Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

ATI Modules 1-3 Practice Quizzes: A Guide to Genetics and Fluid Balance, Exercises of Nursing

Concordia University TexasNursing

Study material for NUR3251 pharmacology 2 for exam 1 material to help prepare for the exam.

Typology: Exercises

2022/2023

Uploaded on 09/28/2023

sharon-67
sharon-67 🇺🇸

3 documents

1 / 6

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
ATI Modules 1-3 Practice Quizzes
Module 1
1. The presence of certain factors in a person's genetic makeup that increases the likelihood of
eventually developing one or more diseases is known as which of these?$
-Genetic Predisposition
2. The nurse is reviewing genetic concepts. Which is considered the biologic unit of heredity?
-Gene
3. The nurse is reviewing gene therapy. Which is teh primary molecule in the body that serves to
transfer genes from parents to offspring?
-DNA
4. Genetic factors (missing enzymes) can alter the__________________ of certain medications, thus
enhancing or reducing a medication’s action.$
-Metabolism
5. The nurse is assessing a patient for a possible increased risk for genetic disorders. Which of these,
if present, may indicate an increased risk for a genetic disorder?
-Having a maternal grandmother, two maternal aunts, and a sister who were diagnosed with
colon cancer
-Having a brother who dies of a myocardial infarction at age 29.
-Having a family member who has been diagnosed with more than one type of cancer$
6. Which of these are examples of a product formed by an indirect form of gene therapy?
-hormones
-Antibiotics
-Monochlonial antibiotics
-Hormones
7. General responsibilities of the nurse regarding genetics may include which of these activities?
-Referring the patient to a genetic counselor or other genetics specialist
-Assessing the patient's personal and family history
-Maintaining privacy and confidentiality during the testing process
8. Which statement regarding gene therapy is accurate?
-The majority of the world’s insulin supply has been produced by recombinant gene
technology.
9. Liquid potassium chloride is ordered as follows: Give 16mEq per percutaneous endoscopic
gastronomy (PEG) tube twice a day. The dose on hand contains 20mEq/15mL. How much will the
nurse give per dose?
-12 ml
pf3
pf4
pf5

Partial preview of the text

Download ATI Modules 1-3 Practice Quizzes: A Guide to Genetics and Fluid Balance and more Exercises Nursing in PDF only on Docsity!

ATI Modules 1-3 Practice Quizzes Module 1

  1. The presence of certain factors in a person's genetic makeup that increases the likelihood of eventually developing one or more diseases is known as which of these? -Genetic Predisposition
  2. The nurse is reviewing genetic concepts. Which is considered the biologic unit of heredity? -Gene
  3. The nurse is reviewing gene therapy. Which is teh primary molecule in the body that serves to transfer genes from parents to offspring? -DNA
  4. Genetic factors (missing enzymes) can alter the__________________ of certain medications, thus enhancing or reducing a medication’s action. -Metabolism
  5. The nurse is assessing a patient for a possible increased risk for genetic disorders. Which of these, if present, may indicate an increased risk for a genetic disorder?
    • Having a maternal grandmother, two maternal aunts, and a sister who were diagnosed with colon cancer -Having a brother who dies of a myocardial infarction at age 29.
    • Having a family member who has been diagnosed with more than one type of cancer
  6. Which of these are examples of a product formed by an indirect form of gene therapy? -hormones -Antibiotics -Monochlonial antibiotics -Hormones
  7. General responsibilities of the nurse regarding genetics may include which of these activities?
    • Referring the patient to a genetic counselor or other genetics specialist -Assessing the patient's personal and family history -Maintaining privacy and confidentiality during the testing process
  8. Which statement regarding gene therapy is accurate? -The majority of the world’s insulin supply has been produced by recombinant gene technology.
  9. Liquid potassium chloride is ordered as follows: Give 16mEq per percutaneous endoscopic gastronomy (PEG) tube twice a day. The dose on hand contains 20mEq/15mL. How much will the nurse give per dose? -12 ml
  1. The nurse is explaining the general goal of gene therapy to a patient. With gene therapy, the general goal is to transfer exogenous genes to a patient for which result?
    • To change the patient's own genetic functioning to treat a given disease Module 2
  2. 0800: The client is diagnosed with dehydration, likely due to exertion in the setting of diuretic use. New orders are placed. Which 2 health care provider orders would the nurse expect for the client at this time?
  • Recheck metabolic panel -500 mL IV 0.9% normal saline and glucose 5% bolus over 2 hours Rationale: The nurse would expect the health care provider to order an isotonic IV bolus with glucose to correct the fluid and electrolyte abnormalities, and to recheck the metabolic panel to ensure the deficiencies are resolved. Normal saline is an isotonic solution. The nurse would never push IV potassium; furthermore, the client’s potassium is normal, so additional IV potassium is not indicated. Three percent normal saline is a hypertonic solution and used to treat hyponatremia. IV furosemide is a rapid-acting diuretic, which will further decrease intravascular fluid volume and worsen dehydration. This should be avoided. The client may continue oral furosemide as prescribed at home to prevent decompensation of heart failure.
  1. Phase: 1 The nurse in the emergency department is caring for a 48-year-old male client with an extensive cardiac medical history, including atrial fibrillation, coronary artery disease, systolic heart failure, ventricular tachycardia, and tobacco dependence, who presents with an episode of syncope during exertion while playing basketball. The client was unresponsive after passing out. After paramedics arrived to the scene, he was weak but alert and oriented to person, place, and time. Nurses' Notes Vital Signs 0630 : The client is lying comfortably. He is alert and oriented to person, place, and time. Speech is clear, with voice dry. Lung sounds are clear without wheezes, rales, or rhonchi. Regular heart rate and rhythm, S1 S2 is noted without murmur or rub appreciated. Apical heart sound is normal, but the rate is tachycardic. Abdomen is soft, non-tender, and not distended. Bowel sounds are present in all four quadrants. Extremities have 1+ thready pulses throughout, are warm to touch, and have no edema. Laboratory tests are drawn. EKG shows sinus tachycardia at 102 beats per minute. Vital signs are assessed. Click to highlight the information that raises immediate concern for the nurse. The nurse in the emergency department is caring for a 48-year-old male client with an extensive cardiac medical history, including atrial fibrillation, coronary artery disease, systolic heart failure, ventricular tachycardia, and tobacco dependence, who presents with an episode of syncope during exertion while playing basketball. The client was unresponsive after passing out. After paramedics arrived to the scene, he was weak but alert and oriented to person, place, and time. Nurses' Notes 0630: The client is lying comfortably. He is alert and oriented to person, place, and time. Speech is clear, with voice dry. Lung sounds are clear without wheezes, rales, or rhonchi. Regular heart rate and rhythm, S1 S2 is noted without murmur or rub appreciated. Apical heart sound is normal, but the rate is tachycardic. Abdomen is soft, non-tender, and not distended. Bowel sounds are present in all four quadrants. Extremities have 1+ thready pulsesthroughout, are warm to touch, and have no edema. Laboratory tests are drawn. EKG shows sinus tachycardia at 102 beats per minute. Vital signs are assessed.
  • dry voice

