ATI comprehensive predictor Questions with Answers 2023 LATEST UPDATED, Exams of Nursing

Download ATI comprehensive predictor Questions with Answers 2023 LATEST UPDATED and more Exams Nursing in PDF only on Docsity! 1 [Date] 1 ATI comprehensive predictor Questions with Answers 2023 LATEST UPDATED  What can be delegated to Assistive personnel (AP)? - Correct answer - ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients  A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP?  Feeding a client who was admitted 24 hours ago with aspiration pneumonia  Reinforcing teaching with a client who is learning to walk with a quad cane  Reapplying a condom catheter for a client who has urinary incontinence  Applying a sterile dressing to a pressure ulcer - Correct answer C  A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP? 2 [Date] 2  Select all:  the roommate is up independently  The client ambulates with his slippers on over his antiembolic stockings  The client uses a front wheeled walker when ambulating  The client had pain meds 30 minutes ago  The client is allergic to codeine  the client ate 50 % of his breakfast this morning - Correct answer B  C  D  An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question?  Assisting a client who is 24 hr postop to use an incentive spirometer  Collecting a clean catch urine specimen from a client who was admitted on the previous shift  providing nasopharyngeal suctioning for a client who has pneumonia  Replacing the cartridge and tubing on a PCA pump - Correct answer D 5 [Date] 5  A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this clients choice is an example of what principles?  Fidelity  Autonomy  Justice  Nonmalificience - Correct answer A  A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles?  Fidelity  Autonomy  Justice  Beneficience - Correct answer D  A nurse is instructing a group of nursing students about the responsibilities involved with organ donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, 6 [Date] 6 the students should understand that this aspect of care delivery is an example of which ethical principle  Fidelity  Autonomy  Justice  Nonmaleficence - Correct answer C  A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable status. The nurse understands that this action is an example of which ethical principle  Fidelity  Autonomy  Justice  Nonmalificence - Correct answer D  Which of the following situations can be identified as an ethical dilemma?  A nurse on a med surge unit demonstrates signs of chemical impairment  A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will restrain him 7 [Date] 7  A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill  A client who is terminally ill hesitates to name her spouse on her durable power of attorney form - Correct answer C  Most managers can be categorized as - Correct answer authoritative, democratic, and laissez faire  makes decisions of the group  motivates by coercion  communication occurs down the chain of command  Work output by the staff is usually high-good for crisis situations and bureaucratic settings - Correct answer Authoritative  includes the group when decisions are made  Motivates by supporting star achievements  Communication occurs up and down the chain of command  Work output by staff is usually of good quality-good when cooperation and collaboration is necessary - Correct answer Democratic  makes very few decisions and does little planning 10 [Date] 10  Fill in the blank:  _______ is used by interdisciplinary team to make health care decisions about clients with multiple problems. 2. ________, which may take place at team meetings, allows the achievement of results that the participants would be incapable of accomplishing if working alone. - Correct answer 1 & 2 = collaboration  What is the nurse's contribution to an interdisciplinary team? - Correct answer - knowledge of nursing care & its management - a holistic understanding of the client, her/his healthcare needs & healthcare systems.  A four-month-old infant is admitted to the pediatric intensive care unit  with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse  observes nuchal rigidity. Which assessment finding would indicate an  increase in intracranial pressure? - Positive Babinski. 