ATI BOARD VITALS EXAM QUESTIONS WITH
CORRECT ANSWERS
a nurse is collecting data from a patient who had PAD and is scheduled for RLE
| | | | | | | | | | | | | | | |
amputation. Which of the following findings should the nurse expect in the
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affected limb. SATA | |
A. Skin cool to touch from calf to toes
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B. Develop rubor when extremity is dependent position
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C. palpable pedal pulse
| | | |
D. excess hair growth on lower extremity
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E. Blackened areas on several toes - CORRECT ANSWER✔✔-A. Skin cool to touch
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from calf to toes
| | |
B. Develop rubor when extremity is dependent position
| | | | | | |
E. Blackened areas on several toes
| | | | |
A nurse is providing teaching to a female client who has frequent UTI's. Which of
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the following information should nurse include the teaching? SATA
| | | | | | | |
A. clean perineal area prior to intercourse
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B. wipe perineal area back to front following elimination
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C. empty the bladder when there is urge to urinate
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D. where synthetic fabric underwear
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E. Avoid vaginal douching - CORRECT ANSWER✔✔-A. clean perineal area prior to
| | | | | | | | | | | |
intercourse
,C. empty the bladder when there is urge to urinate
| | | | | | | | |
E. Avoid vaginal douching
| | |
RN and LPN caring for a patient admitted for control of patient due to metastatic
| | | | | | | | | | | | | | |
cancer. The RN administers prescribed dose of hydromorphone 2.0mg IVP stat.
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patient calls for the nurse in 2 hours states his patient is 8 on a 0-10 scale and
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requests pain medication. which of the following is the priority action by the RN?
| | | | | | | | | | | | |
A. reposition the client
| | |
B. assess the client and notify the PCP
| | | | | | |
C. give a second dose of hydromorphone
| | | | | |
D. ask the LPN to take vital signs and administer the medication if vitals are with
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in normal limits. - CORRECT ANSWER✔✔-B. assess the client and notify the PCP
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Rationale;
A Stat order prescribes immediate one-time dose of a prescribed medication,
| | | | | | | | | | |
therefore pcp must be contacted for the medication to be repeated.
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When caring for a client with hypoxemia and right sided pneumonia the nurse
| | | | | | | | | | | | |
knows to place the client in which of the following positions to improve O2
| | | | | | | | | | | | | |
saturation?
A. left side down
| | |
B. right side down
| | |
C. semi-fowlers
|
D. high-fowlers - CORRECT ANSWER✔✔-A. left side down
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Rationale;
, if client is placed with the affected side downward gravity will promote blood
| | | | | | | | | | | | |
flow to the area with diminished perfusion, increasing ventilation- perfusion
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mismatch.
A RN is assessing a client in the ED who presented with epigastric pain, nausea.
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the client has bluish disoloration around the umbilicus. which ofthe following is
| | | | | | | | | | | |
the most appropriate initial nursing action?
| | | | |
A. complete a head to toe assessment
| | | | | |
B. place ng tube
| | |
C. notify pcp
| |
D. establish IV acess - CORRECT ANSWER✔✔-C. notify pcp
| | | | | | | |
Rationale;
this is Cullen's sign
| | | |
reflects pancreatic necrosis or internal bleeding
| | | | |
pcp should be notified
| | |
after receiving morning lab results the nurse will need to intervene for which of
| | | | | | | | | | | | | |
the following clients?
