ATI

Question 1

A nurse is discussing restorative healthcare with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply)

a. Home Health care
b. Rehabilitation facilities
c. Diagnostic centers
d. Skilled nursing facilities
e. Oncology centers

Answer 1

a, b, d

Question 2

A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (select all that apply)

a. Preferred provider organization (PPO)
b. Medicare
c. Long-term care insurance
d. Exclusive provider organization (EPO)
e. Medicaid

Answer 2

b, e

Question 3

A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following should the nurse include in a primary health care strategy?

a. Collaborating with providers to perform obesity screenings during routine office visits
b. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity
c. Providing specialized intraoperative training in surgical treatments for obesity
d. Educating acute care nurses about postoperative complications related to obesity

Answer 3

a

Question 4

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?

a. Monitor evidence-based practice for clients who have specific diagnosis
b. Ensuring the health care providers comply with regulations
c. Setting quality standards for accreditation of healthcare facilities
d. Determining whether medications are safe for administration to clients

Answer 4

b

Question 5

A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (select all that apply)
* remember tertiary care= intensive and subacute care*

a. Oncology treatment center
b. Burn center
c. Cardiac rehabilitation
d. Home health care

Answer 5

a, b, c

Question 6

A nurse is caring for a group of clients on medical surgical unit. For which of the following client care needs should the nurse initiate a referral for social worker? (select all that apply)

a. A client who has terminal cancer requests hospice care in the home
b. A client asks about community resources available for older adults
c. A client states,” I would like to have my child baptized before surgery.”
d. A client requests an electric wheelchair for use after discharge
e. A client states,”I do not understand how to use a nebulizer.”

Answer 6

a, b, d

Question 7

A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team?

a. Social worker
b. Certified nursing assistant
c. Registered dietitian
d. Occupational therapist

Answer 7

d

Question 8

A client who is postoperative following arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication’s effects? (select all that apply)

a. Provider
b. Certified nursing assistant
c. Pharmacist
d. Registered nurse
e. Respiratory therapist

Answer 8

a, c, d

Question 9

A client who had a cerebrovascular accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?

a. Social worker
b. Certified nursing assistant
c. Occupational therapist
d. Speech-language pathologist

Answer 9

d

Question 10

A nurse is acquainting a group of newly licensed nurses with the roles of the various members of healthcare team they will encounter on a medical-surgical unit. When providing examples of the types of tasks certified nursing assistants (CNAs) can perform, which of the following client activities should the nurse include? (select all that apply)

a. Bathing
b. Ambulating
c. Toileting
d. Determining pain level
e. Measuring vital signs

Answer 10

everything except for determining the pain level

a, b, c, e

Question 11

A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that healthcare professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (select all that apply)

a. Planning and evaluating control and preventing strategies
b. Determining public health priorities
c. Ensuring proper medical treatment
d. Identifying endemic disease
e. Monitoring for common-source outbreaks

Answer 11

a, b, c, e

Question 12

A nurse is caring for a client who has had a cough for 3 weeks and is beginning to cough up blood. The client has manifestation of which of the following conditions?

a. Allergic reaction
b. Ringworm
c. Systemic lupus erythematosus
d. Tuberculosis

Answer 12

d

Question 13

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

a. Prodromal
b. Incubation
c. Convalescence
d. Illness

Answer 13

d

Question 14

A charge nurse is reviewing with a newly hired nurse the difference in manifestations of localized versus a systemic infection. Which of the following are manifestations of a systemic infection?

a. Fever
b. Malaise
c. Edema
d. Pain or tenderness
e. Increase in pulse and respiratory rate

Answer 14

a, b, e
Systemic infection- fever, malaise, increased respiratory rate and pulse.

Localized infection- edema, pain or tenderness

Question 15

A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following interventions should the nurse include? (select all that apply)

a. Please the client in a room that has negative air pressure for at least six exchanges per hour
b. Wear a mask when providing care within 3 ft of the client
c. Place a surgical mask on the client if transportation to another department is unavoidable
d. Use sterile gloves when handling soiled linens
e. Wear a gown when performing care that might result in contamination from secretions

Answer 15

b, c, e

Question 16

A nurse is caring for a client in the emergency department who has an oral body temperature of 38.3 C (101 F), pulse rate 114/min, and respiratory rate 22/min. The client is restless with warm skin. Which of the following interventions should the nurse take? (Select all that apply)

a. Obtain culture specimens before initiating antimicrobials
b. Restrict the clients oral fluid intake
c. Encourage the client to rest and limit activity
d. Allow the client to shiver to dispel excess heat
e. Assist the client with oral hygiene frequently

Answer 16

a, c, e

Question 17

A nurse is instructing an assistive personnel (AP) about caring for a client who has low platelet count. Which of the following instructions is the priority for measuring vital signs for this client?

a. “Do not measure the client temperature rectally.”
b. “Count the client’s radial pulse for 30 seconds and multiply it by 2”
c. “Do not let the client know you are counting their respiration”
d. “Let the client rest for 5 minutes before you measure their blood pressure.”

