ati Flashcards

1
Q
  1. A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication?
A

-aplastic anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?
A

-influenza like symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment. Select all that apply.
A
  • irrigating a client’s abdominal wound

- suctioning a client’s new tracheostomy tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?
A

-gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as the greatest risk for contracting HIV?
A

-a phlebotomist who collects blood from clients who have HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. A nurse is teaching a client who has benign prostatic hypertrophy and has new prescription for finasteride. Which of the following instructions should the nurse include in the teaching?
A

-“decreased libido is an adverse effect of the medication”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s priority?
A

-CD4-T cell count 180 cells/mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove first?
A

-gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. A nurse is teaching a client following a cystoscopy about his new prescription for tamsulosin. Which of the following adverse effects should the nurse include in the teaching?
A

-dizziness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?
A

-flu-like symptoms and night sweats

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. A nurse is teaching an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?
A

-“I will wear gloves and gown when bathing a client who has open skin lesions”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?
A

-gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?
A

-finasteride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
A

-it is primarily transmitted through direct contact with infected body fluids.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect which of the following findings?
A

-difficulty starting the flow of urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s priority?
A

-CD4-Tcell count 18 cell/mm

17
Q
  1. A nurse is teaching a client who has a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching?
A

-“transmission of the disease will not occur when my lesions are gone”

18
Q
  1. A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, “I don’t know what I will do if they find I have cancer.” Which of the following responses should the nurse make?
A

-“im hearing that you are concerned that it might turn out that you have cancer”

19
Q
  1. A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove last?
A

-mask

20
Q
  1. A nurse is caring for a client who is 2hr postoperative following a transurethral resection of the prostate (TURP) gland. Which of the following assessments should the nurse view to be an indication of a postoperative complication?
A

-output of burgundy colored urine

21
Q
  1. A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis?
A

-western blood analysis

22
Q
  1. A nurse sees an assistive personnel (AP) entering the room of a client who requires transmission-based precautions without using the appropriate personal protective equipment (PPE). Which of the following actions should the nurse take first?
A

-provide the appropriate PPE to the AP

23
Q
  1. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should plan to administer the client’s PRN bethanechol when the client reports which of the following manifestations?
A

-an inability to void

24
Q
  1. A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, “I don’t care what the doctors say, there is no way I can have HIV, and I don’t need treatment for something I don’t have”. The nurse identifies that the client is experiencing which of the following types of crisis?
A

-situational

25
Q
  1. A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as a personal protective equipment when taking which of the following actions?
A

-completing a dressing change

26
Q
  1. A nurse is among the first responder to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?
A

-choose the highest level of protection equipment available

27
Q
  1. A nurse in a clinic is caring for a female client who was exposed to gonorrhea. Which of the following actions should the nurse take?
A

-obtain information about the client’s recent sexual experiences

28
Q
  1. A nurse is assessing a client who has history of HIV with phagocytic dysfunction. The nurse should monitor this client for which of the following conditions?
A

-fungal infection

29
Q
  1. A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? Select all that apply
A
  • use sterile technique when preparing the irrigation solution
  • ensure the drainage tubing is patent and without obstruction
  • notify the surgeon if the urine is bright red in appearance or has large clots
30
Q
  1. A nurse in a provider’s clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client a contraindication to taking sildenafil?
A

-isosorbide

31
Q
  1. A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the client’s meal tray?
A

-mask

32
Q
  1. A nurse is caring for a client who has HIV. Which of the following laboratory tests should the nurse monitor to assess the effectiveness of therapy?
A

-quantitative RNA assay

33
Q
  1. A nurse is caring for a client who is 5hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client’s indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
A

-check the tubing for kinks

34
Q
  1. A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
A

-apply direct pressure over the wound

35
Q
  1. A nurse is wearing personal protective equipment and is preparing to leave a client’s room after providing care. Which of the following actions should the nurse take?
A
  • remove the gloves
  • remove the protective eyewear
  • remove the gown
  • remove the mask