ATI KNOWLEDGE AND CLINICAL JUDGEMENT QUESTIONS WITH
COMPLETE SOLUTIONS
A nurse is providing education about a new prescription for nitroglycerin for a
client who is diagnosed with angina. Which of the following statements by the
client indicate a further need for teaching?
"I'll make sure that the medication container is kept tightly sealed."
"I'm lucky I have a prescription plan that allows me to buy pills in bulk
quantities."
"I'll keep my pills in the medicine cabinet when I'm home."
"I'll go to the emergency room if my chest pain doesn't go away." - ANSWER-
"I'm lucky I have a prescription plan that allows me to buy pills in bulk
quantities."
In this item, you need nursing knowledge related to the proper administration
and storage of nitroglycerin. Based on an understanding of this information, you
can identify which option describes a statement by the patient that does not
reflect accurate understanding of the medication. This is a negatively worded
item that asks you to select the option that indicates the patient needs further
teaching. You will learn more about negatively worded items in Module 4. This
item requires foundational thinking because you have to recall knowledge
related to the administration and storage of nitroglycerin. This statement by the
client indicates a need for further teaching. Buying nitroglycerin in bulk
quantities is not a safe practice. The chemical instability of the medication
allows it to lose effectiveness over time. While some nitroglycerin tablets have a
shelf life of 24 months, NitroQuick retains its effectiveness for only 8 to 10
months. Because of the shortened shelf life, the client should not buy the
,medication in bulk quantities, and the client should be instructed to date the
bottle when it is first opened.
A nurse is caring for a client who is diagnosed with anemia. Which of the
following skin color variations is caused by the reduced amount of
oxyhemoglobin?
Cyanosis
Jaundice
Erythema
Pallor - ANSWER-Pallor
In this item, you need nursing knowledge related to oxyhemoglobin and its
effect on skin color. Based on an understanding of these two concepts, you can
identify indicators of decreased oxyhemoglobin. This item requires critical
thinking because you have to analyze the findings in relation to the expected
color of the skin when there is a decreased level of oxyhemoglobin in the blood.
Oxyhemoglobin is the combined state of oxygen that is to be delivered to
peripheral tissues with the hemoglobin molecule that will carry it. In clients who
have anemia, the RBCs are reduced, by function or in number, to the point that
peripheral tissues are not receiving adequate oxygen because of a decreased
amount of circulating oxyhemoglobin. The reduced oxygen supply to the tissues
causes changes to the client's skin color. Pallor is caused by a reduced amount of
oxyhemoglobin. Pallor is a decrease in the coloring of the peripheral tissues that
is caused by an overall reduction in the blood flow or by a decrease in the
number of RBCs that contain oxyhemoglobin, which reduces the visibility of
oxyhemoglobin.
, A nurse is caring for a client who is diagnosed with a UTI and is prescribed
ciprofloxacin (Cipro) 250mg PO two times dail. The amount available is
100mg/tablet. How many tablets should the nurse administer each dose> -
ANSWER-2.5 Tablets
A nurse is collecting nutritional data on an older adult client. Which of the
following finding is suggestive of a healthy nutritional status?
Spongy gums that are receding
Fissures at eyelid corners
Easily plucked hair
Deep reddish-colored tongue - ANSWER-Deep reddish-colored tongue
A nur
In this item, you need nursing knowledge of clinical findings that are associated
with healthy nutrition. Based on an understanding of this information, you can
identify which option describes an expected finding in clients who are properly
nourished. This item requires foundational thinking because you only need to
recall knowledge related to expected clinical findings. Deep reddish-colored
tongue is suggestive of a healthy nutritional status. The tongue should be a
healthy pink to a deep, reddish color with surface papillae present, without
swelling or lesions.
A nurse is caring for a client who is receiving intermittent enteral tube feedings
and having diarrhea after each feeding. Which of the following actions should
the nurse take in an attempt to prevent diarrhea after subsequent feedings?