Answer 17

a

Question 18

A nurse is instructing a group of assistive personnel in measuring a client’s respiratory rate. Which of the following guidelines should the nurse include? (select all that apply)

a. Place the client in semi-fowler’s position.
b. Have the client rest an arm across the abdomen
c. Observe one full respiratory cycle before counting the rate
d. Count the rate for 30 sec if it is irregular
e. Count and report any signs the client demonstrates

Answer 18

a, b, c

Question 19

A nurse is measuring the blood pressure of a client who has a fractured femur. The blood pressure reading is 140/94 mm Hg, and the client denies any history of hypertension. Which of the following actions should the nurse take first?

a. Request a prescription for an antihypertensive medication
b. Ask the client if they are having pain
c. Request a prescription for an antianxiety medication
d. Return in 30 min to recheck the clients blood pressure

Answer 19

b

Question 20

A nurse is performing an admission assessment on a client. The nurse determines the client’s radial pulse rate is 68/min and the simultaneous apical pulse rate is 84/min. What is the clients pulse deficit?

Answer 20

Answer: 84-68= 16/min

** the pulse deficit is the difference between the apical and radial pulse rates. it reflects the number of ineffective or nonperfusing heartbeats that do not transmit pulsations to peripheral pulse points. 84‐68 = 16

Question 21

A nurse is caring for a client scheduled for abdominal surgery. The client reports being worried. Which of the following actions should the nurse take?

a. Offer information on a relaxation technique and ask the client if they are interested in trying it.
b. Request a social worker see the client to discuss mediation
c. Attempt to use biofeedback techniques with the client
d. Tell the client many people feel the same way before surgery and to think of something else

Answer 21

a

Question 22

A nurse is assessing a client as part of an admission history. The client reports drinking an herbal tea every afternoon at work to relieve stress. Tea includes which of the following ingredients?

a. Chamomile
b. Ginseng
c. Ginger
d. Echinacea

Answer 22

a

Question 23

A nurse is reviewing complementary and alternative therapies with a group of newly licensed nurses. Which of the following interventions are mind-body therapies (Select all that apply)

a. Art therapy
b. Acupressure
c. Yoga
d. Therapeutic touch
e. Biofeedback

Answer 23

a, c, e

Question 24

A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies they can incorporate into their practice without the need for specialized licensing or certification. Which of the following should the nurse encourage them to use?

a. Guided imagery
b. Massage therapy
c. Meditation
d. Music therapy
e. Therapeutic Touch

Answer 24

a, c, d

Question 25

A nurse is planning to use healing intention with a client who is recovering from a lengthy illness. Which of the following is the priority action to take before attempting this particular mind-body intervention? a. Tell the client the goal of the therapy is to promote healing b. Ask whether the client is comfortable with using prayer c. Encourage the client participate actively for best results d. Instruct the client to relax during the therapy

Answer 25

b

Question 26

A nurse prepares an injection of morphine to administer to a client who reports pain, then asks a second nurse to give the injection because another assigned client needs to use a bedpan. Which of the following actions should the second nurse take? a. Offer to assist the client who needs the bedpan b. Administer the injection the other nurse prepared c. Prepare another syringe and administer the injection d. Tell the client who needs the bedpan to wait while the nurse gives someone else medication

Answer 26

a

Question 27

A nurse is reviewing a client’s prescribed medications at the beginning of the day shift. Which of the following 0900 medications can be given anytime between 0700 and 1100? (select all that apply) a. A once-daily multivitamin b. Eye drops prescribed every 3 hr c. A blood pressure pill prescribed every 8 hrs d. A blood pressure pill prescribed twice daily e. A subcutaneous injection prescribed once weekly

Answer 27

a, e

Question 28

A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process? a. “ A second nurse enters the prescription into the clients medical record.” b. “Another nurse should listen to the phone call.” c. “The provider can clarify the prescription when they sign the health record.” d. “ I should omit the ‘read back’ if this is one-time prescription

Answer 28

b

Question 29

A nurse educator is teaching newly licensed nurses about safe medication administration. Which of the following statements indicates understanding? (Select all that apply” a. “ I will observe the adverse effects.” b. “ I will monitor for therapeutic effects.” c. “I will prescribe the appropriate dose.” d. “ I will change the dose if adverse effects occur” e. “ I will refuse to give medication if i believe it is unsafe.”

