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Nursing ATI Final Quiz on Mental Health, Exams of Medicine

Dallas International University (DIU)Medicine

A nursing ATI final quiz on mental health. It contains 30 multiple-choice questions with highlighted answers. The questions cover various topics such as medication administration, lab values, and client assessment. The quiz is useful for nursing students who want to test their knowledge and prepare for their final exam.

Typology: Exams

2023/2024

Available from 10/05/2023

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NURSING 326|Mental Health ATI Final Quiz|Latest
2022 Complete
This has the highlighted answers that we need to go through.
1. A nurse is assessing a client who is receiving IV therapy. The nurse should identify which
of the following findings as a manifestation of fluid volume excess?
1. Decreased bowel sounds
2. Distended neck veins
3. Bilateral muscle weakness
4. Thready pulse
2. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
prescribed hypertonic solution. Which of the following findings should indicate to the
nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
d. Cardiac arrhythmias absent
3. A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal
patch. Which of the following instructions should the nurse include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
4. A nurse is reviewing the lab results of a client who has a prescription for sodium
polystyrene sulfonate every 6 hours. Which of the following should the nurse report to
the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin.
Which of the following outcomes indicates that the client is adhering to the medication
regimen?
a. The client has a negative sputum culture.
b. The client tests negative for HIV.
c. The client has a positive purified protein derivative test.
d. The client’s liver function test results are within the expected reference range.
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Partial preview of the text

Download Nursing ATI Final Quiz on Mental Health and more Exams Medicine in PDF only on Docsity!

2022 Complete

This has the highlighted answers that we need to go through.

  1. A nurse is assessing a client who is receiving IV therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? 1. Decreased bowel sounds 2. Distended neck veins 3. Bilateral muscle weakness 4. Thready pulse
  2. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent
  3. A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal patch. Which of the following instructions should the nurse include? a. “Discontinue the patch if you experience a headache.” b. “Apply a new patch if you have chest pain.” c. “Cover the patch with dry gauze when taking a shower.” d. “Remove the patch prior to going to bed.”
  4. A nurse is reviewing the lab results of a client who has a prescription for sodium polystyrene sulfonate every 6 hours. Which of the following should the nurse report to the provider? a. Creatinine 0.72 mg/dL b. Sodium 138 mEq/L c. Magnesium 2 mEq/L d. Potassium 5.2 mEq/L
  5. A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin. Which of the following outcomes indicates that the client is adhering to the medication regimen? a. The client has a negative sputum culture. b. The client tests negative for HIV. c. The client has a positive purified protein derivative test. d. The client’s liver function test results are within the expected reference range.

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  1. A nurse is caring for a client who develops an anaphylactic reaction to IV administration. After assessing the client’s respiratory status and stopping the medication infusion, which of the following actions should the nurse take next? a. Replace the infusion with 0.9% sodium chloride b. Give diphenhydramine IM c. Elevate the client’s legs and feet d. Administer epinephrine IM
  2. A nurse is caring for a client who is taking sertraline and reports a desire to begin taking supplements. Which of the following supplements should the nurse advise the client to avoid? a. St John’s Wort b. Ginger root c. Black cohosh d. Coenzyme Q
  3. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. Bradycardia b. Hypokalemia c. Tinnitus d. Hypotension
  4. A nurse is assessing a client who is receiving heparin continuous IV. The client has an aPPT of 90 seconds. They should monitor the client for which of the following changes in their vital signs? a. Decreased temperature b. Increased pulse rate Page 193 in ATI book says monitor for hemorrhage which would be tachycardia and hypotension c. Decreased respiratory rate d. Increased blood pressure I think this is right - Rosie
  5. A nurse is preparing to administer medication to a client and discovers a medication error. The nurse should recognize which of the following staff members is responsible for completing an incident report? a. The quality improvement committee b. The nurse who identifies the error c. The nurse who caused the error Found this in ATI Med Administration 1 Skills -Bailey d. The charge nurse