Chill formula prior to administration.
COMPLETE SOLUTIONS
A nurse is providing education about a new prescription for nitroglycerin for a
client who is diagnosed with angina. Which of the following statements by the
client indicate a further need for teaching?
"I'll make sure that the medication container is kept tightly sealed."
"I'm lucky I have a prescription plan that allows me to buy pills in bulk
quantities."
"I'll keep my pills in the medicine cabinet when I'm home."
"I'll go to the emergency room if my chest pain doesn't go away." - ANSWER-
"I'm lucky I have a prescription plan that allows me to buy pills in bulk
quantities."
In this item, you need nursing knowledge related to the proper administration
and storage of nitroglycerin. Based on an understanding of this information, you
can identify which option describes a statement by the patient that does not
reflect accurate understanding of the medication. This is a negatively worded
item that asks you to select the option that indicates the patient needs further
teaching. You will learn more about negatively worded items in Module 4. This
item requires foundational thinking because you have to recall knowledge
related to the administration and storage of nitroglycerin. This statement by the
client indicates a need for further teaching. Buying nitroglycerin in bulk
quantities is not a safe practice. The chemical instability of the medication
allows it to lose effectiveness over time. While some nitroglycerin tablets have a
shelf life of 24 months, NitroQuick retains its effectiveness for only 8 to 10
months. Because of the shortened shelf life, the client should not buy the
,medication in bulk quantities, and the client should be instructed to date the
bottle when it is first opened.
A nurse is caring for a client who is diagnosed with anemia. Which of the
following skin color variations is caused by the reduced amount of
oxyhemoglobin?
Cyanosis
Jaundice
Erythema
Pallor - ANSWER-Pallor
In this item, you need nursing knowledge related to oxyhemoglobin and its
effect on skin color. Based on an understanding of these two concepts, you can
identify indicators of decreased oxyhemoglobin. This item requires critical
thinking because you have to analyze the findings in relation to the expected
color of the skin when there is a decreased level of oxyhemoglobin in the blood.
Oxyhemoglobin is the combined state of oxygen that is to be delivered to
peripheral tissues with the hemoglobin molecule that will carry it. In clients who
have anemia, the RBCs are reduced, by function or in number, to the point that
peripheral tissues are not receiving adequate oxygen because of a decreased
amount of circulating oxyhemoglobin. The reduced oxygen supply to the tissues
causes changes to the client's skin color. Pallor is caused by a reduced amount of
oxyhemoglobin. Pallor is a decrease in the coloring of the peripheral tissues that
is caused by an overall reduction in the blood flow or by a decrease in the
number of RBCs that contain oxyhemoglobin, which reduces the visibility of
oxyhemoglobin.
, A nurse is caring for a client who is diagnosed with a UTI and is prescribed
ciprofloxacin (Cipro) 250mg PO two times dail. The amount available is
100mg/tablet. How many tablets should the nurse administer each dose> -
ANSWER-2.5 Tablets
A nurse is collecting nutritional data on an older adult client. Which of the
following finding is suggestive of a healthy nutritional status?
Spongy gums that are receding
Fissures at eyelid corners
Easily plucked hair
Deep reddish-colored tongue - ANSWER-Deep reddish-colored tongue
A nur
In this item, you need nursing knowledge of clinical findings that are associated
with healthy nutrition. Based on an understanding of this information, you can
identify which option describes an expected finding in clients who are properly
nourished. This item requires foundational thinking because you only need to
recall knowledge related to expected clinical findings. Deep reddish-colored
tongue is suggestive of a healthy nutritional status. The tongue should be a
healthy pink to a deep, reddish color with surface papillae present, without
swelling or lesions.
A nurse is caring for a client who is receiving intermittent enteral tube feedings
and having diarrhea after each feeding. Which of the following actions should
the nurse take in an attempt to prevent diarrhea after subsequent feedings?
Chill formula prior to administration.
