stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
ATI practice questions (A) Flashcards | StudBud
Explore
/
ATI practice questions (A)
ATI practice questions (A)
100 terms
·
StudBud Administration
·
27 plays
Imported from external platform
Flashcards
100 cards
F
Practice quiz
P
Host live
L
Questions
100
Answers
1
A nurse is caring for pt at 38 weeks gestation, is in active labor, and has ruptured membrane. Which action is next?
Initiate an Ocytocin IV infusion
Apply FHR monitor
Insert and indwelling urinary cath
Initiate fundal massage
2
Nurse is planning care for a pt who has order for bowel training program following SCI. What should be included in care?
Provide the client with a cold drink prior to defecation.
Give a rectal suppository 30 minutes prior to scheduled defecation times.
Increase the amount of refined grains in the client’s diet.
Encourage a maximum fluid intake of 1,500 ml per day.
3
A nurse on a telemetry unit is assessing a pt who is receiving continuous cardiac monitoring. HR 69. PR interval 0.24sec
First Degree AV block
A-fib
sInus bradycardia
Premature Ventricular contraction
4
A nurse is providing discharge teaching to pt with implantable carioverter. Which shows understanding of the teaching?
"I will stop using my microwave oven at home because of the ICD"
"I will soack in the tub rather than showering"
"I will wear loose clothing around my ICD"
"I can hold my cellphone on the same side of my body as the ICD"
5
Nurse reviewing meds for a pt with schizophrenia, taking Clozapine. Which finding is a contraindication to taking med?
Hgb 14
Fasting Blood Glucose 100
HR 58
WBC 2,900
6
A nurse is admiting a pt who has DKA. Which of the following types of continuous infusions should the nurse initiate?
0.45% saline
0.9% NS
NPH insulin
Glargine insulin
7
Pt with AIDS says mouth is sore when they eat. Which instrction should the nurse provide?
Eat foods served at hot temperatures
Eat ice chips
Rinse mouth with alcohol mouthwash
Add salt to season
8
A nurse is caring for a pt after a paracentesis. Which findings should the nurse identify as a complication?
Increased BP
Tachycardia
Hypothermia
Decreased Hematocrit
9
A nurse is caring for a 1-day-old newborn w jaundice, receiving phototherapy. Whichfollowing actions should the nurse do
Keep the infants head covered with a cap.
the infant 30 ml (1 oz) glucose water every 2 hr
Apply lotion to the newborn every 4 hr
Ensure that the newborn wears a diaper.
10
Charge Nurse on medsurg plans for LPN jobs whose been sent from ICU due to shortage. What pt should the LPN get?
A pt who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
pt who fractured his femur yesterday & is experiencing shortness of breath.
A pt who sustained a concussion and has unequal pupils.
pt who is postop following a bowel resection w NG tube set to con. suction
11
A nurse is planning care for pt receiving hemodialysis. What action should the nurse include in plan of care?
Check the vascular access site for bleeding after dialysis.
Give an antibiotic 30 min before dialysis
Rehydrate with dextrose 5% in water for orthostatic hypotension.
Withhold all medications until after dialysis.
12
NUrse caring for pt with major depressive d/o. Which finding should the nurse idtentify as most important?
The pt reports giving personal items away
The pt sleeping over 12 hr each day
The pt changes the subject when future plans are mentioned
The pt talks about being in pain constantly
13
Pt receiving heparin therapy. Wich tests should the nurse monitor to regulate medication dose?
WBC
INR
Platelets
aPTT
14
A nurse is caring for pt at 14 weeks gestation and reports feeling ambivalence. Which response should the nurse make?
