ATI: Comprehensive Practice A/B
Which of the following is a manifestation of autism:
- Complete compliance with routines - Anxiety excessive when separated from parents strict
compliance with routines. Separation anxiety disorder manifests itself in excessive anxiety. For
the rhomberg test, which of the following is appropriate instruction? - I will check in on you both
with your eyes open and closed. - You will hold your hands on your hips and place them there. -
I will be checking on you with your eyes open and once with them closed
During the Romberg test, how will the feet be positioned close to one another? They will stand
together. During a romberg test, the nurse should be near the patient or standing across the
room? Close- due to risk of fall
A new client with terminal cancer wants to be with their loved ones. The nurse should do which
of the following? - Describe the procedure for refusing medical advice and leaving the facility. -
Request assistance from social services. Make a referral for social services.
The client is following medical advice and not leaving. In adults, the goal for oxygen therapy is
to keep O2 > what %?
95
Should care be spread out or clustered for clients with higher ICP? Spaced apart.
Concentrating their care would cause more stress, which can lead to higher ICP. Should clients
with increased ICP be supine?
No. Elevate HOB to promote blood return away from the heart
Which of the following can occur in a patient receiving mechanical ventilation: Hypotension due
to increased chest pressure and decreased blood return to the heart
PEEP has which of the following negative effects? - Tension pneumothorax
- Atherosclerosis A pneumothorax of tension PEEP is used to prevent atelectasis by
strengthening gas exchange
Clients who are receiving home therapy oxxygen should wear cotton or synthetic / woolen
fabric?
Cotton fabrics.
Synthetic or woolen fabrics can create static electricity, which increases risk for fire.
Which of the two lubricants can be used for clients receiving oxygen therapy?
- Petroleum
- Solvent-soluble soluble in water Petroleum is flammable when near oxygen
How often should oxygen equipment functionality be tested?
Once a day
Which of the following must be completed before a bolus NG tube feeding is given? - Review
the medical record for previous x-ray verification of placement
- Aspirate contents from the tube and verify the pH level
- Aspirate contents from the tube and verify the pH level
Which of the following is priority for a client who had abdominal surgery 24hr ago
- Assist with deep breathing and coughing
, - Monitor the incision site for findings of infection
- Assist with deep breathing and coughing
Which of the following is an adverse reaction to propranolol?
- Hypertension
- Rapid heart rate - Wheezing
Wheezing
What kind of BP cuff should you use for clients with sickle cell anemia - automatic or manual?
Manual - use alternatives to monitoring BP due to the clients increased risk of venous occlusion
Which of the following is an adverse effect of amitriptyline?
- DIarrhea
- Constant urination - Blurred vision
Blurred vision
Frequent urination, or urinary retention, is an adverse effect of amitriptyline?
Uterine retention Diarrhea, or constipation, is an averse effect of amitriptyline?
Constipation?
Which task can an AP be assigned? - Measure the client's daily wt
- Take a look at the client's vital signs. tally your daily weight. Vital signs are considered part of
the assessment
A nurse is getting ready to use a pen to give a client insulin. What should they do?
- To administer the medication, hold the insulin pen perpendicular to the patient's skin. - Hold
the pen device for 3 seconds after injecting the insulin
- Hold the insulin pen perpendicular to the client's skin to inject the medication
To ensure that the insulin has been absorbed, the pen should be held for six to ten seconds.
How many seconds should an insulin pen remain injected in the client to ensure the insulin has
been received?
- 3 - 5 seconds
- 6 - 10 seconds
six to ten seconds For a client who is postoperative following a laparoscopic cholecystectomy,
the nurse should anticipate prescriptions for the client to apply (Heat / cold) for abdominal pain
related to carbon dioxide retention?
Heat
How often should a client who is immunosuppressed and have a continuous IV infusion have
their mouth monitored?