Answer 29

a, b, e

Question 30

A nurse reviewing a client’s health record notes a new prescription for lisinopril 10mg PO once every day. The nurse should identify this as which of the following types of prescription? a. Single b. Stat c. Routine d. Now

Answer 30

c

Question 31

a nurse is demonstrating how to insert an IV catheter. Which of the following statements by a nurse viewing the demonstration indicates understanding of the procedure? A. “I will thread the needle all the way into the vein until the hub rests against the insertion site after I see a flashback of blood.” B. “I will insert the needle into the client’s skin at an angle of 10 to 30 degrees with the bevel up.” C.“I will apply pressure approximately 1.2 inches below the insertion site prior to removing the needle.” D.“I will choose a vein in the antecubital fossa for Iv insertion due to its size and easily accessible location.”

Answer 31

B

Question 32

a nurse is collecting data from a client who is receiving IV therapy and reports pain in his arm, chills, and “not feeling well.” The nurse notes warmth, edema, induration, and red streaking on the client’s arm close to the IV insertion site. Which of the following actions should the nurse plan to take first? A. obtain a specimen for culture. B. apply a warm compress. C. administer analgesics. D. Discontinue the infusion.

Answer 32

D

Question 33

During new employee orientation, a nurse is explaining how to prevent IV infections. Which of the following statements by an orientee indicates understanding of the preventive strategies? A. “I will leave the IV catheter in place after the client completes the course of IV antibiotics.” B. “as long as I am working with the same client, I can use the same IV catheter for my second insertion attempt.” C.“If my client needs to use the restroom, it would be safer to disconnect his IV infusion as long as I clean the injection part thoroughly with an antiseptic swab.” D.“I will replace any IV catheter when I suspect contamination during insertion.”

Answer 33

D

Question 34

a nurse on the Iv team is conducting an in‐service education program about the complications of Iv therapy. Which of the following statements by an attendee indicates an understanding of the manifestations of infiltration? (select all that apply.) a. “the temperature around the Iv site is cooler.” b. “the rate of the infusion increases.” c. “the skin at the Iv site is red.” d. “the Iv dressing is damp.” e. “the tissue around the venipuncture site is swollen.”

Answer 34

a, d, e

Question 35

a nurse is caring for a client receiving dextrose 5% in 0.9% sodium chloride Iv at 120 mL/hr. Which of the following statements by the client should alert the nurse to suspect fluid overload? (select all that apply.) a. “I feel lightheaded.” b. “I feel as though my heart is racing.” c. “I feel a little short of breath.” d. “the nurse technician told me that my blood pressure was 150 over 90.” e. “I think my ankles are less swollen”

Answer 35

b, c, d

Question 36

A nurse is collecting data from a client who takes haloperidol to treat schizophrenia. Which of the following findings should the nurse document as extrapyramidal symptoms (EPS)? (select all that apply.) ``` A. orthostatic hypotension B. Tremors c. Acute dystonia d. decreased level of consciousness e. Restlessness ```

Answer 36

b, c, e *extrapyramidal symptoms= tremors, acute dystonia, restlessness

Question 37

A nurse is teaching a client who has a new prescription for oxybutynin about managing the medication’s anticholinergic effects. Which of the following instructions should the nurse include? (select all that apply.) a. take sips of water frequently. b. Wear sunglasses when outdoors in sunlight. c. Use a soft toothbrush when brushing teeth. d. Take the medication with an antacid. e. Urinate prior to taking the medication

Answer 37

a, b, e

Question 38

A nurse is reviewing a client’s medications. They include cimetidine and imipramine. Knowing that cimetidine decreases the metabolism of imipramine, the nurse should identify that this combination is likely to result in which of the following effects? a. decreased therapeutic effects of cimetidine b. Increased risk of imipramine toxicity c. decreased risk of adverse effects of cimetidine d. Increased therapeutic effects of imipramine

Answer 38

b

Question 39

A nurse in an outpatient clinic is caring for a client who has a new prescription for an antihypertensive medication. Which of the following instructions should the nurse give the client? a. “Get up and change positions slowly.” b. “Avoid eating aged cheese and smoked meat.” c. “report any usual bruising or bleeding to the doctor immediately.” d. “eat the same amount of foods that contain vitamin K every day.”