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  1. A nurse is teaching a client who has angina about a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? a. “Discard any tablets you do not use every 6 months.” b. “Take one tablet each morning 30 minutes prior to eating.” c. “Keep the tablets at room temperature in their original glass bottle.” d. “Place the tablet between your cheek and gum to dissolve.”
  2. A nurse is providing teaching to a client who has a new prescription for theophylline, a sustained-release capsule. Which of the following statements by the client indicates an understanding of the teaching? a. “I can take my medication in the morning with my coffee.” b. “I may sprinkle the medication in applesauce.” c. “I should limit my fluid intake while on this medication.” d. “I will need to have blood levels drawn.”
  3. A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to the client who has diabetes mellitus which of the following actions should the nurse take first? a. Withdraw the regular insulin from the vial b. Withdraw the NPH insulin from the vial c. Inject air into the NPH vial d. Inject air into the regular insulin vial C … because[Clear before cloudy] so push air into cloudy insulin first (nph), remove no drug, move to clear insulin, push remaining air, then w/draw dose, go back to cloudy and remove drug equal to amount of initial air injected.. NPH:cloudy Regular: clear.. ally
  4. A nurse is preparing to administer subcutaneous heparin to a client. Which of the following actions should the nurse take? a. Massage the site after administering the medication b. Use a 21-gauge needle for the injection c. Aspirate before injecting the medication d. Insert the needle at least 5 cm (2 in) from the umbilicus
  5. A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction? a. Nausea b. Cardiac dysrhythmia c. Laryngeal edema d. Insomnia

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  1. A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following? a. A client who has a referral for social services b. A client who is transdermal (transferal?) to radiology c. A client who is transferal to a step-down unit d. A client who has a consultation for physical therapy
  2. A nurse is reviewing the lab values of a client who is taking atorvastatin. Which of the following lab values indicates the treatment has been effective? a. BUN 15 mg/dL b. Blood glucose 90 mg/dL c. Urine specific gravity 1. d. LDL 120 mg/dL
  3. A nurse is receiving a medication prescription by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescription in the client’s medical record? a. Morphine 6 mg IV push every 3 hr PRN acute pain b. MSO 6 mg IV push every 3 hr acute pain c. MS 6 mg IV push every 3 hr PRN acute pain d. Morphine 6.0 mg IV push every 3 hr PRN acute pain
  4. A nurse is assessing a client’s IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take? a. Slow the IV infusion rate b. Initiate a new IV distal to the initial site c. Maintain the extremity below the level of the heart d. Apply a warm, moist compress
  5. A nurse is providing teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? a. “Diarrhea is a common adverse effect of this medication.” b. “Ringing in the ears is an expected adverse effect of this medication.” c. “Notify the provider if you develop a fever while taking this medication.”
  6. A nurse is teaching a client about oral contraceptives. Which of the following information should the nurse include in the teaching? a. Abdominal pain is an expected adverse effect of oral contraceptives

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b. Having a 10-year history of COPD c. Having a prolapsed mitral valve d. Taking an HMG CoA reductase inhibitor

  1. A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone? a. Decrease nausea b. Increased pain relief c. Decreased blood pressure d. Increased respiratory rate
  2. A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider? a. The client has a BUN of 18 mg/dL b. The client takes an aspirin daily c. The client has a history of a severe penicillin allergy d. The client reports a history of nausea with cefuroxime
  3. A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Acetylcysteine c. Calcium gluconate d. Flumazenil
  4. A nurse is assessing a client following the administration of ondansetron (Zofran). Which of the following findings should indicate to the nurse that the ondansetron has been effective? a. Client reports a decrease in pain b. Client reports a decrease in nausea c. Client reports a decrease in coughing d. Client reports a decrease in diarrhea
  5. A nurse manager is planning an in-service about pain management with opioids for a client who has cancer. Which of the following information should the nurse manager include? a. IM administration is recommended if PO opioids are ineffective b. Respiratory depression decreases as opioid tolerance develops c. Meperidine is the opioid of choice for treating chronic pain d. Withhold PRN medication for the client who is receiving opioids every 6 hr

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  1. A nurse is reviewing the list of current medications for a client who is to start a prescription for carbamazepine. The nurse should identify which of the following medications interacts with carbamazepine? a. Nicotine transdermal system b. Diphenhydramine c. Estrogen-progestin combination d. Beclomethasone
  2. A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss? a. Rifampin b. Ciprofloxacin c. Penicillin G d. Gentamicin
  3. A nurse is teaching a guardian of a school-age child who has a prescription for fluticasone metered dose inhaler. Which of the following information should the nurse include in the teaching? SATA a. Soak inhaler in water after use b. Have your child take one inhalation as needed for shortness of breath c. Shake the device prior to administration d. A space will make it easier to use the device e. Rinse your child’s mouth following administration
  4. A nurse is preparing to administer potassium chloride elixir 20mEq/day PO to divide equally every 12 hours. Available is 6.7mEq/5ml. How many ml should the nurse administer per dose? Round to nearest tenth _7.5 mL
  5. A nurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching? a. You will need liver function tests before beginning therapy b. Avoid consuming dairy products while taking this medication c. You may crush the medication and mix it with applesauce d. You should take the medication in the morning

