Semester 3-Custom ATI Questions/Answers

Semester 3-Custom ATI 1.Epinephrine use: 1. the nurse should instruct the client to first remove the activation cap 2. forcefully insert injector into the outer aspect of the thigh Hold in place for 10 seconds 3. Massage the injection site 4. Needle should be projecting through tip of device 2.A nurse in a mental health facility is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a cognitive symptom of schizophrenia? a. periods of mood instability b. use of concrete thinking c. demonstration of social withdrawal d. difficulty in decision making: d. difficulty in decision making 3.A nurse in a mental health facility is caring for a client who has anorexia nervosa. Which of the following actions should the nurse take to help the client manage this eating disorder? a. Suggest high fiber food choices to the client b. Limit the client's intake of caffiene c. Offer the client fried foods to increase caloric intake d. Use increments of 100 calories when advancing the clients dietary intake e. Have the client establish a weight gain goal of 1.81 kg per week: a b d 4.A nurse in an acute care mental health facility is planning care for a client who has major depressive disorder and who verbalizes feelings of hopelessness. which of the following actions is the nurse's priorty? a. urge the client to participate in physical activities on the unit b. provide positive feedback when the client makes independent decisions c. assist client in identifying areas of his life that he can control d. supervise client closely during med administration.: d. supervise client closely during med administration. 5.A nurse in an acute care mental health unit is caring for a newly admitted client who has obsessive-compulsive disorder. The client is repeatedly washing her hands. Which of the following actions should the nurse take. a. administer diphenhydramine IV to the client b. Allow the client to choose from a list of alternative choices c. Physically prevent the client from repeating compulsive acts d. Teach the client thought stopping techniques: d. Teach the client thought stopping techniques 6.A nurse in an emergency department is creating a plan of care for a client who reports a recent sexual assault. Which of the following interventions should the nurse plan to include? a. avoid discussing criminal charges during the intitial assessment b. rotate staff members collecting assessment data c. explain to the client the reason each procedure is conducted d. discourage the client from giving an immediate account of the assault: c. explain to the client the reason each procedure is conducted 7.A nurse in an infertility clinic is providing teaching to a client about her upcoming hysterosalpingography. Which of the following statements should the nurse make? a. you might feel pain in your shoulder after the procedure b. the procdure checks for fibroids that hinder implantation c. you will schedule the exam 3 to 5 days before your period is due d. The procedure is performed under general anesthesia: a. you might feel pain in your shoulder after the procedure 8.A nurse in a pediatric unit is assessing a preschooler who has ASD. Which of the following findings should the nurse expect? a. spends long periods of time staring at spinning things b. becomes easily upset when parent leaves room c. primarily plays with imaginary friends d. enjoys being held and cuddled by strangers: a. spends long periods of time staring at spinning things 9.A nurse in a providers office is assessing a 2 month old infant. Which of the following indicates the infant has a congenital heart disease? a. bounding femoral pulses b. sunken anterior fontanel c. parent reports respiratory distress while eating d. parent report of frequent nosebleeds: c. parent reports respiratory distress while eating 10.A nurse in a providers office is caring for a client who is at 9 weeks of gestation and is having her first prenatal exam. The client asks the nurse why she is being tested for STIs. HWich of the following responses should the nurse make? a. Most stis are hard for you to detect. We screen all clients at their initial appt b. why wouldn't you want to be tested for these types of infections c. aren't you worried that you might have contracted an infection from one of your previous sexual partners d. The provider will answer your questions for you when she completes your examination: a. Most stis are hard for you to detect. We screen all clients at their initial appt 11.A nurse in a provider's office is performing a skin assessment on a client who reports concern about a lesion on her back. Which of the following images should the nurse identify as having the characteristics of melanoma?: black image 12.A nurse in a provider's office is preparing immunizations for a 12 month old infant who is immunocompromised. Which of the following immunizations should the nurse plan to give at this time? a. HPV4 b. Varicella c. Hep B D. MMR: c. Hep B 13.A nurse is assessing a 7 month old infant who is experiencing developmental delays. WHich of the following findings should the nurse expect? a. Restricts attention to large objects b. Makes eye contact with staff members c. Plays with blocks in the crib d. Momentarily sits erect.: a. Restricts attention to large objects. 