ATI CBC 4 A Exam Current Course
Version
1. A nurse is reviewing the ANSWER: Potassium 6.2 mEq/L
laboratory values of a Rationale: A client who has Addison's disease will have potassium level
client who has Addison's that rapidly increases due to lack of cortisol concentration levels, which
disease. Which of the fol- leads to a fluid & electrolyte imbalance. A potassium level of 6.2 mEq/L is
lowing findings should the above the expected reference range and is expected finding for a client
nurse expect? who has Addison's disease
A. Total calcium 8.2
mEq/L Total Calcium rationale: A client who has Addison's disease is at risk for
B. Potassium 6.2 mEq/L hypercalcemia due to lack of cortisol concentration levels, which leads to a
C. Blood glucose 320 fluid and electrolyte imbalance. A total calcium level of 8.2 mEq/L is
mg/dL below the expected reference range.
D. Sodium 148 mEq/L
Blood glucose rationale: A client who has Addison's disease is at risk for
hypoglycemia due to an abnormal regulation of glucose from lack of
cortisol concentration levels. A blood glucose level of 320 mg/dL is above
the expected range.
Sodium rationale: A client who has Addison's disease is at risk for
hyponatremia due to a lack of cortisol concentration levels, which leads to a
fluid & electrolyte imbalance. A sodium level of 148 mEq/L is above the
expected reference range.
2. A nurse is teaching a
ANSWER: "You should check your pulse before taking this medica-
client who has a new
tion."
prescription for
Rationale: The nurse should instruct a client who is taking carvedilol
carvedilol following a my- to obtain his heart rate prior taking the medication. The client should
ocardial infarction. Which withhold the medication and notify his provider if his heart rate is less than
of the following informa- 60/min.
tion should the nurse in-
clude? A Rationale: The nurse should instruct a client who is taking nitrates to
expect headaches while on the medication.
A. "You will experience
B Rationale: The nurse should instruct a client who is taking nitrates to
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, ATI CBC 4 A Exam Current Course
Version
headaches while taking lie down before taking the medication.
this medication."
B. "You should lie down C Rationale: The nurse should instruct a client who is taking carvedilol to
before taking this med- take the medication with food to minimize the risk for orthostatic
ication." hypotension.
C. "You should take this
medication on an empty
stomach."
D. "You should check your
pulse before taking this
medication."
3. A nurse is teaching a ANSWER: Fever
client who has HIV about Rationale: The nurse should instruct the client to monitor for a fever, which
zidovudine. The nurse can indicate an infection caused by bone marrow suppression.
should instruct the client
to monitor for which of the Hallucinations rationale: The nurse should instruct the client that
following findings as an seizures, rather than hallucinations, are an adverse ettect of this med-
adverse effect of this ication
medication?
Polyuria rationale: The nurse should instruct the client that this med-
A. Fever ication does not attect kidney function. Therefore, the client does not need
B. Hallucinations to monitor for polyuria.
C. Polyuria
D. Constipation Constipation rationale: The nurse should instruct the client that diar-rhea,
rather than constipation, is an adverse ettect of this medication.
4. A nurse is teaching a
ANSWER: Identifies cost-ettective equipment
group of nurses about the
Rationale: The nurse should inform the group that the case manager
role of a case man-ager.
identifies treatments, care settings, and equipment to promote cost-ef-fective
Which of the follow-ing
positive outcomes.
information should the
nurse include in the
A Rationale: The nurse should inform the group that the case manager
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Version
1. A nurse is reviewing the ANSWER: Potassium 6.2 mEq/L
laboratory values of a Rationale: A client who has Addison's disease will have potassium level
client who has Addison's that rapidly increases due to lack of cortisol concentration levels, which
disease. Which of the fol- leads to a fluid & electrolyte imbalance. A potassium level of 6.2 mEq/L is
lowing findings should the above the expected reference range and is expected finding for a client
nurse expect? who has Addison's disease
A. Total calcium 8.2
mEq/L Total Calcium rationale: A client who has Addison's disease is at risk for
B. Potassium 6.2 mEq/L hypercalcemia due to lack of cortisol concentration levels, which leads to a
C. Blood glucose 320 fluid and electrolyte imbalance. A total calcium level of 8.2 mEq/L is
mg/dL below the expected reference range.
D. Sodium 148 mEq/L
Blood glucose rationale: A client who has Addison's disease is at risk for
hypoglycemia due to an abnormal regulation of glucose from lack of
cortisol concentration levels. A blood glucose level of 320 mg/dL is above
the expected range.
Sodium rationale: A client who has Addison's disease is at risk for
hyponatremia due to a lack of cortisol concentration levels, which leads to a
fluid & electrolyte imbalance. A sodium level of 148 mEq/L is above the
expected reference range.
2. A nurse is teaching a
ANSWER: "You should check your pulse before taking this medica-
client who has a new
tion."
prescription for
Rationale: The nurse should instruct a client who is taking carvedilol
carvedilol following a my- to obtain his heart rate prior taking the medication. The client should
ocardial infarction. Which withhold the medication and notify his provider if his heart rate is less than
of the following informa- 60/min.
tion should the nurse in-
clude? A Rationale: The nurse should instruct a client who is taking nitrates to
expect headaches while on the medication.
A. "You will experience
B Rationale: The nurse should instruct a client who is taking nitrates to
1/9
, ATI CBC 4 A Exam Current Course
Version
headaches while taking lie down before taking the medication.
this medication."
B. "You should lie down C Rationale: The nurse should instruct a client who is taking carvedilol to
before taking this med- take the medication with food to minimize the risk for orthostatic
ication." hypotension.
C. "You should take this
medication on an empty
stomach."
D. "You should check your
pulse before taking this
medication."
3. A nurse is teaching a ANSWER: Fever
client who has HIV about Rationale: The nurse should instruct the client to monitor for a fever, which
zidovudine. The nurse can indicate an infection caused by bone marrow suppression.
should instruct the client
to monitor for which of the Hallucinations rationale: The nurse should instruct the client that
following findings as an seizures, rather than hallucinations, are an adverse ettect of this med-
adverse effect of this ication
medication?
Polyuria rationale: The nurse should instruct the client that this med-
A. Fever ication does not attect kidney function. Therefore, the client does not need
B. Hallucinations to monitor for polyuria.
C. Polyuria
D. Constipation Constipation rationale: The nurse should instruct the client that diar-rhea,
rather than constipation, is an adverse ettect of this medication.
4. A nurse is teaching a
ANSWER: Identifies cost-ettective equipment
group of nurses about the
Rationale: The nurse should inform the group that the case manager
role of a case man-ager.
identifies treatments, care settings, and equipment to promote cost-ef-fective
Which of the follow-ing
positive outcomes.
information should the
nurse include in the
A Rationale: The nurse should inform the group that the case manager
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