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  1. A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? a. Apply firm pressure to the injection site following administration b. Administer the medication into the clients muscle c. Expel air bubble from syringe prior to injection d. Insert the syringe needle halfway in the client’s skin
  2. A nurse is reviewing a client’s 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following lab values warrants an incident report? a. aPTT 90 seconds b. Hgb 16 g/dL c. INR 1. d. WBC 6,000/mm
  3. A nurse is caring for a client who has breast cancer and reports pain 1 hr administration of prescribed morphine 10mg IV. Which of the following medications should the nurse expect to administer? a. Naloxone IV b. Morphine tablet c. Lidocaine patch d. Fentanyl transmucosal
  4. A nurse is assessing a client who reports taking over the counter antacids. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Constipation- ally, ati ebook pg 222 b. Decreased urine output c. Positive trousseau’s sign This sign happens w/ hypOcalcemia I thought? d. Headache

51. N/A

  1. A nurse is caring for a client who is to receive potassium replacement. The provider’s prescription reads: “Potassium chloride 30mEq in 0.9% sodium chloride 100ml IV over 30min” which of the following reasons should the nurse clarify this prescription with the provider? a. Potassium chloride should be diluted in dextrose 5% in water b. The potassium infusion rate is too rapid c. Another formulation of potassium should be given IV

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d. The client should be treated by giving potassium by IV bolus

  1. A nurse is monitoring lab values for a client who has chronic heart failure and is receiving digoxin. Which of the following values should the nurse report to the provider? a. Sodium 138mEq/dL b. Magnesium 1.5mEq/dL c. BUN level 10mg/dL d. Potassium 2.9 mEq/L

54. N/A

  1. A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red tinge. Which of the following actions should the nurse take? a. Check client liver function test results b. Instruct the client to increase his fluid intake c. Document this as an expected finding d. Prepare the client for dialysis
  2. A nurse accidently administers the medication metformin instead of metoprolol to a client. Which action should the nurse take? a. Monitor the clients thyroid function levels b. Collect the clients uric acid level c. Obtain the client HDL level d. Check client’s glucose level
  3. A nurse is administering 4mg hydromorphone to a client by mouth every 4 hr, the medication is provided as hydromorphone 8mg per tablet. Which of the following actions is appropriate for the nurse to take? a. Return the remaining medication to the facility’s pharmacy b. Store the remaining half of the pill in the automated medication dispensing system c. Place the remaining half of the pill in the unit dose package d. Dispose of the remaining medication while another nurse observes
  4. A nurse is caring for a 4yr child following an orthopedic procedure. When assessing the child for pain. Which of the following pain scales should the nurse use? a. FACES b. Numeric c. CRIES d. Word graphic

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  1. A nurse is assessing a client who is taking an osmotic laxative which of the following findings should the nurse identify as an indication of fluid volume deficit? a. Nausea b. Weight gain c. Headache d. Oliguria
  2. A nurse is reviewing the lab results of a client who is taking amitriptyline which of the following laboratory values should the nurse report to the provider? a. Total bilirubin 1.5 mg/dL b. Potassium 4.2 mEq/L c. Hct 44% d. WBC count 5,000/mm

67. N/A

  1. A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances? a. Hypocalcemia b. Hypokalemia c. Hyponatremia d. Hypomagnesemia
  2. A nurse is assessing a client after administering phenytoin IV bolus for seizure. Which of the following should the nurse identify as an adverse effect of this medication? a. Hypoglycemia b. Bradycardia c. Red man syndrome d. Hypotension
  3. A nurse is consulting a formulary about a client’s new prescription for raloxifene. The nurse should identify that this medication is used to treat which of the following conditions? a. Osteoporosis b. Hypothyroidism c. Urinary tract infection d. Deep vein thrombosis

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Extra stuff just in case

Found this on CourseHero it had both sets of questions so I dk if this is another possible version?