14.A nurse is assessing a 12-month old infant who has Down syndrome. Which of the following manifestations should the nurse expect? a. Long thin neck b. early tooth eruptions c. Large ears with thick cartilage d. Decreased muscle tone: d. Decreased muscle tone 15.A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect? a. nocturia b. rust colored urine c. tachypnea d. weight loss: b. rust colored urine 16.A nurse is assessing a client who has acute pyelonephritis. The nurse should identify which of the following findings as an indication of inflammation? a. Redness on the right flank b. urinary retention c. increased BUN d. Decreased CRP: a. Redness on the right flank 17.A nurse is assessing a client who has inflammatory bowel disease and is one day post op following a permanent ileostomy placement. Which of the following findings should the nurse report to the provider? a. the ostomy output continas streaks of blood b. the stoma is cherry red in color c. The ostomy output is loose and dark green d. the stoma is retracted into the abdominal wall: d. the stoma is retracted into the abdominal wall 18.A nurse is assessing a client who has rheumatoid arthritis (RA) and has been taking methotrexate for 4 months. Which statement by the client indicates to the nurse that the medication is effective? a. my headaches are less frequent now b. my temperature has been normal for the past month c. I have been able to go outside for walks lately d. I have gained 5 pounds over the past 4 months: c. I have been able to go outside for walks lately 19.A nurse is assessing a client who is at 24 weeks of gestation. Which of the following findings should the nurse identify as an indication of gestational hypertension? a. systolic blood pressure 132mmHg b. Protein in the urine c. Visual disturbances d. Diastolic blood pressure 98 mmHG: d. diastolic blood pressure 98 mmHg 20.A nurse is assessing a client who is at 28 weeks of gestation and is receiving magnesium sulfate for preterm labor. Which of the following findings is the priority for the nurse to report to the provider? a. increased muscle weakness b. decreased resp rate c. decreased b/p d. new onset diarrhea: b. decreased resp rate 21.A nurse is assessing a client who is at 34 weeks gestation and is experiencing severe uterine pain. Which of the following findings should the nurse report to the provider? a. Client's cervical length is 30 mm b. Biophysical profile score of 8 c. Client reports 8 fetal movements in 1 hour d. Increased fundal height since admission: d. increased fundal height since admission 22.A nurse is assessing a group of clients who have personality disorders. Which of the following clients should the nurse identify as having characteristics of schizoid personality disorder? a. a client who demonstrates frequent self mutilating behavior b. a client who dislikes having close relationships with other people c. a client who suspects that others are attacking his reputation d. a client who is uncomfortable when she is not the center of attention.: b. a client who dislikes having close relationships with other people 23.A nurse is assessing a newly admitted client who has borderline personality disorder (BPD). Which of the following manifestations should the nurse expect? a. the client has a sense of self importance and requires admiration. b. the client needs others to be responsbile for decisions in life c. the client is preoccupied with following rules and being organized d. the client exhibits a pattern of unstable interpersonal relationships: d. the client exhibits a pattern of unstable interpersonal relationships 24.A nurse is caring for a client following a stroke. Which of the following actions should the nurse take? a. initiate o2 at 2 l/min b. report BP to HCP c. Recommend a referral to a SLP d. Request and additional dose of digoxin from the client's provider: c. Recommend a referral to a SLP 25.A nurse is caring for a client who has a terminal illness and is approaching death. which of the following actions should the nurse take? A. position the client in a supine position b. keep the client's curtains open to provide light to the room c. encourage the client to stay awake during daylight hours d. apply a thin coating of lip balm to client's lips: d. apply a thin coating of lip balm to client's lips 26.A nurse is caring for a client who has diverticulitis. Which of the following medications should the nurse expect to administer? a. sulfasalazine b. metronidazole c. mesalamine d. balsalazide: b. metronidazole 27.A nurse is caring for a client who has gestational hypertension and is experiencing postpartum hemorrhage. Which of the following medications should the nurse anticipate administering? a. Misoprostol b. Methylergonovine c. Carboprost d. Dinoprostone: a. Misoprostol 28.A nurse is caring for a client who has major depressive disorder. Which of the following responses should the nurse identify as an overt statement indicating the potential for suicide? a. things just never seem to go my way anymore b. I just can't go on living like this any longer c. I want