"have you discussed these feelings with your partner"
"You should talk with your provider about this"
"When did you start having these feelings"
"Describe your feelings to me about being pregnant"
15
Nurse is caring for pt in active labor, FHR baseline 100/min for past 15 minutes. What's possible for cause of low FHR
Maternal Fever
Fetal anemia
Chorioamnionitis
Meternal Hypoglycemia
16
Nurse is caring for a pt who has a PE. The nurse should idnetify the effectiveness of the tx.
pt reports feeling less anxious
chest x-ray revelase increased density in all fields
diminished breath sounds are ascultated bilaterally
ABG: pH=7.48 PaO2=77 PaCO2=47
17
A nurse is assessing a pt who is 30 min postop following an arterial thrombectomy. Which finding should be reported?
cool, moist skin
incisional pain
Muscle spasms
Chest pain
18
A nurse is caring for a pt who has a new temporary synchronous pacemaker. Whichshould the nurse report to the provider?
client's pulse ox level is 96%
the ECG shows pacing spikes after the QRS complex
The client develops hiccups
The client's HR is 90
19
Hospice nurse visiting w son of pt who has terminal cancer. Son reports sleeping very little past week. Which response..
“You are doing a great job taking care of your mother”
“It must be difficult taking care of someone who is terminally ill”
“You should consider taking a sleeping pill before bed each night”
“I can give you information about respite care if you are interested.”
20
Nurse collecting a sputum specimen from a pt with TB, which action should the nurse take?
Ask the pt to provide 15-20mL of sputum in the container
Wear sterile gloves to collect it
Obtain specimen immediately after pt awakening
Wait one day to collect the specimen
21
Nurse caring for pt w end stage kidney dsease. Pt child asks about being a living kidney donor. Which is contraindicated
Amputation
Osteoarthritis
Primary Glaucoma
HTN
22
Nurse working on surgical unit, pt w/ paraplegia. The pt has area of nonblanchable erythema over his ischium, whats next
Turn and reposition the pt every 3 hours while in bed
Assess pressure points every 24 hours
Teach pt to shift weight every 15 minutes while sitting
Place pt upright on a donut shaped cushion
23
Nurse caring for pt who is 24 hr postpartum and BF. Pt asks nurse to warm up seaweed soup. What should the nurse say?
“The hospital good is more nutritious”
“Why are you eating seaweed soup?”
“Does the doctor know you are eating that?”
“Of course I will heat that up for you”
24
A nurse in ED is caring for a pt who reports cocaine use 1 hr ago. Which finding should the nurse expect?
slurred speech
memory loss
Elevated temp
Hypotension
25
A nurse is caring for a pt with AV fistula. Which finding should the nurse report?
Absence of bruit
distended blood vessels
thrill upon palpation
swishing upon auscultation
26
Nurse working in a rehab facility in developing a discharge plan for pt w left sided hemiplegia, which is the priority?
Counsel caregivers about respite care options
Ensure that the client has a referral for physical therapy.
Refer the client to a local stroke support group.
Consult with a case manager about insurance coverage.
27
Nurse caring for a pt dilated to 10cm and pushing. Which pain managment is safe for the pt?
Pudendal block
Naloxone Hydrochloride
Butorphanol Tartrate
Spinal Anesthesia
28
A pt with depression reports taking St. John's wart along with Citalopram. Which should the nurse monitor for ?
Acute dystonia
Pseudo Parkinsonism
Serotonin Syndrome
Tardive Dyskinesia
29
Nurse is providing teaching to a pt who is on glucocorticoid therapy. The statement by the pt indicates an understanding
“I limit my intake of foods with potassium”
“I take a calcium vitamin supplement daily.”
“I have my eyes examined annually”
“I constantly take my medication between 8 and 9 each evening.”
30
A nurse is assessing a newborn w/ blood glucose 30 mg/dl. Which of the manifestations should the nurse expect?
Hypertonia
loose stools
abodminal distention
Jitteriness
31
A nurse is teaching about nursing leadership. Which of the following should be included on affective leadsership?
prioritizes staff over client needs
Refrain from extra time on unit
provides routine client care and documentation
Acts as an advocate for the nursing unit
32
Nurse is teaching pt experiencing preterm contractions and dehydration. What statment should the nurse make?
Dehydration is associated with GERD
Dehydration is treated with calcium supplements
Dehydration is caused by a decreased Hgb and Hct
Dehydration can increase the risk of preterm labor
33
A nurse is caring for a pt who has end-stage liver cancer. Which statement should the nurse make to support the client?