11 [Date] 11 - High-pitched cry. - Bulging posterior fontanelle. - Pinpoint pupils. - Correct answer 2  A client is receiving total parenteral nutrition (TPN). To determine the  client's tolerance of this treatment, the nurse should assess for which of the  following? - A significant increase in pulse rate. - A decrease in diastolic blood pressure. - Temperature in excess of 98.6°F (37°C). - Urine output of at least 30 cc per hour. - Correct answer 4  The client is exhibiting symptoms of myxedema. The nursing  assessment should reveal - increased pulse rate. - decreased temperature. - fine tremors. - increased radioactive iodine uptake level. - Correct answer 2 12 [Date] 12  A nonstress test is scheduled for a client at 34-weeks gestation who  developed hypertension, periorbital edema, and proteinuria. Which of the  following nursing actions should be included in the care plan in order to  BEST prepare the client for the diagnostic test? - Start an intravenous line for an oxytocin infusion. - Obtain a signed consent prior to the procedure. - Instruct client to push a button when she feels fetal movement. - Attach a spiral electrode to the fetal head. - Correct answer 3  Which of the following nursing interventions is MOST important for a  45-year-old woman with rheumatoid arthritis? - Provide support to flexed joints with pillows and pads. - Position her on her abdomen several times a day. - Massage the inflamed joints with creams and oils. - Assist her with heat application and ROM exercises. - Correct answer 4 15 [Date] 15  acknowledges willing participation in an incestuous relationship.  reestablishes a trusting relationship with his/her other parent.  verbalizes that s/he is not responsible for the sexual abuse.  describes feelings of anxiety when speaking about sexual abuse. - Correct answer 3  An adolescent client is ordered to take tetracycline HCL (Achromycin)  250 mg PO bid. Which of the following instructions should be given to this  client by the nurse?  "Take the medication on a full stomach, or with a glass of milk."  "Wear sunscreen and a hat when outdoors."  "Continue taking the medication until you feel better."  "Avoid the use of soaps or detergents for two weeks." - Correct answer 2  After a client develops left-sided hemiparesis from a cerebral vascular  accident (CVA), there is a decrease in muscle tone. Which of the following 16 [Date] 16  nursing diagnoses would be a priority to include in his care plan?  Alteration in mobility related to paralysis.  Alteration in skin integrity related to decrease in tissue oxygenation.  Alteration in skin integrity related to immobility.  Alteration in communication related to decrease in thought processes - Correct answer 2  A client has a history of oliguria, hypertension, and peripheral edema.  Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be  restricted in the client's diet?  Protein.  Fats.  Carbohydrates.  Magnesium. - Correct answer 1  An extremely agitated client is receiving haloperidol (Haldol) IM every  30 minutes while in the psychiatric emergency room. The MOST important 17 [Date] 17  nursing intervention is to  monitor vital signs, especially blood pressure, every 30 minutes.  remain at the client's side to provide reassurance.  tell the client the name of the medication and its effects.  monitor the anticholinergic effects of the medication. - Correct answer 1  The nurse is caring for clients in the skilled nursing facility. Which of the  following clients require the nurse's IMMEDIATE attention?  A client admitted for a cerebral vascular accident (CVA) whose prescription for  warfarin (Coumadin) expired two days ago.  A client in pain who was receiving morphine in an acute care institution and was  transferred with a prescription for acetaminophen with codeine.  A client who has dysuria and foul-smelling, cloudy, dark amber urine.  An immunosuppressed client who has not received an influenza immunization. - Correct answer 1 20 [Date] 20  Restlessness and increased heart rate.  Hostility and increased blood pressure. - Correct answer 3  A 59-year-old woman with bipolar disorder is receiving haloperidol  (Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my  breasts." Which of the following responses by the nurse is BEST?  "You are seeing things that aren't real."  "Why don't we go make some fudge."  "You are experiencing a side effect of Haldol."  "I'll contact your physician to change your medication." - Correct answer 3  The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for  a client. The nurse should advise the client the BEST time to take this  medication is  before breakfast.  with dinner.  with food. 21 [Date] 21  at hs. - Correct answer 4  . If a client develops cor pulmonale (right-sided heart failure), the nurse  would expect to observe  increasing respiratory difficulty seen with exertion.  cough productive of a large amount of thick, yellow mucus.  peripheral edema and anorexia.  twitching of extremities. - Correct answer 3  The nurse is performing triage on a group of clients in the emergency  department. Which of the following clients should the nurse see FIRST?  A 12-year-old oozing blood from a laceration of the left thumb due to cut on a  rusty metal can.  A 19-year-old with a fever of 103.8°F (39.8°C) who is able to identify her sister  but not the place  and time.  A 49-year-old with a compound fracture of the right leg who is complaining of 22 [Date] 22  severe pain.  