to give my favorite quilt to my daughter d. i'm not happy and probably never will be: b. I just can't go on living like this any longer 29.A nurse is caring for a client who has schizophrenia. Which of the following statements made by the client indicates delusions of reference? a. the dentist put a radio transmitter in my tooth to control me b someone is trying to get a message to me through this newspaper c. I know the nurses are watching my every move d. I am possessed by the evil one and will destroy the world: b someone is trying to get a message to me through this newspaper 30.A nurse is caring for a client who is being seen for infertility and has a new prescription for clomiphene citrate. Which of the following manifestations should the nurse include in the teaching as a common adverse affect of the medication? a. "you might experience an increase in urination while taking the medication" b. "You might have breast tenderness while taking the medication c. "You might experience drooling while taking the medication" d. "You might have chills while taking this medication": b. "you might have breast tenderness while taking the medication" 31.A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider, which of the following actions should the nurse take next? a. Elevate the client's right hip on a pillow b. Massage the client's fundus c. Administer oxygen via nonrebreather mask at 10 L/min d. Insert an indwelling urinary catheter: b. Massage the clients fundus 32.A nurse is caring for a client who is in active labor and has a history of STIs. Upon exam the nurse notes a large, cauliflower like cluster of lesions near the vagina. Which of the following actions should the nurse take? a. initiate contact precautions b. prepare the client for C section to prevent newborn contact c. administer penicillin G to the client IV to decrease thesize of the lesions d. Monitor the lcient for progressive fetal descent.: D. monitor the client for progressive fetal descent 33.a nurse is caring for a client who is pregnant and states that the first day of her last menstrual period was spetember 2. Using Nagele's rule, which of the following is the clients estimated date of delivery?: 0609 34.A nurse is caring for a client who is receiving chemotherapy for non hodgkins lymphoma. Which of the following actions should the nurse take? a. advise the client to bathe on days of chemo treatment b. obtain the client's temperature once per day c. ensure the client washes hands with a mild soap before meals d. Instruct the client to wash drinking glasses after each use: d. Instruct the client to wash drinking glasses after each use Rational: Remove bacteria which can be harmful to a client who is immunocompromised 35.A nurse is caring for a client who was recently diagnosed with a terminal illness and is experiencing an intrapersonal crisis. WHich of the following client statements indicates the use of rationalization? a. i think this disease happened to me to test my belief system b. i'll have hospice set up at home to decrease the burden on family c. i'll wait til after my nephew's wedding to think about my diagnosis d. I can beat this illness if I take my prescribed medication: a. i think this disease happened to me to test my belief system 36.A nurse is caring for a client with HELLP syndrome. The nurse should monitor the client for which of the following manifestations? a. hypernatremia b. DVT c. Hyperglycemia d. Stroke: d. stroke patient will have hyponatremia and hypoglycemia 37.A nurse is caring for a newborn who has a congenital heart defect and is postoperative following a cardiac catherization. Which of the following actions should the nurse take? a. Monitor the color of the affected extremity b. Remove the pressure dressing 2 hr after the procedure c. administer an IV of LR d. Assess vital signs once every 30 minutes: a. monitor the color of the affected extremity 38.A nurse is caring for a newly admitted client who is at 37 weeks of gestation and is experiencing moderate placental abruption. Which of the following actions should the nurse take? a. assess the fetal condition once hourly b. place a strainer device on the client's bedside toilet to monitor for clots c. insert a large bore IV catheter d. Perform vaginal exams for the client to determine the presence of bleeding: c. Insert a large bore IV catheter. 39.A nurse is discussing family planning with a client who wants to use a diaphragm for contraception. Which of the following statements should the nurse include in the teaching? a. you do not have to use a spermicide with the diaphragm b. You should get an exam every 2 years to check the fit of your diaphragm c. You should get refitted for your diaphragm after a 20 % weight fluctuation d. You should inspect your diaphragm once each month: c. You should get refitted for your diaphragm after a 20 % weight fluctuation 40.A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following information should the nurse include? A. Palliative care begins once life saving treatments have been stopped. B. Palliative care must be provided in the home setting C. Palliative care requires the client to sign a DNR D. Palliative care includes a variety