Q8H for manifestations of infection - such as sores or lesions
How often is WBC checked for immunosupressed clients
Q24H
How frequently should an immunosuppressed patient's IV tubing be changed? Q24H
A sign of _____thyroidism is coarse, dry hair. hypo
Bradycardia is a manifestation of ___thyroidism
hypo
Tremors are a manifestation of ___thyroidism
hyper
tachycardia is a manifestation of ___thyroidism
hyper
Which of the following is a manifestation of autism:
- Complete compliance with routines - Anxiety excessive when separated from parents strict
compliance with routines. Separation anxiety disorder manifests itself in excessive anxiety. For
the rhomberg test, which of the following is appropriate instruction? - I will check in on you both
with your eyes open and closed. - You will hold your hands on your hips and place them there. -
I will be checking on you with your eyes open and once with them closed
During the Romberg test, how will the feet be positioned close to one another? They will stand
together. During a romberg test, the nurse should be near the patient or standing across the
room? Close- due to risk of fall
A new client with terminal cancer wants to be with their loved ones. The nurse should do which
of the following? - Describe the procedure for refusing medical advice and leaving the facility. -
Request assistance from social services. Make a referral for social services.
The client is following medical advice and not leaving. In adults, the goal for oxygen therapy is
to keep O2 > what %?
95
Should care be spread out or clustered for clients with higher ICP? Spaced apart.
Concentrating their care would cause more stress, which can lead to higher ICP. Should clients
with increased ICP be supine?
No. Elevate HOB to promote blood return away from the heart
Which of the following can occur in a patient receiving mechanical ventilation: Hypotension due
to increased chest pressure and decreased blood return to the heart
PEEP has which of the following negative effects? - Tension pneumothorax
- Atherosclerosis A pneumothorax of tension PEEP is used to prevent atelectasis by
strengthening gas exchange
Clients who are receiving home therapy oxxygen should wear cotton or synthetic / woolen
fabric?
Cotton fabrics.
Synthetic or woolen fabrics can create static electricity, which increases risk for fire.
Which of the two lubricants can be used for clients receiving oxygen therapy?
- Petroleum
- Solvent-soluble soluble in water Petroleum is flammable when near oxygen
How often should oxygen equipment functionality be tested?
Once a day
Which of the following must be completed before a bolus NG tube feeding is given? - Review
the medical record for previous x-ray verification of placement
- Aspirate contents from the tube and verify the pH level
- Aspirate contents from the tube and verify the pH level
Which of the following is priority for a client who had abdominal surgery 24hr ago
- Assist with deep breathing and coughing
, - Monitor the incision site for findings of infection
- Assist with deep breathing and coughing
Which of the following is an adverse reaction to propranolol?
- Hypertension
- Rapid heart rate - Wheezing
Wheezing
What kind of BP cuff should you use for clients with sickle cell anemia - automatic or manual?
Manual - use alternatives to monitoring BP due to the clients increased risk of venous occlusion
Which of the following is an adverse effect of amitriptyline?
- DIarrhea
- Constant urination - Blurred vision
Blurred vision
Frequent urination, or urinary retention, is an adverse effect of amitriptyline?
Uterine retention Diarrhea, or constipation, is an averse effect of amitriptyline?
Constipation?
Which task can an AP be assigned? - Measure the client's daily wt
- Take a look at the client's vital signs. tally your daily weight. Vital signs are considered part of
the assessment
A nurse is getting ready to use a pen to give a client insulin. What should they do?
- To administer the medication, hold the insulin pen perpendicular to the patient's skin. - Hold
the pen device for 3 seconds after injecting the insulin
- Hold the insulin pen perpendicular to the client's skin to inject the medication
To ensure that the insulin has been absorbed, the pen should be held for six to ten seconds.
How many seconds should an insulin pen remain injected in the client to ensure the insulin has
been received?
- 3 - 5 seconds
- 6 - 10 seconds
six to ten seconds For a client who is postoperative following a laparoscopic cholecystectomy,
the nurse should anticipate prescriptions for the client to apply (Heat / cold) for abdominal pain
related to carbon dioxide retention?
Heat
How often should a client who is immunosuppressed and have a continuous IV infusion have
their mouth monitored?
Q8H for manifestations of infection - such as sores or lesions
How often is WBC checked for immunosupressed clients
Q24H
How frequently should an immunosuppressed patient's IV tubing be changed? Q24H
A sign of _____thyroidism is coarse, dry hair. hypo
Bradycardia is a manifestation of ___thyroidism
hypo
Tremors are a manifestation of ___thyroidism
hyper
tachycardia is a manifestation of ___thyroidism
hyper