“We encourage you to participate in all decisions about your treatment”
“You should trust that your care team has your best interest at heart”
“I will not share any personal information without your permission”
“The health care team will do their best to keep promises we make to you”
34
Nurse is caring for pt with hx of depression and having a situational crisis. Which should the nurse do first?
help the pt identify personal strengths
Confirm the pt perception of the event
notify the pt support person
Teach the pt relaxtiontechniques
35
A nurse in a PEDS clinic is reviewing the lab results of a school age child. Which of the findings should be reported?
Hgb 12.5
Platelets 250,000
WBC 14,000
Hct 40%
36
A nurse is assessing a pt who is in active labor. Which of the findings should the nurse report to the provider?
Early decels in the FHR
Contractions lasting 80 seconds
FHR basiline 170
Temperature 37.4C (99.3F)
37
A nurse is caring for a pt who has DM & is receiving long-acting insulin for management. The nurse should give which one
NPH
Glargine
Regular
Insulin aspart
38
Nurse doing teaching about immunization to pregnant pt. What immunization can the pt get during pregnancy? SATA
Tetanus Diptheria and Acellular Pertusis Vaccine
Varicella Vaccine
Inactivated Influenza vaccine
Rubella Vaccine
39
Nurse preparing discharge information for a pt who has type 2 DM. Which of the following resource shoud be provided?
Food label recommendations from the Institute of Medicine
Personal blogs about managing the adverse effects of diabetes medications
Food exchange list for meal planning from the American Diabetes Association
Diabetes medication information from the Physicians Desk Reference
40
A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take?
Place the tip of the thermometer under the center of the infant’s axilla.
Pull the pinna of the infant’s ear forward before inserting the probe.
Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
Insert the thermometer in front of the infant’s tongue.
41
A nurse is caring for a client who has Raynaud’s disease. Which of the following actions should the nurse take?
Maintain a cool temperature in the client’s room.
Administer epinephrine for acute episodes.
Provide information about stress management
Give glucocorticoid steroid twice per day.
42
Pt is 12 hour postpartum w/ third degree perineal laceration. No BM for 4 days. What med should be given to the pt?
Bisacodyl 10 mg rectal suppository
Magnesium Hydroxide 30 mL PO
Famotidine 20 mg PO
Loperamide 4 mg PO
43
In the ED; pt received a dose of penicillin & now flushing, anxious, tachycardic, w/ diff swallowing. What is priority?
Insert an IV line.
Take the client’s vital signs.
Monitor the client’s ECG
Administer O2
44
nurse is caring for a pt in active labor and requests pain mngmt. Which of the following actions should the nurse take?
Apply fundal pressure during contractions.
Administer ondansetron.
Place the client in a warm shower.
Assist the client to a supine position.
45
Nurse is providing teaching to pt at 14weeks gestation about what to report to provider. What finding should be included
Faintness upon rising
Bleeding gums
urinary frequency
Swelling of the face
46
A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
Discuss the client’s preferences for determining a reposition schedule
Evaluate the client’s ability to help with repositioning
Raise the side rails on both sides of the client’s bed during repositioning
Reposition the client without assistive devices
47
A nurse is caring for pt who is to receive a transfusion of packed RBCs. Which following action should the nurse take?
Place blood in the warmer for 1 hr.
Prime IV tubing with 0.9% sodium chloride
Use a 24-gauge IV catheter
Obtain filter less IV tubing
48
A nurse in a peds unit is preparing to insert an IV catheter for 7-yr-old. Which of the actions should the nurse take?
tell the child it will not hurt
use a mummy restraint to hold the child during insertion
require parent to leave room
tell the child they will feel discomfort during cath insertion
49
A nurse is providing teaching for group of clients. The nurse should recommend areferral to a dietician...
A pt w/ prescription for warfarin says "i need to limit spinach intake"
A pt w/ prescription for Spironolactone and says "I'll reduce intake of K+"
A pt with gout and states, “I can continue to eat anchovies on my pizza.”
A pt with hypocalcemia says "i'll take my calcium carbonate with water"
50
Nurse in ED is assessing a pt who reports ingesting 30 Diazepam tabs. RR of 10. After securing airway, IV, what is next?
Monitor the client’s IV site for thrombophlebitis.
Initiate seizure precautions for the client.
Evaluate the client for further suicidal behavior.
