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The nurse reports that a client is at risk for a brain attack (stroke) based on which assessment finding? A. Nuchal rigidity B. Jugular vein distention C. Carotid bruit D. Palpable cervial lymph node C. Carotid bruit The nurse is providing teaching to a client with Type 2 Diabetes Mellitus and peripheral neuropathy. What information should the nurse provide? A. Family members can help with regular foot exams B. Shoes should be worn outside the house, but it is fine to be barefoot insid...

3. A nurse is providing care to a culturally diverse population. Which action 1 ATI COMMUNITY HEALTH PROCTORED EXAM indicates the nurse is successful in the role of providing culturally congruent care? a. Provides care that fits the patient’s valued life patterns and set of meanings b. Provides care that is based on meanings generated by predetermined criteria c. Provides care that makes the nurse the leader in determining what is needed d. Provides care that is the same as the values...

2. A nurse is using the RESPECT mnemonic to establish rapport, the “R” in RESPECT. Which actions should the nurse take? (Select all that apply.) a. Connect on a social level. b. Help the patient overcome barriers. c. Consciously attempt to suspend judgment. d. Stress that they will be working together to address problems. e. Know limitations in addressing medical issues across cultures. ANS: A, C The “R” in RESPECT stands for rapport and includes the following behaviors: connect ...

8. How long after the administration of a parenteral pain medication will the nurse complete the next pain assessment to evaluate the effectiveness of the medication? a. 10 minutes b. 30 minutes c. 1 hour d. 2 hours ANS: B Evaluation of pain effectiveness of parenteral pain medications needs to occur within 15 to 30 minutes of administration. Ten minutes, 1 hour, and 2 hours are not accurate time frames to evaluate the effectiveness of parenteral medications. TOP: Nursing Process Step: E...

In building its brand awareness, Snackies is already backed by the largest retailer in the world, Walmart. However, it must also establish itself outside Walmart to just be known by “Snackies” alone. Social media is the main avenue for creating and establishing brands, especially subscription-box brands. Snackies intends on creating a community of followers among snackers to share their feel-good stories about snacks and their relationship with food, to become more than just another subscri...

Which metal ion is bound to the porphyrin ring in hemoglobin? Ans - Iron Which feature of hemoglobin makes it an effective O2 transport molecule? Ans - It's affinity for O2 is regulated by pH. What is a temporary modification to protein structure by kinases that alters enzyme function? Ans - Phosphorylation Which type of inhibition occurs when a particular drug binds to the allosteric site of an enzyme and subsequently changes the enzyme's structure? Ans - Noncompetitive Proteases Ans - -...

Amino Acid backbone consists of Ans - 1. amino group 2. carboxyl group 3. alpha carbon 4. R group Amino group: looks likes/consists of Ans - NH3+ Carboxyl group looks like/consists of Ans - cooAlpha carbon looks like/consists of Ans - CH The three Amino acid categories Ans - 1. hydrophobic (nonpolar) 2. polar 3. charged Hydrophobic Amino Acids Ans - non polar afraid of h20 usually in the middle/core of the protein contains H + C... C-C, or C-H Polar Amino Acids Ans - ELECTRONEGATIVE...

in the organization of DNA into chromosomes, DNA is wrapped around ______ to form nucleosomes. nucleosomes are organized further to form ______ Ans - histones chromatin what would lead to disease due to change in protein structure Ans - interactions within primary protein structure Ans - sequence of amino acids held together by peptide bonds interactions within secondary structure Ans - formation of hydrogen bonds bonds occur between the backbone, it doesn't affect the type of amino ac...

progressive discipline using increasingly severe measures when an employee fails to correct a deficiency after being given a reasonable opportunity to do so verbal, written, suspension w/o pay, discharge Not communicating a performance plan, a lack of accountability and human biases and errors Three most common obstacles to effective performance management performance plan describes desired goals and results, how results will be measured and weighted and standards will be used to evaluate ...

Some standards are not mandated by law but are managed and enforced by the industry, often via a council or committee. Which of the options below is an example of this industry compliance? A FISMA B PCI DSS C SOX D HIPAA E GLBA - B ______ sets limits on the use and disclosure of patient information and grants individuals rights over their own health records. A HIPAA B SOX C GLBA D FERPA E PCI DSS - A ______ ensures the protection of information, operations, and assets in federal gove...

