NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
This has the highlighted answers that we need to go through.
1. A nurse is assessing a client who is receiving IV therapy. The nurse should
identify which of the following findings as a manifestation of fluid volume
excess?
1. Decreased bowel sounds
2. Distended neck veins
3. Bilateral muscle weakness
4. Thready pulse
2. A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
3. A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse
include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
4. A nurse is reviewing the lab results of a client who has a prescription for
sodium polystyrene sulfonate every 6 hours. Which of the following should
the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid
and rifampin. Which of the following outcomes indicates that the client is
adhering to the medication regimen?
a. The client has a negative sputum culture.
b. The client tests negative for HIV.
c. The client has a positive purified protein derivative test.
d. The client’s liver function test results are within the expected reference
range.
, NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
6. A nurse is caring for a client who develops an anaphylactic reaction to IV
administration. After assessing the client’s respiratory status and stopping the
medication infusion, which of the following actions should the nurse take
next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client’s legs and feet
d. Administer epinephrine IM
7. A nurse is caring for a client who is taking sertraline and reports a desire to
begin taking supplements. Which of the following supplements should the
nurse advise the client to avoid?
a. St John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. A nurse is caring for a client who has heart failure and a new prescription for
lisinopril. For which of the following adverse effects should the nurse monitor
when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9. A nurse is assessing a client who is receiving heparin continuous IV. The
clienthas an aPPT of 90 seconds. They should monitor the client for which
of thefollowing changes in their vital signs?
a.Decreased temperature
b.Increased pulse rate Page 193 in ATI book says monitor for
hemorrhage which would be tachycardia and hypotension
c. Decreased respiratory rate
d. Increased blood pressure I think this is right - Rosie
10. A nurse is preparing to administer medication to a client and discovers a
medication error. The nurse should recognize which of the following staff
members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error Found this in ATI Med Administration 1
Skills
-Bailey
d. The charge nurse
, NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
11. A nurse is planning care for a client who is receiving morphine via
continuous epidural infusion. The nurse should monitor the client for which
of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
12. A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps the nurse should take. (Move steps into the box on the
right, placing them in order of performance. Use all the steps.) D, A, C, B, E
Bailey has no idea… ADBCE
a. Remove the medication from the dispensing system
b. Compare the client’s wristband to the medication administration record
c. Open the medication package
d. Obtain the client’s apical heart rate
e. Document administration of the medication
13. A nurse is reviewing the medical record of an adult client who has a
fever and a prescription for acetaminophen. Which of the following
findings should the nurse identify as a contraindication for receiving
this medication?
a. Alcohol use disorder - contraindicated in alcohol use-Rosie
b. Chronic kidney disease You would want to avoid in Liver Disease-Rosie
c. Hepatitis B vaccine with the last week
d. Diabetes mellitus
14. A home health nurse is visiting a client who has heart failure and a
prescription for furosemide. The nurse identifies that the client has gained 2.5
kg (5 lb.) since the last visit 2 days ago. Which of the following actions should
the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
15. A nurse is preparing to administer the initial dose of penicillin G IM to a client.
The nurse should monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
, NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
16. A nurse is teaching a client who has angina about a new prescription for
sublingual nitroglycerin tablets. Which of the following instructions should
the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17. A nurse is providing teaching to a client who has a new prescription for
theophylline, a sustained-release capsule. Which of the following
statements by the client indicates an understanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
17.A nurse is mixing regular insulin and NPH insulin in the same syringe prior
to administering it to the client who has diabetes mellitus which of the
following actions should the nurse take first?
a. Withdraw the regular insulin from the vial
b. Withdraw the NPH insulin from the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
C… because[Clear before cloudy] so push air into cloudy insulin first
(nph), remove no drug, move to clear insulin, push remaining air, then
w/draw dose, go back to cloudy and remove drug equal to amount of
initial air injected..
NPH:cloudy Regular: clear.. ally
19. A nurse is preparing to administer subcutaneous heparin to a client.
Which of the following actions should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
20. A nurse is caring for a client who has a prescription for amoxicillin.
Which of the following findings indicates the client is experiencing an
allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
2022 Complete
This has the highlighted answers that we need to go through.
1. A nurse is assessing a client who is receiving IV therapy. The nurse should
identify which of the following findings as a manifestation of fluid volume
excess?
1. Decreased bowel sounds
2. Distended neck veins
3. Bilateral muscle weakness
4. Thready pulse
2. A nurse is caring for a client who has hyponatremia and is receiving an
infusion of a prescribed hypertonic solution. Which of the following findings
should indicate to the nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
3. A nurse is teaching a client who has a new prescription for a nitroglycerin
transdermal patch. Which of the following instructions should the nurse
include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
4. A nurse is reviewing the lab results of a client who has a prescription for
sodium polystyrene sulfonate every 6 hours. Which of the following should
the nurse report to the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid
and rifampin. Which of the following outcomes indicates that the client is
adhering to the medication regimen?
a. The client has a negative sputum culture.
b. The client tests negative for HIV.
c. The client has a positive purified protein derivative test.
d. The client’s liver function test results are within the expected reference
range.
, NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
6. A nurse is caring for a client who develops an anaphylactic reaction to IV
administration. After assessing the client’s respiratory status and stopping the
medication infusion, which of the following actions should the nurse take
next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client’s legs and feet
d. Administer epinephrine IM
7. A nurse is caring for a client who is taking sertraline and reports a desire to
begin taking supplements. Which of the following supplements should the
nurse advise the client to avoid?
a. St John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. A nurse is caring for a client who has heart failure and a new prescription for
lisinopril. For which of the following adverse effects should the nurse monitor
when administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9. A nurse is assessing a client who is receiving heparin continuous IV. The
clienthas an aPPT of 90 seconds. They should monitor the client for which
of thefollowing changes in their vital signs?
a.Decreased temperature
b.Increased pulse rate Page 193 in ATI book says monitor for
hemorrhage which would be tachycardia and hypotension
c. Decreased respiratory rate
d. Increased blood pressure I think this is right - Rosie
10. A nurse is preparing to administer medication to a client and discovers a
medication error. The nurse should recognize which of the following staff
members is responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error Found this in ATI Med Administration 1
Skills
-Bailey
d. The charge nurse
, NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
11. A nurse is planning care for a client who is receiving morphine via
continuous epidural infusion. The nurse should monitor the client for which
of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
12. A nurse is preparing to administer digoxin orally to a client. Identify the
sequence of steps the nurse should take. (Move steps into the box on the
right, placing them in order of performance. Use all the steps.) D, A, C, B, E
Bailey has no idea… ADBCE
a. Remove the medication from the dispensing system
b. Compare the client’s wristband to the medication administration record
c. Open the medication package
d. Obtain the client’s apical heart rate
e. Document administration of the medication
13. A nurse is reviewing the medical record of an adult client who has a
fever and a prescription for acetaminophen. Which of the following
findings should the nurse identify as a contraindication for receiving
this medication?
a. Alcohol use disorder - contraindicated in alcohol use-Rosie
b. Chronic kidney disease You would want to avoid in Liver Disease-Rosie
c. Hepatitis B vaccine with the last week
d. Diabetes mellitus
14. A home health nurse is visiting a client who has heart failure and a
prescription for furosemide. The nurse identifies that the client has gained 2.5
kg (5 lb.) since the last visit 2 days ago. Which of the following actions should
the nurse take first?
a. Encourage the client to dangle the legs while sitting in a chair
b. Teach the client about foods low in sodium
c. Determine medication adherence by the client
d. Notify the provider of the client’s weight gain
15. A nurse is preparing to administer the initial dose of penicillin G IM to a client.
The nurse should monitor for which of the following as an indication of an
allergic reaction following the injection?
a. Urticaria
b. Bradycardia
c. Pallor
d. Dyspepsia
, NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
16. A nurse is teaching a client who has angina about a new prescription for
sublingual nitroglycerin tablets. Which of the following instructions should
the nurse include in the teaching?
a. “Discard any tablets you do not use every 6 months.”
b. “Take one tablet each morning 30 minutes prior to eating.”
c. “Keep the tablets at room temperature in their original glass bottle.”
d. “Place the tablet between your cheek and gum to dissolve.”
17. A nurse is providing teaching to a client who has a new prescription for
theophylline, a sustained-release capsule. Which of the following
statements by the client indicates an understanding of the teaching?
a. “I can take my medication in the morning with my coffee.”
b. “I may sprinkle the medication in applesauce.”
c. “I should limit my fluid intake while on this medication.”
d. “I will need to have blood levels drawn.”
17.A nurse is mixing regular insulin and NPH insulin in the same syringe prior
to administering it to the client who has diabetes mellitus which of the
following actions should the nurse take first?
a. Withdraw the regular insulin from the vial
b. Withdraw the NPH insulin from the vial
c. Inject air into the NPH vial
d. Inject air into the regular insulin vial
C… because[Clear before cloudy] so push air into cloudy insulin first
(nph), remove no drug, move to clear insulin, push remaining air, then
w/draw dose, go back to cloudy and remove drug equal to amount of
initial air injected..
NPH:cloudy Regular: clear.. ally
19. A nurse is preparing to administer subcutaneous heparin to a client.
Which of the following actions should the nurse take?
a. Massage the site after administering the medication
b. Use a 21-gauge needle for the injection
c. Aspirate before injecting the medication
d. Insert the needle at least 5 cm (2 in) from the umbilicus
20. A nurse is caring for a client who has a prescription for amoxicillin.
Which of the following findings indicates the client is experiencing an
allergic reaction?
a. Nausea
b. Cardiac dysrhythmia
c. Laryngeal edema
d. Insomnia