Administer flumazenil to the client.
51
A charge nurse is teaching a new nurse about med administration. Which of the following should the charge nurse teach?
Check two times prior to administration
Inform clients about the action of each medication prior to administration.
Avoid preparing medications for more than two clients at one time.
Complete an incident report if a client vomits after taking a medication
52
A nurse is assisting with the development of informed document for participation in a research study.Which one is right?
A statement that participants can leave the study at will
a list of the client's participating in the study
A description of the framework the researched will us to avaluate data
An assignment of the participant to either the experimental/control group
53
A pt's requesting information from a nurse about a nitrazine test. Which of the statements should the nurse make?
“If this test is positive, you will be required to have a non-stress test.”
“I will be taking a blood sample to check changes in your hormones levels”
“Your bladder should be full prior to me performing this test”
“This test will determine if there is leaking amniotic fluid.”
54
A nurse is admitting a pt who had a stroke & exhibits facial drooping, drooling and hoarseness. Whichis the priority?
Monitor the client's prealbumin levels
Refer the client to a speech language pathologist
Place the patient on NPO status
Measure the client's weight
55
A nurse manager is updating procols for the use of belt restraints. Which guideline should the nurse include?
remove the restraints every 4 hours
request a PRN restraint prescription for those who are aggressive
attach restraints to the bed side rails
Document the client's condition every 15 minutes
56
A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take?
Auscultate the newborn’s apical pulse for 60 seconds.
Measure the newborn’s head circumference over brows & below occipital
FACES pain scale
Obtain the newborn’s body temperature using a tympanic thermometer
57
A nurse is providing care for a group of clients. Which pt should the nurse identify with the highest r/f press. injury?
A client who had a knee 2 days ago following a sports injury.
A client who had a MI and is receiving thrombolytic therapy
A client who has dementia and is incontinent of urine and feces
A client who has a T-tube following an open cholecystectomy.
58
Nurse is receiving change of shift report for a group of pts. Which of the follwing should the nurse plan to see first?
A pt who has sinus arrhythmia and is receiving cardiac monitoring
A pt who has a hip fracture and new onset of tachypnea
A pt who has epidural analgesia and weakness in the lower extremities
A pt who has DM and a hemoglobin A1C of 6.9%
59
A nurse is assessing a child being tx for bac. Pneumonia. Nurse notes an incr. in glucose. What is adv reaction to med?
Ondansetron
Methylprednisolone.
Amoxicillin
Guaifenesin
60
Nurse is planning for a cpt who practices Orthodox Judaism. Pt mentions the passover holiday food. What should be added?
Avoid serving fish with fins and scales.
Avoid serving foods containing lamb.
Provide chicken with cream sauce.
Provide unleavened bread.
61
This patient has a presciption for Warfarin. What medications should the nurse recognize as contraindications?
Aspirin
Ibuprofen
Cetirizine
Ginkgo Biloba
62
A nurse is reviewing Labs on a pt with DM who says shes been following her care plan. Which indicates need to revise?
Random serum glucose 190 mg/dl.
Hba1c 10 %
Serum sodium 144 mEq/L
Serum potassium 3.6
63
Pt on digoxin, which following lab result should the nurse withhold the medication and notify the provider?
Sodium 145
Digoxin 0.8ng/mL
Potassium 3.1
BUN 15
64
A nuse is caring for an infant who has coarctation of the aorta. Which should the nurse identify as an expected finding?
frequent nosebleeds
Weak femoral pulses
increased ICP
upper extremity hypotension
65
Pt with pneumonia has lab reading of WBC 10,000 RBC 5.2 platelets 250,000 BUN 32 Creatnine 2.1. What person to call?
Dietician
Nephrologist
Infection Control Nurse
Cardiologist
66
Nurse is teaching a new nurse about therapeutic techniques for mental health units. Which should be included?
share personal opinions to help influence pt decision
measure the accomplishments of the group against a previous group
refrain from situations of conflict to maintain group harmony
use modeling to help pt improve their interpersonal skills
67
Nurse caring for pt who has BD and experiencing acute mania, got verbal prescr. for retraints. What should the nurse do?
Request a renewal of the prescription every 8 hr.