A 65-year-old with a flushed face, dry mucous membranes, and a blood sugar of  470 mg/dL. - Correct answer 2  The nurse in the outpatient clinic teaches a client with a sprained right  ankle to walk with a cane. What behavior, if demonstrated by the client,  would indicate that teaching was effective?  The client advances the cane 18 inches in front of her foot with each step.  The client holds the cane in her left hand.  The client advances her right leg, then her left leg, and then the cane.  The client holds the cane with her elbow flexed 60°. - Correct answer 2  A client returns to his room following a myelogram. The nursing care  plan should include which of the following?  Encourage oral fluid intake.  Maintain the prone position for 12 hours. 25 [Date] 25  nursing assistant is assigned to care for  a client with Alzheimer's requiring assistance with feeding.  a client with osteoporosis complaining of burning on urination.  a client with scleroderma receiving a tube feeding.  a client with cancer who has Cheyne-Stokes respirations. - Correct answer 1  An elderly client is returned to her room after an open reduction and  internal fixation of the left femoral head after a fracture. It is MOST  important for the nursing care plan to include that the client  eat a high-protein, low-residue diet.  lie on her unoperated side.  exercise her arms and legs.  cough and deep breathe. - Correct answer 4  Which of the following is a correctly stated nursing diagnosis for a client  with abruptio placentae?  Infection related to obstetrical trauma.  Potential for fetal injury related to abruptio placentae. 26 [Date] 26  Potential alteration in tissue perfusion related to depletion of fibrinogen.  Fluid volume deficit related to bleeding. - Correct answer 4  An 8-year-old client is returned to the recovery room after a  bronchoscopy. The nurse should position the client  in semi-Fowler's position.  prone, with the head turned to the side.  with the head of the bed elevated 45° and the neck extended.  supine, with the head in the midline position. - Correct answer 1  Which of the following assessment findings would indicate to the nurse  the need for more sedation in a client who is withdrawing from alcohol  dependence?  Steadily increasing vital signs.  Mild tremors and irritability.  Decreased respirations and disorientation.  Stomach distress and inability to sleep. - Correct answer 1 27 [Date] 27  The home care nurse is instructing a client recently diagnosed with  tuberculosis. It is MOST important for the nurse to include which of the  following as a part of the teaching plan?  During the first two weeks of treatment, the client should cover his mouth and  nose when he coughs or sneezes.  It is necessary for the client to wear a mask at all times to prevent transmission of  the disease.  The family should support the client to help reduce feeling of low self-esteem and  isolation.  The client will be required to take prescribed medication for a duration of 6-9  months. - Correct answer 4  The nurse's INITIAL priority when managing a physically assaultive  client is to  restrict the client to the room.  place the client under one-to-one supervision. 30 [Date] 30  The nurse is caring for an 80-year-old client with Parkinson's disease.  Which of the following nursing goals is MOST realistic and appropriate in  planning care for this client?  Return the client to usual activities of daily living.  Maintain optimal function within the client's limitations.  Prepare the client for a peaceful and dignified death.  Arrest progression of the disease process in the client. - Correct answer 2  A client with a peptic ulcer had a partial gastrectomy and vagotomy  (Billroth I). In planning the discharge teaching, the client should be  cautioned by the nurse about which of the following?  Sit up for at least 30 minutes after eating.  Avoid fluids between meals.  Increase the intake of high-carbohydrate foods.  Avoid eating large meals that are high in simple sugars and liquids. - Correct answer 4 31 [Date] 31  A nurse is caring for a 37-year-old woman with metastatic ovarian  cancer admitted for nausea and vomiting. The physician orders total  parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of  the following is the BEST indication that the patient's nutritional status has  improved after 4 days?  The patient eats most of the food served to her.  The patient has gained 1 pound since admission.  The patient's albumin level is 4.0mg/dL.  The patient's hemoglobin is 8.5g/dL. - Correct answer 3  A 23-year-old woman at 32-weeks gestation is seen in the outpatient  clinic. Which of the following findings, if assessed by the nurse, would  indicate a possible complication?  The client's urine test is positive for glucose and acetone.  The client has 1+ pedal edema in both feet at the end of the day.  The client complains of an increase in vaginal discharge. 