of therapies.: D. Palliative care includes a variety of therapies 41.A nurse is planning medication teaching for a client who has erectile dysfunction. Which of the following medications should the nurse plan to include in the teaching? a. Carbidopa/levodopa b. Finasteride c. Hydrochlorothiazide d. Sildenafil: D. Sildenafil 42.A nurse is providing discharge teaching about home management strategies to a client who has MS. WHich of the following client statements indicates an understanding of the treatment? a. i should schedule rest breaks between activities b. i will soak in a hot tub to ease muscle tremors and spasticity c. I will limit social activities due to the personality changes i might have. d. I will limit my fluid intake to 1 liter of fluid each day: a. i should schedule rest breaks between activities 43.A nurse is providing teaching about combined oral contraceptives to a client who is 6 weeks postpartum. Which of the following instructions should the nurse include? a. oral contraceptives increase your risk for developing ovarian cysts b. a pelvic exam is required before you start oral contraceptives c. some herbal supplements can alter the effectiveness of your BC d .Remain abstinent for 1 week if you miss a dose of your B/C: c. some herbal supplements can alter the effectiveness of your BC 44.A nurse is providing teaching to a client who has epilepsy and is starting to take carbazepine. The nurse should isntruct the client to monitor for which of the following manifestations as an adverse effect of this medication? a. blurred vision b. insomnia c. Weight loss d. Urinary frequency: a. blurred vision 45.A nurse is providing teaching to the family member of a client who has delirium. Which of the following information should the nurse include? a. delirium can be brought on by the stress of an illness b. a client usually develops delirium slowly over several weeks c. a client who has delirium often has a flat affect d. delirium is not a reversible condition: a. delirium can be brought on by the stress of an illness 46.A nurse is reviewing the lab results of an adolescent client who has hemophilia A. Which of the following lab results should the nurse expect? a. coagulating factor VIII 50% b. PT 14 seconds c. aPTT 110 seconds d. coagulating factor IX 75%: a. coagulating factor VIII 50% 47.A nurse is teaching a client about family planning and the proper use of an IUD. WHich of the following client responses indicates an understaning of the teaching? a. i might experience pain during intercourse for up to 1 year b. I will need to get this device replaced in 2 years c. I might not be able to get pregnant for 6 months after the device is removed. d. I will need to check that the two strings of this device are the same length once per month: d. I will need to check that the two strings of this device are the same length once per month 48.A nurse is teaching a client about obesity management. Which of the following information should the nurse include a. you should avoid drinking water during your meal b. you should follow a clear liquid diet 2 weeks each month c. you should walk 5 days a week for 30 minutes d. you should reward yourself with dessert for losing 10 pounds: c. you should walk 5 days a week for 30 minutes 49.A nurse is teaching a client who has gestational HTN about the condition. Which of the following statements made by teh client indicates an understanding of the teaching? a. i will need to remain on strict bedrest until after my baby is delivered b. i know my b/p should return to normal after delivery c. I need to take a vitamin C supplement so I don't get preeclamsia d. I will receive a med in my IV during labor to prevent seizures: b. i know my b/p should return to normal after delivery 50.A nurse is teaching a client who has tobacco use disorder about the use of nicotine patches as an aid in smoking cessation. Which of teh following statements indicates the client understands the teaching? a. i should adjust the dosage of the nicotine patch if i crave a cigarette b. i should leave each nicotine patch on for 12 hours before replacing c. i should expect to have heartburn while using a nicotine patch d. I should gradually decrease the dose of the nicotine patch over several weeks: d. I should gradually decrease the dose of the nicotine patch over several weeks 51.A school nurse is observing a preschooler who has autism spectrum disorder (ASD). Which of the following behavioral characteristics should the nurse expect the child to exhibit? a. imaginative b. adaptable c. Ritualistic d. extroverted: c. ritualistic 52.A staff nurse tells the nurse manager that he consistently receives work assignments with a heavier work load than other nurses on the shift. Which of the following actions should the nurse manager take to address the staff nurse's report of bullying? a. determine what the staff nurse did to offend the nurse who makes the assignments b. complete an employee performance evaluation on the staff nurse c. intervene if there is no change in the staff nurse's report after 2 weeks d. check work assignemnts to validate the staff nurse's claim: d. check work assignemnts to validate the staff nurse's claim