Answer 39

a

Question 40

A nurse in an outpatient surgical center is admitting a client for a laparoscopic procedure. the client has a prescription for a preoperative diazepam. Prior to administering the medication, which of the following actions is the nurse’s priority? A. teaching the client about the purpose of the medication B. Giving the medication at the administration time the provider prescribed C. Identifying the client’s medication allergies D. documenting the client’s anxiety level nurse

Answer 40

C

Question 41

To promote adherence with medication self‐administration, a nurse is making recommendations for an older adult client. Which of the following instructions should the nurse include? (select all that apply.) A. adjust dosages according to daily weight. B. Place pills in daily pill holders. C. ask for liquid forms if the client has difficulty swallowing pills. D. ask a relative to assist periodically. E. request child‐resistant caps on medication containers.

Answer 41

B, C, D

Question 42

A young adult client in a provider’s office tells the nurse that she uses fasting for several days each week to help control her weight. the client takes several medications for various chronic issues. the nurse should explain to the client that which of the following mechanisms that results from fasting puts her at risk for medication toxicity? A. Increasing the metabolism of the medications over time B. Increasing the protein‐binding response C. Increasing medications’ transit time through the intestines D. decreasing the excretion of medications

Answer 42

B

Question 43

a nurse is preparing medications for a preschooler. Which of the following factors should the nurse identify as altering how a medication affects children? (select all that apply.) ``` A. Increased gastric acid production B. lower blood pressure C. Higher body water content D. Increased absorption of topical medications E. Increased gastric emptying time ```

Answer 43

B, C, D

Question 44

A nurse is teaching a client who is lactating about taking medications. Which of the following actions should the nurse recommend to minimize the entry of medication into breast milk? a. drink 8 oz milk with each dose of medication. B. use medications that have an extended half‐life. C. take each dose right after breastfeeding. d. Pump breast milk and freeze it prior to feeding to the newborn.

Answer 44

C

Question 45

a nurse in an outpatient clinic is teaching a client who is in her first trimester of pregnancy. Which of the following statements should the nurse make? a. “You will need to get a rubella immunization if you haven’t had one prior to pregnancy.” b. “You can safely take over‐the‐counter medications.” c. “You should avoid any vitamin preparations containing iron.” d. “Your provider can prescribe medication for nausea if you need it.”

Answer 45

d

Question 46

A nurse is caring for a client who is 24 hour postoperative following an inguinal hernia repair. The client is tolerating clear liquids well, her active bowel sounds, and is expressing a desire for “real food.” the nurse tells the client, “I will call the surgeon and ask for a change in diet.” the surgeon hears the nurse’s report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking? a. Basic b. Commitment c. Complex d. Integrity

Answer 46

a

Question 47

A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client’s medical record, discovers that the client is allergic to the antibiotic, and calls the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate? a. Fairness b. Responsibility c. Risk-taking d. Creativity

Answer 47

b

Question 48

A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions should the nurse take? (Select all that apply) a. Find a mentor b. Use a journal to write about the outcomes of clinical judgements c. Review articles about evidence-based practice d. Limit consultation with other professionals involved in a clients care e. Make quick decisions when unsure about a client’s need

Answer 48

b, c, e

Question 49

A nurse is caring for a client who has a new prescription for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information? a. Knowledge b. Experiment c. Intuition d. Competence

Answer 49

a

Question 50

A nurse uses a head to toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate? a. Confidence b. Perseverance c. Integrity d. Discipline

Answer 50

d

Question 51

Donning PPE

Answer 51

* GOMAGOG 1. Gown 2. Mask or Respirator 3. Goggles 4. Gloves

Question 52

Doffing PPE

Answer 52

* GGOGOMA 1. Gloves (most soiled after handling a patient) 2. Gown 3. Goggles 4. Mask

Question 53

PICOT Questions include?