32 [Date] 32  The client says she feels pressure against her diaphragm when the baby moves. - Correct answer 1  After abdominal surgery, a client has a nasogastric tube attached to low  suctioning. The client becomes nauseated, and the nurse observes a  decrease in the flow of gastric secretions. Which of the following nursing  interventions would be MOST appropriate?  Irrigate the nasogastric tube with distilled water.  Aspirate the gastric contents with a syringe.  Administer an antiemetic medicine.  Insert a new nasogastric tube. - Correct answer 2  After sustaining a closed head injury and numerous lacerations and  abrasions to the face and neck, a five-year-old child is admitted to the  emergency room. The client is unconscious and has minimal response to  noxious stimuli. Which of the following assessments, if observed by the 35 [Date] 35 - Place the client in a negative pressure room - wear gloves when assisting the client with oral care - limit each visitor to 2 hr increments - wear a surgical mask when providing care - Use antimicrobial sanitizer for hand hygiene - Correct answer A  B  E  A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching? - Assign the client to a room with a negative air-flow system - Use alcohol-based hand sanitizer when leaving the clients room - clean contaminated surfaces in the clients room with a phenol solution - have family members wear a gown and gloves when visiting - Correct answer D 36 [Date] 36  A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the client has developed phlebitis and removes the IV catheter. Which of the following actions should the nurse take next? - place a warm compress over the IV site - record the findings in the client's chart - notify the client's primary care provider - prepare to insert a new IV catheter - Correct answer A  A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury for this client? - use a bed exit alarm system - raise 4 side rails while client is in bed - apply one soft wrist restraint - dim the lights in the client's room - Correct answer A  A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following is an appropriate nursing action? 37 [Date] 37 - implement a regular toileting schedule - encourage the client to wear athletic socks when ambulating - place all 4 bed rails in the upright position - require a family member to remain at the bedside - Correct answer A  Which of the following techniques should the nurse use when performing nasotracheal suctioning for a client? - insert the suction catheter while the client is swallowing - apply intermittent suction when withdrawing the catheter - place the catheter in a location that is clean and dry for later use - hold the suction catheter with the clean, non-dominant hand - Correct answer B  A nurse is caring for a client following an acute myocardial infarction. The client is concerned that providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the nurse implement to promote the client's independence? 40 [Date] 40 - use the cane on the weak side of the body - advance the cane and the atrong leg simultaneously - maintain two points of support on the floor - advance the cane 30 to 45 cm (12-18 in) with each step - Correct answer C  Which of the following should indicate to a nurse the need to suction a client's tracheostomy? - irritability - hypotension - flushing - bradycardia - Correct answer A  A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? - wear sterile gloves when removing the old dressing - warm the irrigation solution to 40.5C (105F) - cleanse the wound from the center outwards - use a 20 mL syringe to irrigate the wound - Correct answer C 41 [Date] 41  A nurse is providing teaching about a clear liquid diet. Which of the following should the nurse instruct the client to avoid? - lemon-lime sports drinks - ginger ale - black coffee - orange sherbet - Correct answer D  A nurse is caring for a client who is having difficulty voiding following the removal in an indwelling urinary catheter. Which of the following interventions should the nurse take? - assess for bladder distention after 6 hr - encourage the client to use a bed pan in the supine position - restrict the clients intake of oral fluids - pour warm water over the clients perineum - Correct answer D  When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate?  Cancer of any kind. 42 [Date] 42  Impaired hearing.  Prescription drug intoxication.  Heart failure. - Correct answer 3  Which of the following is essential when caring for a client who is experiencing delirium?  Controlling behavioral symptoms with low-dose psychotropics.  Identifying the underlying causative condition or illness. 3. Manipulating the environment to increase orientation.  Decreasing or discontinuing all previously prescribed medications. - Correct answer 2  Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium?  