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Mixed questions (practice test) on ATI
Capstone assessment A remediation
True or false All clients should be asked whether they have advance directives upon admission to a health care facility - True True or false The scope of practice for RN's include the who, what, when, where and why - True True or false Written information that outlines rights relates to health care decisions and how to formulate advance directives should be given to clients by staff that do have advance directives - False- given to clients that do not have advance directives Whenever there is a need for nursing knowledge, compassion and expertise is the - The WHEN in the nursing scope of practice Avoid distractions during medication preparation such as poor lighting and phones is - Safe medication administration and error reduction: using patient identifiers What is the purpose of advance directives? - to communicate a client's wishes regarding end-of-life care should the client become unable to do so. A medication that is used to manage and treat postoperative nausea , vomiting and motion sickness is? -
Scopolamine Healthy weight is indicated by? - A BMI of 18.5 to 24. Patients with active peptic ulcer disease should not receive what medication? - Niacin Where ever there is a patient in need if care is what part if the scope of practice for RN's - Where The nurse should remove items that could cause the client to trip such as throw rugs, loose carpets is what planning care - Planning care for s patient who has vision loss Underweight is indicated by? - A BMI less that 18. Patients with hypersensitivity to Niacin or any component of this medication, should not receive - Niacin Prepare medications for one patient at a time is - Safe medication administration and error reductions : using patient identifiers Laws, statutes and regulations are enacted by? - Local, state or federal government Hypertonic formula with insufficient free water can cause? - Hyperosmolar dehydration A BMI greater than or equal to 30 indicates? -
Children who have signs and symptoms of; diarrhea, impaired growth, lack of appetite fatigue would have what disease? - Celiac disease ciliac disease is what form of disorder? - Gastrointestinal disorder True or false Clients who have a mental health disorder diagnosis or who are receiving acute care for mental health disorder are guaranteed the same civil rights as any other citizen. - True - such as the right to vote, press legal charges against another person Mild contractions lasting 20-40 seconds is the onset of? - Regularly perceived uterine contractions The client should eat small, frequent meals and not allow the stomach to get get too empty or full is a sign of what in the second trimester of pregnancy? - Heartburn In the scope of practice for RNs, describe the WHAT - Nursing is the protection, promotion and optimization of health and abilities. Prevention of illness snd injury; facilitation of healing; alleviation of suffering through the diagnosis and treatment if human response; and advocacy in the care of individuals, families, group, communities and populations Is Bacterial meningitis a contagious or non contagious infection? - Contagious The profession exists to achieve the most positive patient outcomes in keeping with nursing's social contract and obligation to society is what scope of practice for RNs? - The WHY scope of practice for RNs
Patients who have active liver disease or present with unexplained and persistent elevations in hepatic transaminases should not have what medication? - Niacin Identify a clients outcomes for medication administration is under what practice? - Safe medication: administration and error reduction: using patient identifiers For bacterial meningitis, what does prognosis depend on? - How quickly care is initated Increased body weight in relation to hight is defined as - Overweight Nursing interventions that include slowing the rate of delivery, dilute or changing isotonic formula is for what? - Intervening for hypersmolar A BMI of 25-29 and are about 20% above desirable levels is an indication of? - Overweight Flumazenil is given to a patient who has? - Benzo toxicity Treatment for celiac disease is limited to? - Avoiding gluten Wearing a well-fitting and supportive bra is education and teaching on? - Relieving breast engorgement Sitting up for 30min after each meal and check with the doctor for using OTC antacids, is managing what? -
What is gluten found in? - wheat, rye, barley drowsiness; tiredness; headache; metalic or garlic like taste in the mouth; skin rash or acne; impotence; swollen or sore tongue is adverse effects of what medication? - Disulfiram Immunization recommendations for a 2 month old is? - Hep B DTap IPV Use a breast pump if the breast is not empty and alternate breasts with each feeding is teaching and education on? - Relieving breast engorgement Isolate the client as soon as meningitis is suspected and maintain droplet precautions per facility protocol is isolation precautions for bacterial meningitis, what disorder would this be? - Acute neurologic disorders Educate on different relaxation techniques and conduct teachings on things such as; breastfeeding, newborn care, and effective bearing down is the nursing intervention and pain management for? - The latent phase of labor Allowing infant to feed on demand, about 8-10 times within 24 hours and to completely empty each breast at feeding times is education and teaching of? - Relieving breast engorgement Which one is the correct spelling?
