ATI Testing Questions and Answers

ATI Testing Questions and Answers PPI for MRSA Gown, gloves, and face shield IM route increases ____? Infection rates IM route breaks ____? Skin integrity When performing blood glucose monitoring, the nurse should _____? Wipe away the first drop of blood in the client's finger. To prevent contamination from spraying blood or bodily fluids, always wear a ____? Face shield Safest route of administration is? Oral route Muscle area is highly vascular, so meds are absorbed quickly. True or False? True IM route increases risk for med reaction due to ____? rapid absorption rate First drop of blood is more serous and contains fewer ____? red blood cells Nurses should gently massage finger in a ____ to ____ direction. proximal to distal The lateral side of the finger should be punctured since it contains ____? Fewer nerve endings Nurse should hold finger in a ____ position to increase blood flow dependent What food should be given to a pt with hypokalemia? Avocados Remove restraints one at a time every ____. 2 hrs Nasopharyngeal suctioning requires ____ technique. Sterile Suctioning no more than ___ secs at a time. 10-15 seconds Peripheral catheters should be inserted at a ___ degree angle. 15-30 degree angle When planning to insert a peripheral IV catheter, nurse should instruct pt to place his arm in a dependent position, because the veins will distend due to gravity Progressive Relaxation pt is lead to relax muscle groups in one area of the body at a time, often while instructing pt to take slow, deep breaths. Meditation self-directed and involves a single focus object Guided Imagery focus on a specific place, and then encourages them to use imagination further to experience things affecting other senses Biofeedback uses instruments to provide information to pts about the body's physical response to stressors How should the nurse assess for orthostatic hypotension? Obtain BP in supine, sitting, then standing positions. Wait 1-3 min between position changes. Swallowing downwards prevents ____. aspiration Normal range for sodium level 135-145 Normal Potassium level 3.5-5.2 Normal Range for SAO2 90-100% Gastric aspirate has a pH of 0 to 4 Tube above ____ indicates gastric placement pyloris What can affect permeability of gloves? Petroleum-based hand lotion Nosocomial infection occuring within 48 hrs of admission Hep B. is transmitted via bloodborne pathogens (blood/bodily fluids) Measles Airborne precautions Tuberculosis Airborne precautions Meningitis Droplets precautions Infectious diarrhea Contact precautions Droplet precautions, so you must ___? protect your eyes order for removing PPE gloves, face/eye protection, gown, mask (from most contaminated to least) febrile nonhemolytic most common type of transfusion reaction. sx include chills, headache, fever, flushing, anxiety, muscle pain. Leukocytes White blood cells involved in immune reactions. Erythrocytes Red blood cells who transport oxygen & carbon dioxide throughout the body Platelets blood component integral to the blood-clotting process whose function is to control bleeding Plasma Liquid portion of the blood responsible for transporting waste products to the kidney and liver Autologus transfusion process of collecting, storing, and re-infusing the pts own blood. Some Jehovah Witnesses WILL allow this. Thrombocytopenia low platelet count indication for platelet transfusion Normal Hemoglobin 13-17 Alloimmunization immune response to another person's antigens Idiosyncratic Effect uncommon, unexpected, or individual drug response thought to result from a genetic predisposition Parenteral given by injection sublingual given via mucosa under the tongue transdermal given via skin patch enteral given via GI tract PICC line long catheter inserted through the veins of the antecubital fossa phlebitis inflammation of the vein normal range for arterial oxygen saturation 94%-100% normal respirations 12-16