Complete the following sentence by choosing from the list of options. Based on the client’s response, the nurse would _______1________.

  • Prepare the client for discharge Rationale: After the second bolus, the client response is satisfactory as evidenced by normalized heart rate and blood pressure as well as normal electrolyte, renal function, and hematocrit.
  1. Phase: 3 Question Number: 6 The nurse reviews the discharge instructions with the client using the teach-back method in which the client reiterates what has been learned from the nurse. The client is nervous about discharge and continuation of diuretics. Highlight the findings that would indicate the client understands how to restart the diuretics. “I will continue to take spironolactone and furosemide as prescribed to prevent worsening heart failure symptoms. On days that I exercise, I will consume extra water to prevent dehydration. I will also choose foods higher in potassium, especially on days I exercise, to ensure I have enough potassium in my body. Ideally, I will take my diuretics right before exercise. If I notice myself getting lightheaded or dizzy, I will sit down immediately.” Rationale: The client needs to continue spironolactone and furosemide to prevent worsening heart failure symptoms. On exercise days, the client should consume extra water to prevent dehydration and choose foods higher in potassium to prevent syncopal episodes in the future. If the client becomes dizzy, the client needs to sit down immediately to preventing falling and potentially causing significant harm. The nurse must re-educate the client on the timing of diuretics. If the client were to take diuretics right before exercise, there is a greater risk of syncope. Furosemide peak effect is 1 hour after taking. The client should take the diuretics 6 hours before exercising.
  2. Phase: 1 Question Number: 2 0715 LABS 0715 LABS 0730 HOME MEDS VITAL SIGNS 0630 NURSES' NOTES Laboratory Test Result Sodium

mmol/ L Potassium

mmol/ L Chloride

mmol/ L Blood Urea Nitrogen (BUN)

mmol/ L Creatinine

mg/dL Glucose

mmol/ L Calcium 2. mmol/

L

Magnesium

mmol/ L White Blood Cells (WBC)

109 /L

Complete the following sentence by choosing from the list of options. The nurse immediately addresses the client’s _____1_____ because of the ____2_____ and ____3____. Options Choices Option 1 (Choose 1) 1. Pain 2. Fluid volume 3. Respiratory function Option 2 (Choose 1) 1. Electrolytes 2. White blood cells 3. Liver function Option 3 (Choose 1) 1. Platelets 2. Renal Function 3. Red blood cells Rationale: The nurse must immediately address the client’s fluid volume, which may be compromised based on the client’s elevated heart rate (tachycardia), altered electrolytes (specifically sodium), and abnormal renal function as indicated by the elevated BUN and creatinine. Addressing fluid volume status is very important because it can prevent potentially life-threatening hypovolemic shock and other acute conditions. The client denies pain, so it is not a priority for the nurse to address. The client’s respiratory function is within normal limits as is evident due to the normal rate and lack of shortness of breath. In terms of assessment findings indicative of compromised fluid volume, the client presents with a faster heart rate, altered electrolytes, and abnormal renal function. The client’s temperature and respiratory rate are within normal limits. Similarly, the client’s liver function is normal. Platelets and white blood cells are within the expected ranges. Although the client’s hematocrit is elevated, the hemoglobin is normal, so the client is not anemic. Hematocrit is the volume percentage of red blood cells (RBCs) in the blood, so it can be affected by other factors such as fluid volume, athletic performance, and even higher altitude. Module 3

  1. Order: Dilantin 150mg. IV push stat. Available: Dilantin 250mg/ 5 ml. Literature states that the IV infusion must not to exceed 50 mg/min. How much time is needed to administer the required drug? Units in answer should be minutes. Ans: 3 minutes
  2. Order: Dilantin 150mg. IV push stat. Available: Dilantin 250mg/ 5 ml. Literature states that the IV infusion must not to exceed 50 mg/min. How much should you prepare to administer? Ans: 3 ml
  3. Order: Valium 20mg. IV push STAT at 5mg/min for a patient with seizures. Available: Valium 5 mg/ml How many milliliters will be needed to administer the dose? Your answer should include ml as the unit. Ans: 4 ml