11. A local community has a significant population of migrant workers. In response, a community health nurse plans to prevent a program to the local community about this population. As part of the program the nurse plans to include information about Cesar Chavez, describing him as which of the following? A) A Mexican president who worked to keep people from crossing the border illegally B) A well-known actor who advocates for increasing the number of Latinos in Hollywood C) The senator who wr...

3. During a presentation at a local health department, a community health nurse discusses how society has changed over the past 100 years and the influence that these changes have had on the community's health care needs. Which of the following would the nurse include as a current societal event? A) Large disparity in male/female wages B) Rural to urban migration C) Rampant child labor D) Widespread violence Ans: D Feedback: Today, society is faced with widespread violence and terrorism....

21. The nurse is caring for a patient with a history of myocardial infarction and heart failure. What thyroid replacement drug would the nurse question if ordered? A) Liothyronine B) Levothyroxine C) Thyroid desiccated D) Methimazole Ans: A Feedback: Liothyronine and liotrix have a greater incidence of cardiac adverse effects and are not recommended for use in patients with potential cardiac problems or patients who are prone to anxiety reactions. Levothyroxine would be the drug of choic...

A4 – The Sarbanes-Oxley Act (SOX) The Sarbanes-Oxley Act (SOX) was enacted in 2002 as a result of a series of fraudulent financial scandals involving publicly traded companies. SOX was created to help protect shareholders, employees, and the public from accounting errors and fraudulent financial practices. The act is comprised of eleven key sections that define rules for corporate financial reporting, corporate governance as it pertains to financial information handling, financial records kee...

4. While reviewing a client's lab work, the nurse notices the client's potassium is elevated. The nurse checks the client's medication record. Which of the following, if found, would the nurse identify as contributing to the client's elevated potassium level? Select all that apply. A) Atenolol B) Aliskiren C) Clonidine D) Metoprolol E) Eplerenone Ans: B, E Feedback: Direct renin inhibitors such as aliskiren and the drug eplerenone can cause hyperkalemia. Atenolol and metoprolol ar...

13. A nurse would expect to administer pyrazinamide cautiously to which clients? Select all that apply. A) Clients with diabetes B) Clients with hepatic impairment C) Clients with renal impairment D) Clients with hypertension E) Clients with HIV infection Ans: A, B, C, E Feedback: Pyrazinamide should be used cautiously in clients during pregnancy and lactation and in clients with hepatic or renal impairment, HIV infection, or diabetes. 14. A nurse is preparing to teach a client about c...

7. The nurse is instructing a female adolescent about the medication leuprolide acetate (Lupron Depot-Ped), which has been prescribed to reduce the level of testosterone. What should the nurse include when teaching the patient about this medication? (Select all that apply.) A) Inject in the same region every month. B) Ensure effective birth control if sexually active. C) Transfer the medication into another syringe before injecting. D) Mark on a calendar when the injections are needed every...

16. The nurse is visiting a new mother who has been home with a new infant for 4 days. Which observation indicates that the mother's home environment was inadequately assessed prior to being discharged from the hospital? A) Baby has a changing area. B) Kitchen has a refrigerator. C) Windows are covered with screens. D) Baby sleeps with the mother in bed. Ans: D Feedback: Evidence that an inadequate home environment assessment was performed as baby is sleeping with the mother. The Ameri...

9. The patient asks the nurse how sulfonylureas normalize glucose levels. Which response by the nurse is correct? a. By stimulating pancreatic secretion of insulin b. By inhibiting secretion of insulin by the pancreas c. By increasing glucose production in the liver d. By increasing insulin metabolism in the liver ANS: A Sulfonylureas stimulate the pancreas to secrete more insulin. They also diminish glucose production and metabolism of insulin by the liver. The net effect is a normalizati...

4. A patient who is undergoing bone marrow transplantation has developed severe mucositis. Which treatment option(s) may promote comfort? (Select all that apply.) a. 2 % viscous lidocaine (Xylocaine) before meals b. Acetylcysteine (Mucomyst) therapy as needed c. Commercially prepared mouthwashes d. Docosanol (Abreva) therapy e. Milk of Magnesia mouth rinses ANS: A, E The pain with mucositis can be extremely severe. Viscous lidocaine 2% anesthetizes the entire mouth and throat. Used befor...