NUR 3262 -3-4 Kahoot ATI Exam
Questions With Correct Answers
A |nurse |is |teaching |a |client |who |has |chronic |kidney |disease |about |the |process |of |continuous |
ambulatory |peritoneal |dialysis |(CAPD). |Which |of |the |following |information |should |the |nurse |
include |in |the |teaching?
A. |CAPD |filters |the |client's |blood |through |an |artificial |device |called |a |dialyzer.
B. |CAPD |is |the |dialysis |treatment |of |choice |for |clients |who |have |a |history |of |abdominal |
surgery.
C. |CAPD |requires |the |client |to |follow |fewer |dietary |and |fluid |restrictions |than |hemodialysis |
requires.
D. |CAPD |requires |a |rigid |schedule |of |exchange |times. |- |CORRECT |ANSWER✔✔-C. |CAPD |
requires |the |client |to |follow |fewer |dietary |and |fluid |restrictions |than |hemodialysis |requires.
Rationale: |CAPD's |advantages |include |fewer |dietary |and |fluid |restrictions |as |compared |to |
hemodialysis.
A |nurse |is |providing |teaching |to |a |female |client |who |has |type |2 |diabetes |and |a |new |
prescription |for |pioglitazone. |Which |of |the |following |instructions |should |the |nurse |include |in |
the |teaching? |(Select |all |that |apply.)
A. |Expect |urine |to |be |darkened.
B. |Monitor |weight |daily
C. |Increase |calcium |intake.
D. |Use |oral |contraceptives |to |avoid |pregnancy.
E. |Take |tablets |whole. |- |CORRECT |ANSWER✔✔-B. |Monitor |weight |daily. |Rational: |Pioglitazone |
may |lead |to |fluid |retention |and |worsen |heart |failure. |Clients |should |monitor |weight |and |
report |any |rapid |gains |to |the |provider.
,C. |Increase |calcium |intake. |Rational: |Pioglitazone |increases |the |risk |of |fractures |in |women. |
Clients |should |be |advised |to |exercise |and |ensure |adequate |intake |of |vitamin |D |and |calcium |to |
protect |bone |health.
A |nurse |in |a |public |clinic |is |planning |a |health |fair |for |older |adult |clients |in |the |community. |In |
teaching |medication |safety, |which |of |the |following |foods |should |the |nurse |advise |the |clients |
to |avoid |when |taking |their |prescriptions?
A. |Carbonated |beverage
B. |Milk
C. |Orange |juice
D. |Grapefruit |juice |- |CORRECT |ANSWER✔✔-D. |Grapefruit |juice
Rational: |There |is |a |high |rate |of |food-drug |interactions |between |grapefruit |juice |and |many |
medications |frequently |taken |by |older |adults, |especially |lipid-lowering |agents. |It |is |thought |
that |one |or |more |of |the |chemicals |(most |likely |flavonoids) |in |grapefruit |juice |alter |the |activity |
of |specific |enzymes |(such |as |CYP3A4 |and |CYP1A2) |in |the |intestinal |tract. |These |enzymes |
decrease |the |rate |at |which |medications |enter |the |systemic |circulation. |This |could |allow |a |
larger |amount |of |these |drugs |to |reach |the |bloodstream, |resulting |in |increased |drug |levels |and |
possibly |toxicity.
A |nurse |is |assessing |a |client |to |identify |risk |factors |for |disease. |Which |of |the |following |findings
|is |a |risk |factor |for |metabolic |syndrome?
A. |History |of |asthma
B. |Large |waist |size
C. |Hypotension
D. |Hypoglycemia |- |CORRECT |ANSWER✔✔-B. |Large |waist |size
,Rational: |Central |obesity |due |to |excessive |abdominal |fat |is |a |risk |factor |for |metabolic |
syndrome. |Metabolic |syndrome |increases |the |risk |for |the |development |of |diabetes |and |
coronary |artery |disease.
A |nurse |is |teaching |a |client |who |has |chronic |kidney |failure |about |planning |a |low-protein |diet. |
The |client |states, |"Why |do |I |have |to |be |concerned |about |protein?" |Which |of |the |following |
responses |should |the |nurse |make?
A. |"a |low-protein |diet |reduces |the |risk |for |uremia"
B. |"A |low-protein |diet |reduces |the |risk |for |edema"
C. |"A |low-protein |diet |will |reduce |the |risk |for |hyperkalemia"
D. |"A |low-protein |diet |will |increase |the |nitrogenous |wastes |in |the |blood" |- |CORRECT |
ANSWER✔✔-A. |"a |low-protein |diet |reduces |the |risk |for |uremia"
Rational: |Urea |is |a |waste |product |of |protein |breakdown |and |can |accumulate |in |clients |who |
have |kidney |failure, |causing |uremia.
A |nurse |is |admitting |a |client |who |has |partial |hearing |loss. |Which |of |the |following |is |the |
priority |action |by |the |nurse?
