Question 1: A nurse is caring for a patient BOX Question.
A patient had Bipolar Disorder. During the assessment, the Patient reports blurred vision and
increased urine output, with clonic jerking of the upper extremities.
- The patient is taking Lithium
Patient has likely developed Lithium Toxicity and Seizure Activity.
Question 2: Nurse is preparing to initiate Intravenous Fluids via pump. Which of the following
action should a nurse take? WRONG on document
You should CHECK Expiration date of the equipment ??
Question 3: Nurse is caring for a patient with an implanted venous access port. Which should
you use to access the port?
Non Coring Needle because it has a beveled tip and a side hole. It prevents damage to the port.
Reduced risk for infection.
Question 4: Nurse is conducting initial assessment and notices a difference between current IV
setting and what was said in handoff. What action should a nurse take?
Compare the current infusion rate with what is in the medical chart
Question 5: The Nurse is caring for an older client. HIGHLIGHT what needs Follow Up
Question 6: A nurse is caring for a patient in a psych unit.
Potential Action Indicated Contraindicated
Allow client to This one
watch TV at high
Volume
Ask Client about This one
Hallucinations
Instruct in expected This one
hygiene
Assess for suicidal This one
Ideation
Place client in a This one
room near the
activity room
Question 7: Near end of life and is on complete bed rest. Best response from nurse?
“Tell me your concerns about using a bed pan”
,Question 8: Nurse is caring for a patient who is in Labor.
Select all that apply.
Increase fluids, Charge nurse notify MD, Trendelenburg position, Exert upward, O2 10L
nonrebreather
Question 9: A nurse is providing an in service about client evacuation during the fire. Which of
the following clients should the nurse instruct the staff to evacuate first?
A patient that is ambulatory and RECEIVING OXYGEN because it is flammable!
Question 10: What to expect with Mastitis vs Endometritis
M - Painful, tender breast, fever, chills
E- Fever, foul lokia
Question 11: A nurse is assessing a client who has a possible right pneumothorax. Which of the
following findings should the nurse expect?
Reduced right sided lung sounds
Question 12:
I say for this one it's 1,2,3 and 6 when I looked up in the ATI book it says Patients with COPD
could be on 2-4L/m of oxygen via the nasal cannula, we always want to continue to assess the
clients breath sounds, chest percussions and vibration is needed to help move the secretions,
and diaphragmatic breathing is needed as well.
Question 13:A nurse is caring for a client who is postoperative following a liver biopsy. In which
of the following positions should the nurse place the client immediately following the
procedure?
Right Lateral
Question 14:
Patient wants to use lavender oil aromatherapy. What is a contraindication?
Asthma
Question 15:
A patient has a total gastrectomy. What vitamin supplements should the nurse educate on
replacing?
Vitamin B12
Question 16:
A client is aggravated, pacing, and speaking loudly. What do you do?
Tell the client that they seem to be upset.
Question 17:
, What is the correct teaching for educating on using the basal body temperature method?
Take your temp immediately after waking and getting out of bed
Question 18:
What is indicative of a positive TB test?
THE ANSWER IS: An Induration greater than 10mm
Question 19:
Education for discharge following a knee replacement?
Mark the edges of the doorway to the house with tape
Question 20:
What is an expected finding in a patient with CHF?
Crackles in lungs
Question 21:
What medication would reverse a hydromorphone overdose?
Naloxone
Question 22:
What should be included in the plan of care for a child 24hrs following post op appendicitis?
Scheduled analgesics as prescribed for 24 hours
Question 23:
A child dies from cancer and the client says “It's hard to go one without them” What do u ask
next?
Are you thinking about ending your life?
Question 24:
What is correct teaching about Advanced Directives?
A living will includes my wishes about health care decisions
Question 25:
What symptom should be reported to the provider at 14 wks gestation?
Swelling in the face
Indicative of Preeclampsia: High BP, Proteinuria, Vision Changes, Headache
Question 26:
A patient has a new prescription for Haldol. What symptoms should the nurse report?
Shuffling Gait
Indicative of Extrapyramidal Symptoms: Akathesia, Dystonia, Parkinson Sx
Which can lead to Tardive Dyskinesia or Akathesia
NMS is also a risk: Temp 102, irreg HR, tachy, tachypnea
A patient had Bipolar Disorder. During the assessment, the Patient reports blurred vision and
increased urine output, with clonic jerking of the upper extremities.
