. Which of the following client information should the nurse include in the report? CONFIRMED a. Hgb 12.8 g/dl b. Potassium 4.2 meq c. RBC 4.4 million/mm3 d. Platelets 100,000/mm3

D. Platelets 100,000/mm3 = risk for bleeding ** Normal platelet count is 150,000-300,000/mm3 Normal Hgb is 12-16 g/dl Potassium normal is 3.5-5.0 meq

A Blood sugar <70 means the patient is

Hypoglycemic

_________ is A condition that causes inflammation in the walls of some blood vessels in the body. It's most common in infants and young children. Early stages include a rash and fever. Symptoms include high fever and peeling skin

Kawaski disease

Why is magnesium sulfate given to pregnant women with preeclampsia?

Magnesium sulfate can help prevent seizures in women with postpartum preeclampsia who have severe signs and symptoms. Magnesium sulfate is typically taken for 24 hours. After treatment with magnesium sulfate, your health care provider will closely monitor your blood pressure, urination and other symptoms

53. A nurse is caring for a client who has type 1 diabetes mellitus. The client reports that she is not feeling well. Which of the following findings should indicate to the nurse that the client is hypoglycemic? (Select all that apply.) a. Tremores b. Polydipsia c. Acetone Breath odor d. Diaphoresis e. Inability to concentrate

a, d, e Polydipsia = hyperglycemia Acetone breath odor = DKA

20. A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements by the nurse indicates an understanding of this role? a. "I will let the client know that I am available as the interpreter." b. "I will receive a small fee for interpreting for this client." c. "I am glad I'm available today, but when I'm not, you can use a family member." d. "I will let the client know that an interpreter is unavailable during the night shift."

a. "I will let the client know that I am available as the interpreter."

32. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delegate to the LPN? a. A client who is postoperative following a bowel resection with an NGT set to continuous suction b. A client who has fractured a femur yesterday and is expecting SOB c. A client who sustained a concussion and has unequal pupils d. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs

a. A client who is postoperative following a bowel resection with an NGT set to continuous suction

6. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? a. A history of gastroesophageal reflux disease b. Receiving a high osmolarity formula c. Sitting in a high-Fowler's position during the feeding d. A residual of 65 mL 1hr postprandial

a. A history of gastroesophageal reflux disease (GERD)

33. A nurse is caring for a client who is at 41 week of gestation and is receiving oxytocin for labor induction. The nurse notes early deceleration on the fetal heart rate monitor . Which of the following nursing actions should the nurse take ? p . 88 ch 13 maternity a. Continue the monitor the fetal heart rate b. Stop the oxytocin infusion c. Perform a vaginal examination d. Initiate an amnioinfusion

a. Continue the monitor the fetal heart rate- - Not a problem- absent or late are a problem however CONFIRMED

39. A nurse manager is updating protocols for belt restraints. Which of the following guidelines should the nurse include. a. Document the patients condition Q15 mins b. Attach the restraints to the beds side rails c. Request a PRN restraints prescription for clients who are aggressive d. Remove the client restraints every 4 hours

a. Document the patients condition Q15 mins

16. A nurse is caring for a client who is 1 hr postoperative following rhinoplasty (surgery that changes the shape of the nose). Which of the following manifestations requires immediate action by the nurse? a. Increase in frequency of swallowing b. Moderate sanguineous drainage on the drip pad c. Bruising to the face→ side effect d. Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative) Rationale "Requires immediate action" choose the worst possibility that could lead to. ABC

a. Increase in frequency of swallowing→ may indicate bleeding c. Bruising to the face→ side effect d. Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative) Rationale "Requires immediate action" choose the worst possibility that could lead to. ABC

28. A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take? a. Provide anticipatory guidance classes to parents through public schools b. Have a nurse from the outside the community provide health lectures at the county hospital c. Encourage rural residents to focus health spending on tertiary health interventions d. Launch a media campaign to increase awareness about industrial pollution

a. Provide anticipatory guidance classes to parents through public schools

7. A nurse is reviewing the laboratory results for a client who has Cushing's disease. The nurse should EXPECT the client to have an increase in which of the following laboratory values? a. Serum glucose level b. Serum calcium level c. Lymphocyte count d. Serum potassium level

a. Serum glucose level- increased b. Serum calcium level - decreased c. Lymphocyte count - decreased immune system d. Serum potassium level - decreased Cushings disease is caused by - The most common cause is the use of steroid drugs, - also from a tumor or excess growth (hyperplasia) of the pituitary gland. The pituitary gland is located just below the base of the brain. A type of pituitary tumor called an adenoma is the other most common cause Signs are a fatty hump between the shoulders, a rounded face, and pink or purple stretch marks. Treatment options include reducing steroid use, surgery, radiation, and medication.

