ATI Proctored 283
Who should the nurse assess first? - correct answer Client receiving a blood transfusion reporting low
back pain
Naegle's Rule - correct answer -3 months, +7days
Treatment of magnesium sulfate toxicity - correct answer Calcium gluconate IV
Non-English speaking client in ED what action should the nurse take? - correct answer Determine what
language the client speaks and get an interpreter
A client had a new diagnosis of dysphagia what food should be included when initiating feeding? -
correct answer Oatmeal
A client with Type 1 diabetes would experience what sign or symptom with hypoglycemia? - correct
answer Diaphoresis
A client is receiving TPN what assessment finding requires immediate intervention? - correct answer
Weight increase of two kg/day
The nurse administers metoclopramide to a client prior to chemo, what med should be administered
next - correct answer Diphenhydramine
Who should the nurse asses first at shift change? - correct answer A client with a hip arthroplasty
reporting pain and erythema to calf
Client is 16 weeks gestation and has a new prescription for ferrous sulfate, what education is important?
- correct answer Take iron with fluids, avoid caffeine like coffee and tea
, Client with esophageal cancer is receiving radiation therapy, what instructions are important? - correct
answer Wear clothing over the area of the radiation treatment
7 month old infant with severe dehydration, treatment is effective if - correct answer Client has a flat
anterior fontanel
Uterus is boggy and 2cm above umbilicus, what action should the nurse take first? - correct answer
Massage the fundus
Adolescent with chronic renal failure what should be included in the plan of care? - correct answer
Restrict protein intake
What condition is contraindicated in the use of atorvastatin? - correct answer Hepatitis C
Client D/C instructions with furosemide, further teaching is needed if - correct answer The client limits
their intake of fish
Risk factor for developing a UTI (female) - correct answer Using perfumed toilet paper
2.5 mL of IM med to adult where can the nurse safely inject? - correct answer Ventrogluteal
Contraindication for MMR vaccine in child? - correct answer Recent blood transfusion
Client wants to leave hospital because no smoking policy, what action should the nurse take? - correct
answer Inform the client of the risks involved if they leave
Paracentesis- the specimen was collected what is the nurses next action? - correct answer Label the
specimen
Perioperative teaching related to PCA morphine sulfate, what should the nurse include? - correct answer
The client can administer a dose of medication every 6 to 8 minutes
Who should the nurse assess first? - correct answer Client receiving a blood transfusion reporting low
back pain
Naegle's Rule - correct answer -3 months, +7days
Treatment of magnesium sulfate toxicity - correct answer Calcium gluconate IV
Non-English speaking client in ED what action should the nurse take? - correct answer Determine what
language the client speaks and get an interpreter
A client had a new diagnosis of dysphagia what food should be included when initiating feeding? -
correct answer Oatmeal
A client with Type 1 diabetes would experience what sign or symptom with hypoglycemia? - correct
answer Diaphoresis
A client is receiving TPN what assessment finding requires immediate intervention? - correct answer
Weight increase of two kg/day
The nurse administers metoclopramide to a client prior to chemo, what med should be administered
next - correct answer Diphenhydramine
Who should the nurse asses first at shift change? - correct answer A client with a hip arthroplasty
reporting pain and erythema to calf
Client is 16 weeks gestation and has a new prescription for ferrous sulfate, what education is important?
- correct answer Take iron with fluids, avoid caffeine like coffee and tea
, Client with esophageal cancer is receiving radiation therapy, what instructions are important? - correct
answer Wear clothing over the area of the radiation treatment
7 month old infant with severe dehydration, treatment is effective if - correct answer Client has a flat
anterior fontanel
Uterus is boggy and 2cm above umbilicus, what action should the nurse take first? - correct answer
Massage the fundus
Adolescent with chronic renal failure what should be included in the plan of care? - correct answer
Restrict protein intake
What condition is contraindicated in the use of atorvastatin? - correct answer Hepatitis C
Client D/C instructions with furosemide, further teaching is needed if - correct answer The client limits
their intake of fish
Risk factor for developing a UTI (female) - correct answer Using perfumed toilet paper
2.5 mL of IM med to adult where can the nurse safely inject? - correct answer Ventrogluteal
Contraindication for MMR vaccine in child? - correct answer Recent blood transfusion
Client wants to leave hospital because no smoking policy, what action should the nurse take? - correct
answer Inform the client of the risks involved if they leave
Paracentesis- the specimen was collected what is the nurses next action? - correct answer Label the
specimen
Perioperative teaching related to PCA morphine sulfate, what should the nurse include? - correct answer
The client can administer a dose of medication every 6 to 8 minutes