Document the client’s condition every 15 minutes.
Check the client’s peripheral pulse rate every 30 min
Obtain a prescription for restraint within 4 hr
68
Nurse is making care plan for pt who has preeclampsia to receive mag sulfate via IV. Which action should the nurse take?
Restrict the pt total fluid intake to 250mL/hr
Measure urine output every hour
Monitor FHR via doppler every 30 mins
Give the pt protamine if signs of mag sulfate toxicity occur
69
Pt is receiving teaching on new prescription for Furosemide. What should the nurse teach about?
Taking Furosemide can cause your postassium levels to be high
Rise slowly when getting out of bed
Eat foods that are high in Sodium
Taking Furosemide can cause you to be overhydrated
70
A nurse is teaching pt w chronic pain about avoiding constipation from opioid meds. Which should the nurse include?
take mineral oil at bedtime
Increase exercise activity
decrease insoluble fiber
drink 1.5 L of fluids each day
71
Nurse caring for a pt who is in contact isolation and had a blood transfusion. What action is app. to be cost-effective?
Stock the room with a 2 day supply of disposable diapers
Leave the unused infusion pump in the room till discharge
bring in formula as needed
Return unopened equipment to the supply center
72
A nurse is reviewing admission prescriptions for group of pt. Which prescriptionshould the nurse identify as complete?
Furosemide 20mg BID
Nitroglycerin Transdermal Patch
Metoprolol 5mg IV now
Aspirin 1 tablet daily
73
A nurse is caring for a client who experienced TBI 72 hr. ago. Which should the nurse identify as increased ICP
Narrowed pulse pressure
Hypotension
increasingly severe HA
tachycardia
74
A nurse is caring for a toddler who has acute lymphocytic leukemia. Which of the following should the toddler do?
Look at alphabet cards
Use scissors to cut out paper shapes
Play with a large plastic truck
Watching a cartoon in the dayroom
75
Pt has anew diagnosis of IBS. Which of the following recommendations should the nurse include in the dietary teaching?
Sweeten foods with fructose corn syrup
Consume foods high in bran fiber
Increase intake of milk products
Increase intake of foods high in gluten
76
A nurse is giving meds to a group of pt. Which of the following occurencs requires the completion of an incident report?
A pt asks for pain medication 1 hour early
A pt request his statin be administered at 2100
A pt has received antibiotics 2 hours late
A pt vomits within 20 mins of taking morning meds
77
Nurse in dr office is looking at pt Labs. Which of the following STI is a notifiable infectious disease needing report?
Herpes Simplex Virus
Canciclasis
HPV
Chlamydia
78
A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel
“An AP can perform tasks outside of his range if he has been trained”.
"An RN evaluates the client needs to determine tasks to delegate”
“An experienced AP can delegate to another AP”.
“The nurse is legally responsible for the actions of the AP”.
79
Nurse is caring for a postpartum pt that is interested in contraception. Which intruction should be included?
You can continue to use the diaphragm used before your pregnancy
Place a transdermal birth control patch on your upper arm
Should avoid vaginal spermicides while BF
The lactation amenorrhea method is effective for your first year postpartum
80
Nurse is planning care for pt who has BD experiencing mania. What intervention should the nurse include in the plan?
Encourages the pt to spend time in the day room
Encourage the pt to take frequent rest periods
Place the pt in seclusion when he exhibits signs of anxiety
Withdraw the pt TV privileges if he does not attend group therapy
81
A nurse is calculating the BMI of a pt who weighs 75 kg (165.3 lb) and is 1.8 m (5 ft 9 in) tall. What is the pt BMI?
23
42
28
32
82
A nurse is assessing a school-age child who has a UTI. Which of the following findings should the nurse expect?
Diarrhea
Decreased frequency of urination
Periorbital edema
Enuresis
83
A nurse overhears two AP's discussing care for a pt while in the elevator. Which of the following is a correct action?
Report the incident to the AP’s charge nurse.
Contact the client’s family about the incident.
File a complaint with the facility’s ethics committee.
Notify the client’s provider about the incident
84
A nurse is teaching at a community health fair about electrical fire prevention. Which should the nurse include?