48. A nurse working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of non-blanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? a. Teach the pt to shift his weight Q 15mins while sitting b. Place the client upright on a donut-shaped cushion c. Assess pressure points every 24 hr. d. Turn and reposition the client every 3 hrs. while in bed.

a. Teach the pt to shift his weight Q 15mins while sitting - cannot do this because he is paraplegic d. Turn and reposition the client must be q 2 hours in bed, 1 hour in chair.

35. A nurse is reviewing the medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine ? a. WBC count 2,900 /mm3 b. FAsting blood glucose 100 mg/dl c. Hgb 14 g/Dl d. Heart rate 58/min

a. WBC of 2,900 = AGRANULOCYTOSIS - 5,000 - 15,000 is normal rang ATI Pharm 116 Complications

36. A nurse is caring for a client who is at 38 weeks of gestation and has a history of hepatitis C. The client asks the nurse if she will be able to breastfeed. Which of the following responses by the nurse is appropriate? a. You may breastfeed unless your nipples are cracked or bleeding b. You must use a breast pump to provide breast milk. c. You must use nipple shield when breastfeeding. d. You may breastfeed after your baby develops his antibodies.

a. You may breastfeed unless your nipples are cracked or bleeding

37. A nurse is caring for a client who has returned to the medical-surgical unit following a transurethral resection of the prostate. Which of the following should the nurse identify as priority nursing assessment after reviewing the clients information? Exhibit. Select all that apply a. a. Level of consciousness. b. Skin turgor c. Deep-tendon reflexes d. Bowel sounds

a. a. Level of consciousness. (priority)- decreased LOC can mean less o2 going to the brain & c. Deep-tendon reflexes

13. A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should the nurse ask the client? a. "Can you tell me who visited you today?" b. "What high school did you graduate from?" c. "Can you list your current medications?" d. "What did you have for breakfast yesterday?"

b. "What high school did you graduate from?"

22. A nurse on an acute unit has received change of shift report for 4 clients which of the following clients should the nurse assess first? a. A client who is 1 hr postoperative and has hypoactive bowel sounds b. A client who has fractured left tibia and pallor in the affected extremity c. A client who had a cardiac catheterization 3 hr ago and has 3+ pedal pulses d. A client who has a elevated AST level following administration of azithromycin

b. A client who has fractured left tibia and pallor in the affected extremity ** Pain pallor pulselessness paresthesia

34. A nurse is conducting an initial assessment of a client and noticed a discrepancy between the clients current IV infusion and the information received during the shift report. Which of the following actions should the nurse take? a. Complete an incident report and place it in the client's medical record. b. Compare the current infusion with the prescription in the client's medication record c. Contact the charge nurse to see if the prescription was changed. d. Submit a written warning for the nurse involved in the incident

b. Compare the current infusion with the prescription in the client's medication record

25. A nurse is teaching dietary guidelines to a client who has celiac disease which of the following food choices is appropriate for the client? a. White flour tortillas b. Potato pancakes c. Wheat crackers d. Canned barley soup

b. Potato pancakes

31. A nurse is admitting a client who has anorexia nervosa. Which of the following is an expected finding? a. Iron 90 mcg/dl b. Prealbumin 10 mcg/dl c. Serum creatinine 0.8 mg/dl d. Calcium 9.5 mg/dl

b. Prealbumin 10 mcg/dl (normal: 16-40) Normal creatinine = 0.5-1.2 A creatinine level of greater than 1.2 for women and greater than 1.4 for men may be an early sign that the kidneys are not working properly.

A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take? a. Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to promote absorption; avoid oily or broken skin) b. Wear gloves to apply the patch to the client's skin c. Apply the patch within 1 hr of removing it from the protective pouch (apply immediately) d. Remove the previous patch and place it in a tissue (fold patch in half with sticky sides pressed together)

b. Wear gloves to apply the patch to the client's skin

79. a nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? a. perform the procedure prior to meals b. perform the procedure twice a day c. administer a bronchodilator after the procedure d. hold hand flat to perform percussions on the child

b. perform the procedure twice a day AVOID BEFORE OR AFTER MEALS

27. A nurse is caring for a client who is immobile which of the following interventions is appropriate to prevent contracture? a. Align a trochanter wedge between the clients legs b. Place a towel roll under the clients neck c. Apply an orthotic to the clients foot d. Position a pillow under the client's knees

c. Apply an orthotic to the clients foot

26. A nurse is working in acute care mental health facility is assessing a client who has schizophrenia. Which of the following findings should the nurse expect? a. All or nothing thinking b. Euphoric mood c. Disorganized speech d. Hypochondriasis ( anxiety disorder)