Explain the experience of having delirium.  Resume a normal sleep-wake cycle.  Regain orientation to time and place.  Establish normal bowel and bladder function. - Correct answer 3  A client diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure the client's 45 [Date] 45  Slowing of reflexes.  Fatigue. - Correct answer 1  When providing family education for those who have a relative with Alzheimer's disease about minimizing stress, which of the following suggestions is most relevant?  Allow the client to go to bed four to five times during the day.  Test the cognitive functioning of the client several times a day.  Provide reality orientation even if the memory loss is severe.  Maintain consistency in environment, routine, and caregivers - Correct answer 4  What are some ways to identify a patient before giving a medication? - Correct answer The Joint Commission requires 2 client identifiers be used when administering medications. - clients name - assigned identification number - telephone number - birth date or other personal-specific identifiers. Bar code scanners may be used to identify clients 46 [Date] 46  What are some things to teach about home safety with elderly patients? - Correct answer - Removing items that could cause the client to trip, such as throw rugs and loose carpets - Placing electrical cords and extension cords that against a wall behind furniture - Making sure that steps and sidewalks are in good repair - Placing grab bars near the toilet and in the tub or shower and installing a stool riser - Using a non-skid mat in the tub or shower - Placing a shower chair in the shower - Ensuring that lighting is adequate both inside and outside of the home  A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in  his home. Which of the following should the nurse teach the client about using oxygen safely in his  home? (Select all that apply.) - Family members who smoke must be at least 10 ft from the client when oxygen is in use. - Nail polish should not be used near a client who is receiving oxygen. 47 [Date] 47 - A "No Smoking" sign should be placed on the front door. - Cotton bedding and clothing should be replaced with items made from wool. - A fire extinguisher should be readily available in the home. - Correct answer B  C  E  A nurse is providing home safety instructions to a group of older adult clients. Match the safety risk  with the appropriate instruction.  ____ Passive smoking  ____ Carbon monoxide poisoning  ____ Food poisoning - Have water heaters inspected on an annual  basis. - Cook all meat at an appropriate temperature. - Avoid enclosed areas with others who may be  smoking. - Correct answer C  A  B 50 [Date] 50  -keep toys with small parts out of reach  -remove drawstrings from jackets and other clothing  hypotension is classified with a reading below normal; - Correct answer systolic < 90 mm Hg; can be a result of fluid depletion, heart failure, or vasodilation  What temperature should pork be cooked at - Correct answer 160 degrees  What is the safest way to thaw out frozen foods - Correct answer In the refrigerator  What are the precautions for vancomycin resistant enterococcus - Correct answer Standard precautions including hand washing and gloving should be followed  What does a newborns poop look like - Correct answer If your baby is exclusively breastfed, her poop will be yellow or slightly green and have a mushy or creamy consistency  What is appropriate for an adolescent in the hospital? - Correct answer Puzzles and books 51 [Date] 51  What is the proper nutrition during pregnancy - Correct answer - Folic acid is important for pregnancy, as it can help to prevent birth defects known as neural tube defects, including spina bifida - green leafy vegetables and brown rice  What should be avoided during pregnancy - Correct answer Do not take vitamin A supplements, or any supplements containing vitamin A (retinol), as too much could harm your baby  What is the most appropriate method for contraception for an adolescent - Correct answer IUD or implant  If a patient has anorexia nervosa and works out constantly - Correct answer Allow them to workout and continue their regimen  What medications can be taken to help with smoking cessation - Correct answer Bupropion hydrochloride is a medicine for depression, but it also helps people quit smoking. Brand names include Zyban®, Wellbutrin®, 52 [Date] 52 Wellbutrin SR® and Wellbutrin XL® but this medication is also available as a generic. Varenicline (chantix)  What are the five stages of grief - Correct answer denial  anger  bargaining  depression  acceptance  discrete and applies the letting go of an object or person before the loss as in the case of terminal illness  individuals have the opportunity to greet before the actual loss - Correct answer anticipatory grief  involves difficult progression through the expected stages of the grieving