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ATI Final Exam Review Flashcards | StudBud
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ATI Final Exam Review
ATI Final Exam Review
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1
A patient with a latex allergy develops hives and SOB after latex gloves are used. What is a priority intervention?
Have epinephrine injection ready for administration
Obtain Vital Signs
Give the patient a complete bed bath
Place the patient on contact precautions
2
Which of the following is NOT one of the 6 rights of medication administration?
Right dose
Right route
Right room
Right medication
3
Enteral nutrition is used for people with
Functioning GI Tracts
Bowel Obstruction
malabsorption disorders
Intractable nausea and vomiting
4
When providing ostomy teaching to the client, which of the following should be included? select all that apply
Empty the pouch when it is no more than half way full.
The stoma should be brown and dry.
Clean around the stoma with rubbing alcohol.
The stoma should be pink/red, moist & shiny.
5
If a patient has a low platelet count it increases her risk for
infection
hypoglycemia
hypotension
bleeding
6
A pt on a continuous feeding via gastrostomy tube is aspirating. What should the nurse do first?
call the physician
obtain a chest X-ray
stop the feeding
auscultate breath sounds
7
Which position allows for optimal lung expansion and is especially beneficial for COPD clients?
dorsal recumbent
prone
orthopneic
Trendelenburg
8
What information would be appropriate to give to a client with urinary stress incontinence?
increase caffeine intake
perform Kegel exercises 3 times a day
limit your daily fluid intake
don't drink after 6pm
9
Stage this pressure ulcer
Stage one
Stage three
Stage four
Stage two
10
The nurse places a pulse oximeter on a client's finger and the O2 saturation is 82%. What should the nurse do first?
Assess the client for signs of respiratory distress
Place the patient on oxygen at 2L per nasal cannula
notify the physician
Place the pulse oximeter on a different finger
11
A patient in ED does not speak any English. What is the priority for the RN?
utilize language appropriate interpreters
do an internet search on the patient's native language
ask family members to give informed consent for treatment
contact the hospital's chaplain
12
A side effect of opioid medication is
bradypnea
hyperthermia
hypertension
tachycardia
13
Which assessment finding would you expect to find in a client with fluid volume deficit?
hypertension
bradycardia
elastic skin turgor
pale, dry mucous membranes
14
Which of the following is one of the 5 Rights of delegation?
right route
right drug
right documentation
right task
15
A pt on warfarin or Heparinwho takes Gingko Biloba is at risk for:
Nothing, does not affect bleeding time
blood clots from decreasing bleeding time
hemmorrhage from increased bleeding time
Allergic reaction
16
Which safety precaution should be implemented when caring for a client receiving oxygen?
The nose piece should be lubricated with petroleum jelly.
Smoking is allowed in the room.
Monitor the respiratory rate every hour while on Oxygen therapy
Ensure the oxygen is set at the prescribed amount
17
Which of the following is the priority nursing action when caring for a patient who is immunocompromised?
Regular monitoring of WBC
Meticulous infection control measures
Checking vital signs every shift
Checking temperature every 2 hours
18
A nurse has to mix an intermediate acting insulin with a rapid acting insulin. Which one will she draw up first?
Intermediate Acting
Rapid Acting
It doesn't matter
19
What does apply BID mean?
apply before ingesting dinner
Apply twice a day
Apply at bedtime
Apply before meals
20
What does is the purpose of HIPAA ?
It protects the privacy/security of a person's health info
It improves the quality of life of nursing home residents.
It regulates nursing practice.
It affects what nursing assistants can do.
21
A patient with tuberculosis or measles would be placed in which of the following isolation precautions?
standard
contact
droplet
airborne
22
Which would be offered to a client on a full liquid diet? Select all that apply
mashed potatoes
chicken noodle soup
ice cream
pudding
23
A bleeding patient you are helping tells you they have a latex allergy. What do you do?
Don nitrile gloves instead of latex
Send them to someone else.
Use the latex gloves anyway, your safety is more important than theirs.
Stand there looking very unsure
24
If you give a patient an 8 oz cup of ice chips, how much fluid intake would you document?
120 mL
240 mL
8 oz
4 oz
25
What is the abbreviation for "at bedtime"
ABT
ac
HS
AB
26
What is Negligence?
When you act responsibly
When people do not follow protocols
Not knowing what your doing
Actions are below the level of competence expected
27
Which of the following can help prevent plantar flexion (footdrop) in the bedridden client?
applying Sequential Compression Devices (SCDs) on his lower extremities
wearing compression stockings
turning him every 2 hours
Placing a footboard on the end of the bed
28
Which of the following tasks can be delegated to assistive personnel?
obtaining vital signs
changing a wound dressing
administering a topical medication
adjusting the Oxygen level on the flow meter
29
Restraints for a patient requires a doctor's order.
True
False
30
The nurse discovers that she administered the wrong medication to the patient. What should she do first?
Complete an incident report
Notify the unit manager
Assess the patient
Notify the physician
31
Which of the following is a technique to assess hearing?
Chvotsek Sign
Romberg Test
Weber Test
Trousseau's Sign
32
In what position should an unconscious resident be placed when performing oral care?
Supine (on the back) position
Prone (on the stomach) position.
Lateral (side-lying, head to side) position.
Standing position.
33
Which food should the nurse recommend for the client experiencing constipation?
apple
boiled egg
cheese stick
fried chicken
34
Signs/Symptoms of Hypoglycemia
Muscle weakness, fruity breath
diaphoresis and shakiness
polyphagia and
polydipsia & polyuria
35
What is the nurse's role related to Informed Consent?
She can explain the risks and benefits of the procedure.
She can explain the procedure to the client if they do not understand.
She can obtain the client’s consent.
She can witness the client’s signature on the consent form.
36
Hypertension, bounding pulse, and jugular vein distention are symptoms of
Fluid volume excess
hypotension
high cholesterol
fluid volume deficit
37
A client who has difficulty feeding himself following a stroke should be referred to which service?
occupational therapy
social worker
physical therapy
registered dietician
38
A nurse is caring for a client receiving Total Parenteral Nutrtition. Which intervention should be implemented?
Weight the patient daily
Keep the HOB elevated > 30 degrees
check gastric residual volume every 6 hours
Check the blood glucose level every 4-6 hours
39
What effect does hemoglobin amount have on oxygenation status?
Low hemoglobin levels cause increased O2-carrying capacity.
Low hemoglobin levels cause reduced oxygen-carrying capacity
More hemoglobin reduces the client’s respiratory rate
No effect
40
Which tool is used to assess a client's risk for pressure ulcer development?
Braden Scale
Romberg Test
Glascow Coma Scale
Hendrich II Scale