Answer 53

``` P = Patient population of interest I = Intervention of interest C = Comparison of interest O = Outcome T = Time ```

Question 54

What is EBP?

Answer 54

Use of information from research and other sources to determine safe and effective nursing care with the goal of improving patient care and outcomes

Question 55

What is QI?

Answer 55

Improves local work processes to improve patient outcomes and health system efficiency; RESULTS USUALLY NOT GENERALIZABLE

Question 56

What is Research?

Answer 56

Systematic inquiry answers questions, solves problems, and contributes to the generalizable knowledge base of nursing; may or may not improve patient care

Question 57

A nurse who works on a pediatric unit asks, “I wonder if children who interact with therapy dogs have reduced anxiety when they are in the hospital.” Isn this example of a PICOT question, which of the following is the O? 1. Children 2. Therapy dogs 3. The pediatric unit 4. Anxiety

Answer 57

4. Anxiety O= outcome in PICOT The outcome of this situation is anxiety

Question 58

Name the research process

Answer 58

1. identify the area of interest or problem 2. Develop research questions (hypotheses) 3. Determine how study will be conducted 4. Conduct the study 5. Analyze results of the study and then use the findings

Question 59

Informed consent means?

Answer 59

1. Participants receive full and complete information 2. They can understand the information 3. They have free choice to participate 4. They understand how their confidentiality will be kept

Question 60

A nurse is caring for a client who is 1 day postoperative following a total knee arthroplasty. the client states his pain level is 10 on a scale of 0 to 10. After reviewing the client’s medication administration record, which of the following medications should the nurse administer? a. meperidine 75 mg IM B. fentanyl 50 mcg/hr transdermal patch c. morphine 2 mg IV d. oxycodone 10 mg PO

Answer 60

C

Question 61

A nurse is teaching a client about taking multiple oral medications at home to include time‐release capsules, liquid medications, enteric‐coated pills, and opioids. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. “i can open the capsule with the beads in it and sprinkle them on my oatmeal.” B. “if i am having difficulty swallowing, i will add the liquid medication to a batch of pudding.” c.“i can crush the pills with the coating on them.” d.“i will eat two crackers with the pain pills.”

Answer 61

D

Question 62

A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? a. “flush the tube before and after each medication.” B. “Mix your medications with your enteral feeding.” c.“Push tablets through the tube slowly.” d.“mix all the crushed medications prior to dissolving them in water.”

Answer 62

A

Question 63

A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take? A. use a 22‐gauge needle. B. select a site on the client’s abdomen. C. spread the skin with the thumb and index finger. D. observe for bleb formation to confirm proper placement.

Answer 63

B

Question 64

A nurse is teaching an adult client how to administer ear drops. Which of the following statements should the nurse identify as an indication that the client understands the proper technique? a. “i will straighten my ear canal by pulling my ear down and back.” B.“i will gently apply pressure with my finger to the front part of my ear after putting in the drops.” c.“i will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops in.” d.“after the drops are in, i will place a cotton ball all the way into my ear canal.”

Answer 64

B

Question 65

Describe critical thinking

Answer 65

1. Critical thinking is acquired through experience, commitment, and active curiosity. 2. Critical thinking is not a simple step-by-step linear process that is learned in a short period of time.

Question 66

Define critical thinking

Answer 66

The ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process A continuous process characterized by open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant -“Identified assumptions” in pt care = assessment findings and “hunches” related to assessment findings -Recognizing that an issue exists, analyzing information, evaluating information, and drawing conclusions; what is “important,” explore alternatives, consider ethical principles...

Question 67

Developing critical thinking skills include?

Answer 67

1. reflective journaling 2. meet with colleagues 3. concept mapping

Question 68

describe reflective journaling:

Answer 68

Define and express clinical experiences in your own words

Question 69

describe meeting with collagues:

Answer 69

Discuss and examine work experiences and validate decisions

Question 70

describe concept mapping:

Answer 70

1. Visual representation of patient problems and interventions that shows their relationships to one another 2. Connects and synthesizes relevant data, assessment findings, and treatments in a meaningful and visual way

Question 71

What are the cons when it comes to managing stress?

Answer 71

Stress over a prolonged period or when extreme can lead to poor work productivity, impaired decision making and communication, and reduced ability to cope with clinical situations.

Question 72

List the steps of Evidence Based Practice

Answer 72