Remove the plug from the socket by pulling the cord.
Check the tingling sensations around the cord to ensure electricity works
Cover extension cords with a rug
Use three pronged grounded plugs
85
A nurse is providing teaching to a ot about adverse effects of Setraline. Which adverse effect should the nurse include?
Dry cough
Metallic taste in mouth
Excessive sweating
Increased urinary frequency
86
A nurse in the PACU is caring for a pt who reports nausea. Which of the following actions should the nurse take first?
Monitor the client’s vital signs.
Administer antiemetic
Turn the client on their side
Administer an analgesic
87
Pt has med hx of pt with angina. Which findings in the hx should identify as a R/F for angina.
Seizure disorder
Hyponatremia
Hyperlipidemia
COPD
88
A pt with cancer about to do brachytherapy, what should the nurse provice in the plan of care?
maintenance of NPO satus until therapy is complete
ambulation four times daily
removal of vaginal packing
insert indwelling urinary cath
89
A nurse is planning care for a client who has thrombocytopenia. Which of the following actions should the nurse include?
Provide the client with a stool softener
Encourage the client to floss daily.
Avoid serving the client raw vegetable.
Remove fresh flowers from the client’s room.
90
A charge nurse is teaching a new nurse about the administration of TPN. Which of the following should the nurse say?
“You will need to monitor the client’s electrolytes daily”
“You need to weigh the client twice per week”
“You will need to warm the solution in the microwave before administration
“You will need to change the IV dressing site once per week”
91
A nurse is caring for a pt who has chronic pancreatitis. Which of the following diets should the nurse make?
lettuce with sliced avocados
warm toast with margarine
coffee with creamer
broiled skinless chicken breast with brown rice
92
A nurse in ED is doing triage for mulitple clients after community disaster. What injury is highest priority?
Below the Knee Amputation
fractured tibia
95% full thickness body burn
10 cm laceration in forarm
93
nurse in mental health unit is planning room assingments. Which pt should be close to nurse station?
A client who has somatic symptom disorder and reports chronic pain
client who has an anxiety disorder and is experiencing moderate anxie
A client who has depressive disorder and reports feeling hopeless.
A client who has bipolar disorder and impaired social interactions
94
A nurse is teaching patient who has glaucoma & a new prescription for timolol eyedrops. Which indicates understanding ?
“I should expect the eye drops to appear cloudy.”
“I should expect my tears to turn a red color after using the eye drops.”
“I will place the eye drops in the center of my eye”
“I will place pressure on the corner of my eye after using he eye drops”
95
pt who is postop following a colon resection & hasa new ascending colostomy. Which is correct if made by the pt?
I should expect bruising around the stoma
My stool will become fully formed within three weeks
I should avoid eating popcorn and fresh pineapple
My skin will need to be cleaned with alcohol before I apply a new pouch
96
Nurse is caring for a pt who is at 33 weeks of gestation following an amniocentesis. What complication can occur?
Contractions
Vomiting
Epigastric pain
HTN
97
A nurse is teaching preventative measures to a female pt who has chronic UTIs. Which of the following should be included
“Drink 2 liters of warm water per day”.
“Empty your bladder every 6 weeks.”.
“Soak in a warm bath everyday”.
“Take an oral estrogen tablet”.
98
Nurse man. is making protocol for a clinic that often cares for pt who doesn't speak same language as staff. What to do
Evaluate the client understanding at regular intervals
Offer client's translation services for a nominal fee
Use the client family for interpretation
Nurse doing the interpretation or finding interpretor
99
Charge nurse is teaching a new nurse about designating a health care proxy and DPAHC. Which should the nurse include?
The proxy can make treatment decisions if pt is under anesthesia
The proxy can make financial decisions if the need arises
The proxy should make health care decisions for pt regarding pt ability
The proxy should manage legal issues for the pt
100
Nurse is teaching about folic acid to prima gravida pt. What information should be included in teaching
“Expect your urine to be red-tingled when taking folic acid supplements”.
“Take folic acid to decrease the r/f transmitting infections to your baby”
“You can increase intake of folic acid, eat cereals and citrus fruits”.
“You should consume a maximum of 300 micrograms of folic acid every day”.