- The patient is taking Lithium
Patient has likely developed Lithium Toxicity and Seizure Activity.
Question 2: Nurse is preparing to initiate Intravenous Fluids via pump. Which of the following
action should a nurse take? WRONG on document
You should CHECK Expiration date of the equipment ??
Question 3: Nurse is caring for a patient with an implanted venous access port. Which should
you use to access the port?
Non Coring Needle because it has a beveled tip and a side hole. It prevents damage to the port.
Reduced risk for infection.
Question 4: Nurse is conducting initial assessment and notices a difference between current IV
setting and what was said in handoff. What action should a nurse take?
Compare the current infusion rate with what is in the medical chart
Question 5: The Nurse is caring for an older client. HIGHLIGHT what needs Follow Up
Question 6: A nurse is caring for a patient in a psych unit.
Potential Action Indicated Contraindicated
Allow client to This one
watch TV at high
Volume
Ask Client about This one
Hallucinations
Instruct in expected This one
hygiene
Assess for suicidal This one
Ideation
Place client in a This one
room near the
activity room
Question 7: Near end of life and is on complete bed rest. Best response from nurse?
“Tell me your concerns about using a bed pan”
,Question 8: Nurse is caring for a patient who is in Labor.
Select all that apply.
Increase fluids, Charge nurse notify MD, Trendelenburg position, Exert upward, O2 10L
nonrebreather
Question 9: A nurse is providing an in service about client evacuation during the fire. Which of
the following clients should the nurse instruct the staff to evacuate first?
A patient that is ambulatory and RECEIVING OXYGEN because it is flammable!
Question 10: What to expect with Mastitis vs Endometritis
M - Painful, tender breast, fever, chills
E- Fever, foul lokia
Question 11: A nurse is assessing a client who has a possible right pneumothorax. Which of the
following findings should the nurse expect?
Reduced right sided lung sounds
Question 12:
I say for this one it's 1,2,3 and 6 when I looked up in the ATI book it says Patients with COPD
could be on 2-4L/m of oxygen via the nasal cannula, we always want to continue to assess the
clients breath sounds, chest percussions and vibration is needed to help move the secretions,
and diaphragmatic breathing is needed as well.
Question 13:A nurse is caring for a client who is postoperative following a liver biopsy. In which
of the following positions should the nurse place the client immediately following the
procedure?
Right Lateral
Question 14:
Patient wants to use lavender oil aromatherapy. What is a contraindication?
Asthma
Question 15:
A patient has a total gastrectomy. What vitamin supplements should the nurse educate on
replacing?
Vitamin B12
Question 16:
A client is aggravated, pacing, and speaking loudly. What do you do?
Tell the client that they seem to be upset.
Question 17:
, What is the correct teaching for educating on using the basal body temperature method?
Take your temp immediately after waking and getting out of bed
Question 18:
What is indicative of a positive TB test?
THE ANSWER IS: An Induration greater than 10mm
Question 19:
Education for discharge following a knee replacement?
Mark the edges of the doorway to the house with tape
Question 20:
What is an expected finding in a patient with CHF?
Crackles in lungs
Question 21:
What medication would reverse a hydromorphone overdose?
Naloxone
Question 22:
What should be included in the plan of care for a child 24hrs following post op appendicitis?
Scheduled analgesics as prescribed for 24 hours
Question 23:
A child dies from cancer and the client says “It's hard to go one without them” What do u ask
next?
Are you thinking about ending your life?
Question 24:
What is correct teaching about Advanced Directives?
A living will includes my wishes about health care decisions
Question 25:
What symptom should be reported to the provider at 14 wks gestation?
Swelling in the face
Indicative of Preeclampsia: High BP, Proteinuria, Vision Changes, Headache
Question 26:
A patient has a new prescription for Haldol. What symptoms should the nurse report?
Shuffling Gait
Indicative of Extrapyramidal Symptoms: Akathesia, Dystonia, Parkinson Sx
Which can lead to Tardive Dyskinesia or Akathesia
NMS is also a risk: Temp 102, irreg HR, tachy, tachypnea