- Nicain
- Niacin
- Niaccin
- Niciacin -
- Niacin Allowing patients to be continually active - upright maternal positions are recommended is what nursing intervention? - Nursing intervention for pain during the latent phase of labor When a patient has pelvic pain or sepsis; hemodynamically instability or shock; known bleeding disorder; concurrent anticoagulant therapy; confirmed or suspected ectopic or molar pregnancy- what medication should not be administered to assist with labor and delivery? - Misoprostol Which if the following is the correct spelling?
- Disulfiram
- Disulifram 3.Dislufram
- Disullfiram -
- Disulfiram If the effects are; Wakefulness,Sleep duration, Irritability, Temperature variation Tachycardia, tremors Hyperactivity, Diarrhea, diaphoresis Disorganized suck Respiratory distress, rub marks, rhinorrhea Apneic attacks, autonomic disfunction Weigh loss or failure to gain Alkalosis or lacrimation The diagnosis would be? - Neonatal effects of maternal cocaine use
Digoxin and potassium levels should be checked regularly This is a manifestation of digoxin toxicity Paediatric- Respiratory Emergencies include respiratory insufficiency, respiratory failure, apnea, respiratory arrest and airway obstruction, lab test would include? And should this lab result be reported to the provider? - ABG's & yes should be reported to provider Assess VS every 15 min throughout infusion is done when a patient is having? - Blood to blood transfusions Inotropic agents such as digoxin are used to? - Increase contractility of the heart When having gastrointestinal therapeutic procedures, what are the complications of total parenteral nutrition? - Dehydration and electrolyte imbalances Thrombosis Hyper/hypo- glycemia Infection Liber failure Pediatric Emergencies - what lab test would be done for poisoning? - CBC with diff ABG Serum iron Serum acetaminophen LFTs Blood alcohol Tox screen What is TPN & what is it used for? -
total parenteral nutrition It is an IV bolus solution used to correct deficiencies water and sodium loss in equal amounts, blood sodium WNL is what lab result? - Isotonic dehydration True or false When transfusing blood for an older adult client, assess patients for cardiac & renal dysfunctions prior to infusion - True Prior to admission record the apical pulse for 1min, if HR is below 60bpm or greater than 100bpm, hold medication and contact doctor. This is a manifestation of? - Digoxin toxicity ( heart failure and pulmonary edema) Water loss greater than electrolyte loss - blood sodium is greater than 160mEq/L is what lab result? - Hypertonic Paediatric emergencies- for life threatening events, lab tests and diagnostics include? - Bacterial/viral blood cultures Urine culture CBC Blood glucose Electrolytes ECG EEG pH study MRI Sleep study Nurses must use ethical principles to decide ethical issues. These include; -
What would nurses monitor for when a patient is taking theophylline? - Monitor for toxicity Adverse effects of theophylline are? - Tachycardia Nausea Diarrhea Manifestations of diabetes plus casual blood glucose concentration, without regard to time since last meal...the lab value would be - Greater than 200mg/di Afib effects more men or women? - Men What would a high pressure ventilator alarm indicate? - Excess secretions Client biting the tube Kinks in tubing Client coughing Pulmonary edema Bronchospasm Pneumothorax When a client is on albuterol for COPD what should the nurse watch for? - Tremmors Fasting blood glucose - no calorie intake within 8hours of testing, what would the lab value be? - Greater than 200mg/di
What is most common in patients older than 60 and affecting approximately 5% of people within this age group? - Afib What would a low pressure ventilator alarm indicate? - A low exhaled volume due to disconnection Cuff leak Tube displacement What is the cardiac assessment following valvuloplasty? - Weigh client daily Open wounds cleaned carefully Antibiotic ointment used Report manifestations of heart failure Fever, petechial rash immediately In cardiac Assessment the nurse would notify the provider with a weight gain within what time frame? - 3lb gain in 1 day 5lb gain in 1 week Inadequate cuff pressure can result in inadequate oxygenation and or accidental extubating, the nurse should assess for? - Air leaks around the cuff Client speaking Air hissing Decreased SaO What can an audit produce? - Valuable quantitative data
Statements to include in an incident report would be provide data for performance improvement studies regarding the incidence of client injuries and care related errors - True Concurrent audits occur when? - While the client is receiving care True or false A licensed nurse is responsible for providing clear direction when a task is initially delegated and for periodic reassessment and evaluation of the outcome of the task. - True Prospective audits predict what? - How future client care will be effected by the current level of service.
