ATI Knowledge and Clinical Judgement
Questions and Correct Answers/ Latest
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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."
Ans: "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
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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
Ans: 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
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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>
Ans: 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
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