| |
A. client with end stage liver disease and elevated ammonia level
| | | | | | | | | |
B. client receiving warfarin with an INR of 2.0
| | | | | | | | |
C. client with HF who had Digoxin level of 2.4ng/ml
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D. client with MI and elevated CK-MB - CORRECT ANSWER✔✔-C. client with HF
| | | | | | | | | | | | |
who had Digoxin level of 2.4ng/ml
| | | | |
Rationale;
therapeutic levels are 0.8-2 ng/L | | | | |
CORRECT ANSWERS
a nurse is collecting data from a patient who had PAD and is scheduled for RLE
| | | | | | | | | | | | | | | |
amputation. Which of the following findings should the nurse expect in the
| | | | | | | | | | | |
affected limb. SATA | |
A. Skin cool to touch from calf to toes
| | | | | | | |
B. Develop rubor when extremity is dependent position
| | | | | | |
C. palpable pedal pulse
| | | |
D. excess hair growth on lower extremity
| | | | | |
E. Blackened areas on several toes - CORRECT ANSWER✔✔-A. Skin cool to touch
| | | | | | | | | | | | |
from calf to toes
| | |
B. Develop rubor when extremity is dependent position
| | | | | | |
E. Blackened areas on several toes
| | | | |
A nurse is providing teaching to a female client who has frequent UTI's. Which of
| | | | | | | | | | | | | | |
the following information should nurse include the teaching? SATA
| | | | | | | |
A. clean perineal area prior to intercourse
| | | | | |
B. wipe perineal area back to front following elimination
| | | | | | | |
C. empty the bladder when there is urge to urinate
| | | | | | | | |
D. where synthetic fabric underwear
| | | |
E. Avoid vaginal douching - CORRECT ANSWER✔✔-A. clean perineal area prior to
| | | | | | | | | | | |
intercourse
,C. empty the bladder when there is urge to urinate
| | | | | | | | |
E. Avoid vaginal douching
| | |
RN and LPN caring for a patient admitted for control of patient due to metastatic
| | | | | | | | | | | | | | |
cancer. The RN administers prescribed dose of hydromorphone 2.0mg IVP stat.
| | | | | | | | | | |
patient calls for the nurse in 2 hours states his patient is 8 on a 0-10 scale and
| | | | | | | | | | | | | | | | | |
requests pain medication. which of the following is the priority action by the RN?
| | | | | | | | | | | | |
A. reposition the client
| | |
B. assess the client and notify the PCP
| | | | | | |
C. give a second dose of hydromorphone
| | | | | |
D. ask the LPN to take vital signs and administer the medication if vitals are with
| | | | | | | | | | | | | | | |
in normal limits. - CORRECT ANSWER✔✔-B. assess the client and notify the PCP
| | | | | | | | | | | |
Rationale;
A Stat order prescribes immediate one-time dose of a prescribed medication,
| | | | | | | | | | |
therefore pcp must be contacted for the medication to be repeated.
| | | | | | | | | |
When caring for a client with hypoxemia and right sided pneumonia the nurse
| | | | | | | | | | | | |
knows to place the client in which of the following positions to improve O2
| | | | | | | | | | | | | |
saturation?
A. left side down
| | |
B. right side down
| | |
C. semi-fowlers
|
D. high-fowlers - CORRECT ANSWER✔✔-A. left side down
| | | | | | |
Rationale;
, if client is placed with the affected side downward gravity will promote blood
| | | | | | | | | | | | |
flow to the area with diminished perfusion, increasing ventilation- perfusion
| | | | | | | | | |
mismatch.
A RN is assessing a client in the ED who presented with epigastric pain, nausea.
| | | | | | | | | | | | | | |
the client has bluish disoloration around the umbilicus. which ofthe following is
| | | | | | | | | | | |
the most appropriate initial nursing action?
| | | | |
A. complete a head to toe assessment
| | | | | |
B. place ng tube
| | |
C. notify pcp
| |
D. establish IV acess - CORRECT ANSWER✔✔-C. notify pcp
| | | | | | | |
Rationale;
this is Cullen's sign
| | | |
reflects pancreatic necrosis or internal bleeding
| | | | |
pcp should be notified
| | |
after receiving morning lab results the nurse will need to intervene for which of
| | | | | | | | | | | | | |
the following clients?
| |
A. client with end stage liver disease and elevated ammonia level
| | | | | | | | | |
B. client receiving warfarin with an INR of 2.0
| | | | | | | | |
C. client with HF who had Digoxin level of 2.4ng/ml
| | | | | | | | |
D. client with MI and elevated CK-MB - CORRECT ANSWER✔✔-C. client with HF
| | | | | | | | | | | | |
who had Digoxin level of 2.4ng/ml
| | | | |
Rationale;
therapeutic levels are 0.8-2 ng/L | | | | |