  1. A nurse is providing discharge dietary teaching to a client who has something and is taking theophylline and to provide general instructions the nurse should include? 1. Avoid caffeinated beverages 2. Take the medication with meals 3. Restrict milk products 4. Limit sodium intake
  2. The nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first? a. Withdrawal NPH from the vial b. Inject air into the NPH vial c. Inject air into the regular vial d. Withdrawal regular insulin from the vial
  3. A nurse is teaching a client who has a new prescription of Alendronate for osteoporosis. What instructions should the nurse include? a. Take the medication immediately after breakfast b. Take the medication with an antacid c. Sit upright for at least 30 mins after taking the medication d. Drink orange juice with the medication

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  1. A nurse is assessing a client who has been taking digoxin and …… which of the following findings to the nurse indicates this client has developed digoxin toxicity? a. Ringing in the ears b. Hyperkalemia c. Blurred vision d. Hypertension
  2. A nurse is caring for a client who received neostigmine 1 hour ago and is experiencing muscarinic response. Which if the following manifestations should the nurse expect? a. Headache b. Excessive salivation c. Fever d. Myoclonic seizure
  3. A nurse in the emergency department is reviewing a medication record for a client who reports vomiting blood. The nurse should anticipate the provider will discontinue which of the following medications? a. NPH insulin b. Clopidogrel c. Furosemide d. Pantoprazole
  4. A nurse is assessing a client who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication? a. Agitation b. Report of blurred vision c. Hypertension d. Watery diarrhea
  5. A nurse is teaching a client who is to start taking Cromolyn. Which of the following information should the nurse include in the teaching? a. Cromolyn should take effect within 5 mins b. Cromolyn should dilate the bronchioles c. Cromolyn can be used after exercise d. Cromolyn is a long-term management medication
  6. A nurse is reviewing the medications of a client that is experiencing orthostatic hypotension. The nurse should identify this finding as an adverse effect of which of the following medications? a. Imipramine b. Levothyroxine

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c. Montelukast d. Omeprazole

  1. A nurse is reviewing a client’s medical history before administering a new prescription of atropine. Which of the following client conditions is contraindicated? a. Glaucoma
  2. A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects? a. Insomnia b. Blurred vision c. Tachypnea d. Metallic taste 17. Math problem: a nurse is preparing to administer 4000 units of heparin available is 10,000 units = 0.
  3. A nurse is caring for a client who reports that his current pain medication is no longer relieving her pain. Which of the following medications requires the nurse to obtain a written rather than a verbal prescription from the provider? a. Fentanyl
  4. A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following actions by the newly licensed nurse requires the charge nurse to complete an incident report? a. A client who has a lithium level of 1.8 receives her morning dose
  5. A nurse is caring for a client who has an alcohol use disorder and is experiencing withdrawals. Which of the following interventions is a priority at this time? a. Encourage participation in a 12-step program b. Implement seizure precautions
  6. A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction? a. Furosemide and Amikacin

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  1. A nurse is teaching the parent of a toddler who is to begin taking ferrous fumarate. Which of the following statements by the parent indicates an understanding of the teaching? a. I will rinse my child's mouth with water after she takes the medicine
  2. A nurse is caring for a client who is to start therapy with lovastatin. the nurse should prepare the client for which of the following diagnostic assessments? a. Liver function test
  3. A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan? a. The client will wear his reading glasses when drawing insulin glargine 32. A nurse is caring for a client who is receiving a continuous IV infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (Select all that apply) a. Absence of deep-tendon reflexes b. Urine output 80 mL/hr- not true… don’t know other options c. Decreased LOC d. Decreased RR if that’s an option
  4. A nurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching? a. I will rotate application site to avoid skin irritation
  5. A nurse in a provider's office is preparing to teach a middle adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of the following medications should the nurse plan to teach the client about first? a. Metformin
  6. A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

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a. You will need to take two or more medications to treat your disease

  1. A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care? a. Monitor for hearing loss
  2. A nurse is obtaining a medication history from a client who has gout and is prescribed probenecid. the nurse should notify the provider that the client is taking which of the following over-the counter medications? a. Salicylic acid (Aspirin)
  3. A nurse is teaching a client who has HIV and a new prescription for efavirenz. Which of the following instructions should the nurse include in the teaching? a. Notify provider for the appearance of a skin rash- Can lead to Stevens- Johnson Syndrome
  4. A nurse is evaluating a client who has tuberculosis and has been taking rifampin for 1 month. Which of the following laboratory tests should the nurse review to evaluate for an adverse effect of this medication? a. ALT
  5. A nurse is teaching a client who has multiple allergies about using an epinephrine auto- injector. Which of the following instructions should the nurse include? a. Administer the medication through clothing if necessary
  6. for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching? a. I should stay upright for 15 minutes after taking this medication.
  7. A nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. the nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? a. 1.