A. |Speak |using |his |usual |tone |of |voice.
B. |Stand |directly |in |front |of |the |client
C. |Rephrase |statements |the |client |does |not |hear.
D. |Determine |if |the |client |uses |hearing |aids. |- |CORRECT |ANSWER✔✔-D. |Determine |if |the |
client |uses |hearing |aids.
Rational: |The |first |action |the |nurse |should |take |using |the |nursing |process |is |to |assess |the |
client. |The |nurse |should |find |out |if |the |client |has |hearing |aids |and |whether |they |are |in |place |
and |functioning.
, A |nurse |is |evaluating |teaching |with |a |client |who |is |receiving |continuous |subcutaneous |insulin |
via |and |external |insulin |pump. |Which |of |the |following |statements |by |the |client |indicates |a |
need |for |further |teaching?
A. |"I |will |change |the |needle |every |3 |days."
B. |"I |should |store |all |unused |insulin |in |the |refrigerator."
C. |"If |I |skip |lunch, |I |will |skip |my |mealtime |dose |of |insulin."
D. |"I |will |use |insulin |glargine |in |my |insulin |pump." |- |CORRECT |ANSWER✔✔-D. |"I |will |use |
insulin |glargine |in |my |insulin |pump."
Rational: |The |client |should |use |a |short-acting |insulin |in |the |insulin |pump. |The |insulin |pump |is |
designed |to |administer |rapid-acting |or |short-acting |insulin |24 |hr |a |day. |Insulin |glargine |is |
classified |as |a |long-acting |insulin |and |is |administered |at |the |same |time |each |day |to |maintain |
stable |blood |glucose |concentration |for |a |24-hr |period.
A |nurse |is |preparing |to |obtain |a |daily |weight |from |a |client |who |has |chronic |kidney |disease. |
Which |of |the |following |actions |should |the |nurse |implement?
A. |Use |any |available |scale |to |weigh |the |client.
B. |Balance |the |scale |at |minus |two |before |weighing |the |client.
C. |Obtain |the |weight |each |day |at |a |time |most |convenient |for |the |client.
D. |Weigh |the |client |after |he |has |voided. |- |CORRECT |ANSWER✔✔-D. |Weigh |the |client |after |he |
has |voided.
Rational: |The |nurse |should |have |the |client |void |before |obtaining |a |daily |weight.
A |nurse |is |teaching |a |client |who |has |CKD |and |a |new |prescription |for |epoetin |alfa. |the |nurse |
should |instruct |the |client |to |increase |dietary |intake |of |which |of |the |following |substances.
A. |Iron
Questions With Correct Answers
A |nurse |is |teaching |a |client |who |has |chronic |kidney |disease |about |the |process |of |continuous |
ambulatory |peritoneal |dialysis |(CAPD). |Which |of |the |following |information |should |the |nurse |
include |in |the |teaching?
A. |CAPD |filters |the |client's |blood |through |an |artificial |device |called |a |dialyzer.
B. |CAPD |is |the |dialysis |treatment |of |choice |for |clients |who |have |a |history |of |abdominal |
surgery.
C. |CAPD |requires |the |client |to |follow |fewer |dietary |and |fluid |restrictions |than |hemodialysis |
requires.
D. |CAPD |requires |a |rigid |schedule |of |exchange |times. |- |CORRECT |ANSWER✔✔-C. |CAPD |
requires |the |client |to |follow |fewer |dietary |and |fluid |restrictions |than |hemodialysis |requires.
Rationale: |CAPD's |advantages |include |fewer |dietary |and |fluid |restrictions |as |compared |to |
hemodialysis.
A |nurse |is |providing |teaching |to |a |female |client |who |has |type |2 |diabetes |and |a |new |
prescription |for |pioglitazone. |Which |of |the |following |instructions |should |the |nurse |include |in |
the |teaching? |(Select |all |that |apply.)
A. |Expect |urine |to |be |darkened.
B. |Monitor |weight |daily
C. |Increase |calcium |intake.
D. |Use |oral |contraceptives |to |avoid |pregnancy.
E. |Take |tablets |whole. |- |CORRECT |ANSWER✔✔-B. |Monitor |weight |daily. |Rational: |Pioglitazone |
may |lead |to |fluid |retention |and |worsen |heart |failure. |Clients |should |monitor |weight |and |
report |any |rapid |gains |to |the |provider.
,C. |Increase |calcium |intake. |Rational: |Pioglitazone |increases |the |risk |of |fractures |in |women. |
Clients |should |be |advised |to |exercise |and |ensure |adequate |intake |of |vitamin |D |and |calcium |to |
protect |bone |health.
A |nurse |in |a |public |clinic |is |planning |a |health |fair |for |older |adult |clients |in |the |community. |In |
teaching |medication |safety, |which |of |the |following |foods |should |the |nurse |advise |the |clients |
to |avoid |when |taking |their |prescriptions?
