ATI EXAM 2 (NURSING 6560)

ATI EXAM 2 (NURSING 6560) 1. A nurse in an oncology clinic is assessing a client who has early stage Hodgkin's lymphoma. Which of the following findings should the nurse suspect? Oncology A. Bone and joint pain B. Enlarged lymph nodes C. Intermittent hematuria D. Productive cough 2. A nurse in the emergency department is caring for a client who has a snakebite on her arm. Which of the following interventions should the nurse implement? Dermatology A. Immobilize the limb at the level of the heart B. Apply a tourniquet to the affected limb C. Use a sterile scapula to incise the wound D. Apply ice to the skin over the snakebite wound 3. A nurse in a provider's office is teaching a client with a recent diagnosis of rheumatoid arthritis who has a new prescription for naproxen tablets. Which of the following statements by the client indicates the need for further teaching? A. "After taking this medication for 4 weeks, I’ll start to notice relief in my joints." B. "I can take an antacid with this medication for indigestion." C. "I can take this medication with aspirin." D. "The naproxen goes down easier when I crush it and put it in applesauce.” 4. A nurse is providing teaching to a client who has anemia and a new prescription for epoetin alfa. Which of the following pieces of information should the nurse include in the teaching? Hematology A. Hospitalization is required when administering each treatment. B. The maximum effect of the medication will occur in 6 months. C. Hypertension is a common adverse effect of this medication. D. Blood transfusions are needed with each treatment. 5. A nurse is teaching a client who has acute pyelonephritis. Which of the following instructions should the nurse include in the teaching? Renal & Urinary A. “You should complete the entire cycle of antibiotic therapy.” B. “You should maintain complete bed rest until manifestations decrease.” C. “You should drink 1,000 mL of fluid per day.” D. “You should avoid using NSAIDs for pain.” 6. A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following findings should the nurse expect? Gastrointestinal A. Emesis with a coffee-ground appearance B. Increased blood pressure C. Decreased heart rate D. Bright green stools 7. A nurse is providing teaching to the family of a client who has a new diagnosis of amyotrophic lateral sclerosis (ALS). Which of the following findings is an early manifestation of ALS? Neurosensory A. Sensory dysfunction B. Weakness of the distal extremities C. Decreased vision D. Altered temperature regulation 8. A nurse is providing teaching to a class about transient ischemic attacks (TIAs). Which of the following pieces of information should the nurse include in the teaching? Neurosensory A. A TIA can cause irreversible hemiparesis. B. A TIA can be the result of cerebral bleeding. C. A TIA can cause cerebral edema. D. A TIA can precede an ischemic stroke. 9. A nurse is caring for a client who has a major burn injury and is experiencing third spacing. Which of the following fluid or electrolyte imbalances should the nurse expect? Fluids, Electrolytes Imbalance A. Hypokalemia B. Hypernatremia C. Elevated Hct D. Decreased Hgb 10. A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal fluid is not adequately draining. Which of the following actions should the nurse take? A. Turn the client from side to side B. Elevate the height of the dialysate bag C. Lower the head of the client’s bed D. Advance the catheter approximately 2.5 cm (1 in) further 11. A nurse is providing teaching about exercise to a client who has type 1 diabetes mellitus. Which of the following statements should the nurse include? Endocrine A. "You should exercise during a peak insulin time." B. "Wear a medical alert identification tag when you exercise." C. "Exercise can decrease the effects of insulin and cause your blood glucose levels to increase." D. "You will get the most benefit from exercise when your glucose levels are higher than normal. 12. A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understands that she will receive which of the following interventions? Oncology A. Chemotherapy via a central venous access device B. Radiation to the tumor from an external source C. Precise delivery of high-dose radiation after tumor imaging D. Radioactive infusions or insertions into or near the tumor 13. A client is admitted to the emergency department following a motorcycle crash. The nurse notes a crackling sensation upon palpation of the right side of the client's chest. After notifying the provider, the nurse should document this finding as which of the following? Respiratory A. Friction rub B. Crackles C. Crepitus D. Tactile fremitus 14. A nurse in the emergency department is assessing a client for closed pneumothorax and significant bruising of the left chest following a motor-vehicle crash. The client reports severe left chest pain on inspiration. The nurse should assess the client for which of the following manifestations of pneumothorax? Respiratory A. Absence of breath sounds B. Expiratory wheezing C. Inspiratory stridor D. Rhonchi 15. A nurse is recommending dietary modifications for a client who has GERD. The nurse should suggest eliminating which of the following foods from the client's diet? Gastrointestinal A. Oranges and tomatoes B. Carrots and bananas C. Potatoes and squash D. Whole wheat and beans 16. A nurse is caring for a client who is recovering at home after inpatient treatment for burn injuries. To increase the protein density of the client's meals, which of the following recommendations should the nurse make to the client's caregiver? Nutrition A. Use sour cream instead of plain yogurt B. Add honey to cooked cereals C. Use salad dressing in place of mayonnaise D. Add chopped hard-boiled eggs to soups and casseroles 17. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? Endocrine A. Hunger B. Increased urination C. Cold, clammy skin D. Tremors 18. A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? Oncology A. Basal cell carcinoma B. Melanoma C. Actinic keratosis D. Squamous cell carcinoma 19. A nurse is caring for an older adult client who had an acute myocardial infarction (MI). When assessing this client, the nurse should identify that older adults are prone to complications of MI from poor tissue perfusion because of which of the following age- related factors? Cardiovascular A. Peripheral vascular resistance increases. B. The sensitivity of blood pressure-adjusting baroreceptors increases. C. Blood is hypercoagulable and clots more quickly. D. Cardiac medications are less effective. 20. A nurse is performing a preoperative assessment of a client about to undergo a cholecystectomy. The nurse should identify a risk for a latex allergy when the client reports an allergy to which of the following foods? A. Cabbage B. Oatmeal C. Milk D. Bananas 21. A nurse is caring for a client who had a below-the-knee amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the absent right foot. Which of the following statements should the nurse make? A. "This type of pain usually decreases over time as the limb becomes less sensitive." B. "Try to look at the surgical wound as a reminder the limb is gone." C. "Use a cold compress intermittently to decrease these pain sensations." D. "Grief over the lost limb can sometimes cause denial that the limb is really gone." 22. A nurse is providing discharge teaching to the partner of a client who has a new diagnosis of hepatitis A. Which of the following instructions should the nurse include in the teaching? Immune & Infection A. "During this illness, she may take acetaminophen for fevers or discomfort." B. "Encourage her to eat foods that are high in carbohydrates." C. "The provider will prescribe a medication to help her liver heal faster." D. "Have her perform moderate exercise to restore her strength more quickly 23. A nurse is caring for a client immediately following extubation. Which of the following manifestations indicates that the nurse should call the rapid response team? A. Stridor B. Coughing C. Hoarseness D. Extensive oral secretions 24. A nurse is teaching a client with arthritis who is experiencing joint pain that impairs mobility. Which of the following instructions should the nurse include? Musculoskeletal A. "Engage your joints in resistance exercises." B. "Avoid using assistive devices when walking." C. "Perform passive exercises." D. "Apply heat to your joints prior to exercising 25. A nurse is teaching a client who has diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include? (Select all that apply.) A. Bradycardia B. Diaphoresis C. Deep, rapid respirations D. Palpitations E. Shakiness 26. A nurse is caring for a client who has a hearing impairment. Which of the following actions should the nurse take when communicating with the client? A. Face the client when speaking B. Speak in a loud voice C. Use a normal rate when speaking D. Avoid hand motions