c. Disorganized speech

58. A nurse is caring for a client who reports xerostomia (a condition in which the salivary glands in your mouth don't make enough saliva) following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse? a. Offer the client saltine crackers between meals b. Suggest rinsing his mouth with an alcohol-based mouthwash c. Provide humidification of the room air d. Instruct the client on the use of esophageal speech

c. Provide humidification of the room air

19. A nurse is assessing a client who is prescribed spironolactone. Which of the following laboratory values should the nurse monitor for this client? a. Total bilirubin b. Urine ketones c. Serum potassium d. Platelet count

c. Serum potassium- diuretic that retains potassium= hyperkalemic risk Rationale ATI PDF p: 146 Pharm Complications: hyperkalemia

15. A nurse is caring for a client who is receiving phenytoin (Dilantin) for management of grand mal seizures (tonic clonic seizures) and has a new prescription for isoniazid and rifampin. Which of the following should the nurse conclude if the client develops ataxia (Impaired balance or coordination, can be due to damage to brain, nerves, or muscles) and incoordination? a. The client is experiencing an adverse reaction to rifampin b. The client's seizure disorder is no longer under control c. The client is showing evidence of phenytoin toxicity d. The client is having adverse effects due to combination antimicrobial therapy

c. The client is showing evidence of phenytoin toxicity

18. A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potential consequences of smoking is most likely to discourage adolescents from using tobacco? a. Use of tobacco might lead to alcohol and drug abuse b. Smoking in adolescence increases the risk of developing lung cancer later in life c. Use of tobacco decreases the level of athletic ability d. Smoking in adolescence increases the risk of lifelong addiction

c. Use of tobacco decreases the level of athletic ability

What is the antidote for magnesium sulfate (if mag toxicity occurs)

calcium gluconate S/S of mag sulfate toxicity diarrhea. nausea and vomiting. lethargy. muscle weakness. abnormal electrical conduction in the heart. low blood pressure. urine retention. respiratory distress.

___________ is the presence of one or more additional conditions often co-occurring with a primary condition

comorbidity

3. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? a. A client who has sinus arrhythmia and is receiving cardiac monitoring b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8% c. A client who has epidural analgesia and weakness in the lower extremities d. A client who has a hip fracture and a new onset of tachypnea

d. A client who has a hip fracture and a new onset of tachypnea (NEW ONSET) It is normal for pt to have weakness in lower extremities post Epidural analgesia

A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care? a. Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first) b. Give cromolyn nebulizer solution every 6 hr (for asthma) c. Apply a warm compress to the operative site every 4 hr d. Administer analgesics on a scheduled basis for the first 24 hr

d. Administer analgesics on a scheduled basis for the first 24 hr

14. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include in the teaching a. HbA1c level greater than 8% b. Blood glucose level greater than 200 mg/dL at bedtime c. Blood glucose level less than 60 mg/dL before breakfast d. HbA1c level less than 7%

d. HbA1c level less than 7% A. 6.5 - 8 is the target reference. C. < 70 = HYPOGLYCEMIC

38. A nurse is caring for a client who has hyperthermia .Which of the following actions for the nurse to take ? a. Submerge the adolescent feet in ice water b. Cover the adolescent with a thermal blanket c. Administer oral acetaminophen d. Initiate seizure precautions

d. Initiate seizure precautions C. You would cover with a thermal blanket if hypothermic

40. A nurse in emergency department is caring for a client who has full thickness burn of the thorax and upper torso. After securing the client's airway, which of the following is the nurse's priority intervention? a. Providing pain management b. Offering emotional support c. Preventing infection d. Initiating IV fluid resuscitation

d. Initiating IV fluid resuscitation P. 482 ch 75 CONFIRMED

24. A nurse is planning discharge teaching about cord care for the parents of a newborn which of the following instructions should the nurse plan to include in the teaching? P . 177 ch 26 a. Clean the base of the cord with hydrogen peroxide daily b. The cord stump will fall off in 5 days c. Contact the provider if the cord stump turns black d. Keep the cord stump dry until it falls off

d. Keep the cord stump dry until it falls off ** Rationale: cord usually falls out within 7 to 10 days. Clean with soap and water. Cord is expected to turn black and dry

23. A nurse is providing discharge instructions to a client who has a new prescription for haloperidol which of the following adverse effects should the nurse instruct the client to report to the provider? a. Weight gain b. Dry mouth c. Sedation d. Shuffling gait

d. Shuffling gait →A/E EPS: is an indication of parkinsonism and should be reported to the PCP ** b. Dry mouth→ anticholinergic effects c. Sedation → s/s neuroleptic malignant syndrome??>> life threatening

Review ATI Comprehensive Exam

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