A. |Carbonated |beverage
B. |Milk
C. |Orange |juice
D. |Grapefruit |juice |- |CORRECT |ANSWER✔✔-D. |Grapefruit |juice
Rational: |There |is |a |high |rate |of |food-drug |interactions |between |grapefruit |juice |and |many |
medications |frequently |taken |by |older |adults, |especially |lipid-lowering |agents. |It |is |thought |
that |one |or |more |of |the |chemicals |(most |likely |flavonoids) |in |grapefruit |juice |alter |the |activity |
of |specific |enzymes |(such |as |CYP3A4 |and |CYP1A2) |in |the |intestinal |tract. |These |enzymes |
decrease |the |rate |at |which |medications |enter |the |systemic |circulation. |This |could |allow |a |
larger |amount |of |these |drugs |to |reach |the |bloodstream, |resulting |in |increased |drug |levels |and |
possibly |toxicity.
A |nurse |is |assessing |a |client |to |identify |risk |factors |for |disease. |Which |of |the |following |findings
|is |a |risk |factor |for |metabolic |syndrome?
A. |History |of |asthma
B. |Large |waist |size
C. |Hypotension
D. |Hypoglycemia |- |CORRECT |ANSWER✔✔-B. |Large |waist |size
,Rational: |Central |obesity |due |to |excessive |abdominal |fat |is |a |risk |factor |for |metabolic |
syndrome. |Metabolic |syndrome |increases |the |risk |for |the |development |of |diabetes |and |
coronary |artery |disease.
A |nurse |is |teaching |a |client |who |has |chronic |kidney |failure |about |planning |a |low-protein |diet. |
The |client |states, |"Why |do |I |have |to |be |concerned |about |protein?" |Which |of |the |following |
responses |should |the |nurse |make?
A. |"a |low-protein |diet |reduces |the |risk |for |uremia"
B. |"A |low-protein |diet |reduces |the |risk |for |edema"
C. |"A |low-protein |diet |will |reduce |the |risk |for |hyperkalemia"
D. |"A |low-protein |diet |will |increase |the |nitrogenous |wastes |in |the |blood" |- |CORRECT |
ANSWER✔✔-A. |"a |low-protein |diet |reduces |the |risk |for |uremia"
Rational: |Urea |is |a |waste |product |of |protein |breakdown |and |can |accumulate |in |clients |who |
have |kidney |failure, |causing |uremia.
A |nurse |is |admitting |a |client |who |has |partial |hearing |loss. |Which |of |the |following |is |the |
priority |action |by |the |nurse?
A. |Speak |using |his |usual |tone |of |voice.
B. |Stand |directly |in |front |of |the |client
C. |Rephrase |statements |the |client |does |not |hear.
D. |Determine |if |the |client |uses |hearing |aids. |- |CORRECT |ANSWER✔✔-D. |Determine |if |the |
client |uses |hearing |aids.
Rational: |The |first |action |the |nurse |should |take |using |the |nursing |process |is |to |assess |the |
client. |The |nurse |should |find |out |if |the |client |has |hearing |aids |and |whether |they |are |in |place |
and |functioning.
, A |nurse |is |evaluating |teaching |with |a |client |who |is |receiving |continuous |subcutaneous |insulin |
via |and |external |insulin |pump. |Which |of |the |following |statements |by |the |client |indicates |a |
need |for |further |teaching?
A. |"I |will |change |the |needle |every |3 |days."
B. |"I |should |store |all |unused |insulin |in |the |refrigerator."
C. |"If |I |skip |lunch, |I |will |skip |my |mealtime |dose |of |insulin."
D. |"I |will |use |insulin |glargine |in |my |insulin |pump." |- |CORRECT |ANSWER✔✔-D. |"I |will |use |
insulin |glargine |in |my |insulin |pump."
Rational: |The |client |should |use |a |short-acting |insulin |in |the |insulin |pump. |The |insulin |pump |is |
designed |to |administer |rapid-acting |or |short-acting |insulin |24 |hr |a |day. |Insulin |glargine |is |
classified |as |a |long-acting |insulin |and |is |administered |at |the |same |time |each |day |to |maintain |
stable |blood |glucose |concentration |for |a |24-hr |period.
A |nurse |is |preparing |to |obtain |a |daily |weight |from |a |client |who |has |chronic |kidney |disease. |
Which |of |the |following |actions |should |the |nurse |implement?
A. |Use |any |available |scale |to |weigh |the |client.
B. |Balance |the |scale |at |minus |two |before |weighing |the |client.
C. |Obtain |the |weight |each |day |at |a |time |most |convenient |for |the |client.
D. |Weigh |the |client |after |he |has |voided. |- |CORRECT |ANSWER✔✔-D. |Weigh |the |client |after |he |
has |voided.
Rational: |The |nurse |should |have |the |client |void |before |obtaining |a |daily |weight.
A |nurse |is |teaching |a |client |who |has |CKD |and |a |new |prescription |for |epoetin |alfa. |the |nurse |
should |instruct |the |client |to |increase |dietary |intake |of |which |of |the |following |substances.
A. |Iron