process  grief work is prolonged and manifestations more severe  client may develop suicidal ideation, intense feelings of guilt and lowered self-esteem  somatic complaints persist for an extended period of time - Correct answer dysfunctional grief 55 [Date] 55  What immunizations are CONTRAINDICATED for pregnant women + which SHOULD be given? - Correct answer Contraindicated = Herpes Zoster + Varicella + MMR (measles, mumps, rubella)  Should give = TDaP (Tetanus, Diphtheria, Pertussis)  Long term effects of NSAIDS (Ibuprofen) - Correct answer Gastric Ulcerations, perforations, hemorrhage, hypertension  Alcohol Use Manifestations of Withdrawal - Correct answer Body burns 0.5 oz of alcohol per hour  Withdrawal appears within 4-12 hours  Irritability + Tremors + Anxiety  Nausea + Vomiting + HA  Diaphoresis  Sleep Disturbances  TACHYCARDIA + HTN  Use Benzodiazepines = tx  Diazepam (Valium), lorazepam (Ativan), and chlordiazepoxide (Librium) 56 [Date] 56  When does Discharge planning begin? - Correct answer At Admission  Case Management nursing involves: - Correct answer *Decreasing cost by improving client outcomes  Providing education to optimize health participation  Advocating for services + client's rights  What is bipolar disorder? - Correct answer Bipolar disorder is a mood disorder with recurrent episodes of depression and mania.  What comorbidities may be observed with a patient who is bipolar? - Correct answer Substance use disorder (experiences more rapid cycling), anxiety disorders, eating disorders, ADHD.  What therapy will be useful for patients with bipolar? - Correct answer Electroconvulsive therapy for the patient who is suicidal or rapid cycling who HAS taken Lithium and has proven ineffective. Used to subdue manic behavior. 57 [Date] 57  What kind of medications are indicated for abstinence maintenance of alcohol? - Correct answer Disulfiram (Antabuse), Naltrexone (Vivitrol), Acamprosate (Campral)  Teaching points for naltrexone (Vivitrol)? - Correct answer Take with meals to supress GI distress. Monthly IM injections should be suggested for patients who have difficulty to adhering to the medication regimen.  A nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:  restrict fluid intake to 1 qt (1,000 ml)/day.  drink liquids only between meals.  don't drink liquids 2 hours before meals.  drink liquids only with meals. - Correct answer B  A patient who has undergone colostomy surgery is experiencing constipation. Which of the following interventions should a nurse consider for such a patient?  Instruct the patient to keep a record of food intake  Instruct the patient to avoid prune or apple juice 60 [Date] 60 - Stomach - Liver - Correct answer C  A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission? - Skim milk - Nothing by mouth - Regular diet - Clear liquids - Correct answer B  Bladder retraining for the treatment of urge incontinence: - Correct answer • Use timed voidings to increase intervals between voidings/decrease voiding frequency. • Perform pelvic floor (Kegel) exercises. • Perform relaxation techniques. • Offer undergarments while the client is retraining. • Teach the client not to ignore the urge to void. • Provide positive reinforcement as client maintains continence. • Eliminate or decrease caffeine drinks. 61 [Date] 61 • Take diuretics in the morning.  what are normal creatinine levels?  what are normal BUN levels? - Correct answer 0.8-1.4 mg/dL  8-25 mg/dL  What are total serum protein values (normals) - Correct answer 6-8 g/dL  Describe pre-albumin - Correct answer this is the best tool for evaluating nutrition. it has a half-life of 2 days which is much shorter than albumin so it is much more accurate. (albumin's half-life is 2-3 weeks)  what is normal pre-albumin values?  what are normal serum levels of magnesium ?  what is a normal potassium serum level? - Correct answer 17-40 mg/dL  1.5-2.5 mEq/L (less than 1.5 is considered hypomagnesemia)  3.5-5.0 mEq/L (less than 3.5 is considered hypokalemia) 62 [Date] 62  what are good sources of folic acid? - Correct answer Excellent sources of folate include romaine lettuce, spinach, asparagus, turnip greens, mustard greens, calf's liver, parsley, collard greens, broccoli, cauliflower, beets, chicken liver and lentils.  Sources of potassium - Correct answer beans, spinach, potatoes, dried apricots, acorn squash, yogurt, salmon, avocados, mushrooms and bananas  what is important about the diet of someone taking ACE inhibitors? - Correct answer can result in high potassium levels. Limit potassium intake (beans, spinach, potatoes, dried apricots, acorn squash, yogurt, salmon, avocados, mushrooms and bananas)  Taking Coumadin. Which foods should the client limit? - Correct answer Foods containing Vitamin K. Dark leafy greens (spinach), brussel sprouts, broccoli, asparagus, cabbage, pickels, prunes  what is a normal hematocrit level in a female?  