0. Cultivate a spirit of inquiry. 1. Ask a clinical question in PICOT format. 2. Search for the most relevant evidence. 3. Critically appraise the evidence you gather. 4. Integrate all evidence with your clinical expertise and patient preferences and values. -- quantitative and qualitative studies/data 5. Evaluate the outcomes of practice decisions or changes using evidence. 6. Share the outcomes with others.

Question 73

List the elements of an article:

Answer 73

1. Abstract 2. Introduction 3. Literature review or background 4. Manuscript narrative - Purpose statement - Methods or design - Results or conclusions - Clinical implications

Question 74

Describe nursing research:

Answer 74

A way to identify new knowledge, improve professional education and practice, and use resources effectively

Question 75

Nursing journals are an excellent source for what?

Answer 75

finding research articles

Question 76

Outcomes research:

Answer 76

1. typically focuses on the benefits, risks, costs, and holistic effects of a treatment on patients. 2. Helps patients, health care providers, and those in health care policy make informed decisions on the basis of current evidence

Question 77

Define the scientific method.

Answer 77

A step-by-step process to ensure that findings from a study are valid, reliable, and generalizable to a similar group of subjects

Question 78

Define chemical medication name

Answer 78

provides the exact description of medication’s composition.

Question 79

Define generic medication name

Answer 79

the manufacturer who first develops the drug assigns the name, and it is then listed in the U.S. Pharmacopeia

Question 80

define trade medication name

Answer 80

also known as brand or proprietary name. This is the name under which a manufacturer markets the medication.

Question 81

Pharmacokinetics is....

Answer 81

The study of how medications... 1. Enter the body 2. Are absorbed and distributed into cells, tissues, or organs 3. Reach their site of action 4. Alter physiological functions 5. Are metabolized 6. Exit the body

Question 82

this term means expected or predicted physiological response

Answer 82

therapeutic effects

Question 83

this term means unintended, undesirable, often unpredictable

Answer 83

adverse effects

Question 84

What are the six rights?

Answer 84

1. Right medication 2. Right dose 3. Right patient 4. Right route 5. Right time 6. Right documentation * Right Reason * * Right Education

Question 85

Distribution occurs:

Answer 85

within the body to tissues, organs, and specific sites of action.

Question 86

Biotransformation occurs:

Answer 86

under the influence of enzymes that detoxify, break down, and remove active chemicals.

Question 87

unpredictable response to a medication is defined as?

Answer 87

allergic reaction

Question 88

when one medication modifies the action of another is known as?

Answer 88

medication interactions

Question 89

List the parenteral routes

Answer 89

Four major sites of injection 1. Intradermal 2. Subcutaneous 3. Intramuscular 4. Intravenous

Question 90

What is the nurse's roles in medication administration?

Answer 90

1. Determine if the medication is correct (reason for med) 2. Timing of meds 3. Dosing 4. Administration (assess pt’s ability to self-administer meds, or the skills required to administer meds) 5. Education and monitoring side effects 6. Documentation of administration

Question 91

Aspirate medication into syringe using a?

Answer 91

filter needle

Question 92

Define CAM:

Answer 92

an array of health care approaches with a history of use or origins outside of mainstream medicine

Question 93

define complementary therapies

Answer 93

used in addition to conventional treatment (aka integrative therapies)

Question 94

define alternative therapies

Answer 94

replace allopathic medical care

Question 95

A mind-body therapy that uses the conscious mind to create mental images to stimulate physical changes in the body, improve perceived well-being, and/or enhance self-awareness is known as?

Answer 95

imagery

Question 96

Describe biofeedback

Answer 96

A mind-body technique that uses instruments to teach self-regulation and voluntary self-control over specific physiological responses.

Question 97

Describe therapeutic touch

Answer 97

Affects energy fields with conscious intent to help or heal Five phases: centering, assessing, unruffling, treating, and evaluating

Question 98

a nurse is preparing to administer a 0900 medication to a client. Which of the following are acceptable administration times for this medication? (Select all that apply.) a. 0905 B. 0825 c. 1000 d. 0840 e. 0935

Answer 98

A, D

Question 99

a nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? a. taking all medications out of the unit‐dose wrappers before entering the client’s room B. checking with the provider when a single dose requires administration of multiple tablets c. administering a medication, then looking up the usual dosage range d.relying on another nurse to clarify a medication prescription

Answer 99

B

Question 100

a nurse is preparing to administer Digoxin to a client who states, “i don’t want to take that medication. i do not want one more pill.” Which of the following responses should the nurse make? a. “Your physician prescribed it for you, so you really should take it.” B. “Well, let’s just get it over quickly then.” c.“okay, i’ll just give you your other medications.” d.“tell me your concerns about taking this medication.”

Answer 100

D