What are normal Hgb values (female)? 65 [Date] 65  a nurse is reinforcing teaching to a client who is prescribed diazepam tor anxiety of the following statement indicated the client understand the teaching - Correct answer I will tell my doctor before I stop taking the medication  a nurse is reinforcing teaching to a client who is starting amitriptyline ( Elavil) for treatment of depression which of the following should the nurse include - Correct answer 1. change position slowly to minimize dizziness  chewing sugarless gum to prevent dry mouth  a client who is start taking lithium carbonate month ago tell the nurse she has just begun taking multiply daily doses of ibuprofen ( motrin) for tension headache. should the client avoid ibuprofen. why or why not ? - Correct answer what , if any is the appropriate action for the nurse to take NSAIDS such as ibuprofen increase the renal reabsorption of lithium carbonate , possibly leading to lithium carbonate toxicity . therefor this client would avoid NSAIDS . the nurse should notify the provider of client headache and ibuprofen us  a client has prescription for valproic ( Depakote) which of the following laboratory value should the nurse anticipate 66 [Date] 66 monitor for the client taking this medication - Correct answer thrombocytes, amylase count and liver function test  alcohol withdrawal  heroin withdrawal  nicotine withdrawal  alcohol abstinence  opioid over dose - Correct answer chlordiazeproxide( Librium)  methadone( dolophine)  bupropion ( wellbutrin)  disulfiram ( antabuse)  naloxone (narcan)  a client who has parkinson's disease is prescribed levodopa/carbidopa ( sinemet) and pramipexole ( Mirapex) for which of the following should the nurse monitor this client - Correct answer orthostatic hypotension  a nurse is preparing to care for a client in the surgical unit who will be receiving lorazapam ( ativan IV) . for what adverse effect should the nurse monitor this client - Correct 67 [Date] 67 answer the nurse should monitor the client respiratory depression  a client has a new prescription for spironilactone ( aldactone ) which of the following laboratory value should the nurse recognized as a reason to withhold the morning dose of the medication and notify the provider - Correct answer serum potassium 5.2  a nurse is caring for a client who prescribed daily dose of both digoxin ( llanoxin ) and furosemide ( Lasix) . the client potassium level 3.2 mEq/L for which of the following medication interaction is the client at risk - Correct answer Toxic level of digoxin  a nurse is reinforcing a teaching on a client who has a prescription for verapamil ( calan) which of the following statement by the client indicated need further teaching - Correct answer i should decrease the amount of calcium in my diet while taking the medication  A nurse is caring for an older adult client who ahs a new prescription for digoxin and takes multiple other medications. 70 [Date] 70  Adverse effects of ferrous sulfate - Correct answer constipation;  upset stomach;  black or dark-colored stools; or.  temporary staining of the teeth.  Baclofen (Lioresal) therapeutic outcome: - Correct answer Decrease the frequency and severity of muscle spasms (MS).  What is the difference between respiratory acidosis and respiratory alkalosis? - Correct answer Acidosis refers to an excess of acid in the blood that causes the pH to fall below 7.35, and alkalosis refers to an excess of base in the blood that causes the pH to rise above 7.45.  Bowel elimination how to get a specimen collection - Correct answer Collect stool specimens for serial fecal occult blood (guaiac) testing 3 times from 3 different defecations. Stool samples should come from fresh stools that are not contaminated with water or urine. 71 [Date] 71  Identifying manifestations of transient ischemic attacks - Correct answer symptoms r/t afffected area. Rapid onset of weakness, numbness, aphasia, visual field cuts. 1-2 clusters before stroke.  Musculoskeletal congenital disorders - Correct answer Monitor skin for breakdown areas and prevent pressure sores.  The nurse caring for a child in Buck's skin traction will keep the: - Correct answer Child pulled up in bed  Where should the cath bag be placed when urinary catheterization - Correct answer Make sure the catheter bag/system is at a level below the client's bladder to avoid reflux.  What are the signs and symptoms of fluid volume deficit - Correct answer loss of total body Na. Causes include vomiting, excessive sweating, diarrhea, burns, diuretic use, and kidney failure. Clinical features include diminished skin turgor, dry mucous membranes, tachycardia, and orthostatic hypotension. 72 [Date] 72  What is the nursing action for dehiscence - Correct answer Cover with a sterile towel moistened with sterile saline; Have patient flex knees slightly and put in Fowler's .