ATI Level 3 Practice Exam A Flashcards
What is one of the earliest signs of lung cancer?
persistent cough
Other signs include shoulder, arm, or chest pain
What is important to teach a client that has neutropenia?
- avoid crowds
- take a daily temperature
- avoid foods that could contain bacteria
- avoid yard work
- avoid fluids that have been sitting at room temperature for longer than 1 hour
- wash toothbrush daily in the dishwasher or rinse in a bleach solution
- wash glasses or cups after every use
What is important when caring for a patient with thrombocytopenia?
- Monitor for petechiae, ecchymosis, bleeding of the gums, nosebleeds, and occult or frank blood in the stools, urine or vomit
- Avoid IVs, injections, apply pressure for approximately 10 min after blood is obtained, handle client gently and avoid trauma
- give thrombopoietic meds and monitor platelet count
How can an individual prevent getting melanoma?
- Limit exposure to sunlight, especially between 1000 and 1500
- Apply sunscreen when near reflective surfaces (Sand, snow, water, and concrete)
- Use a sunblock that has an SPF of at least 15 with both UVA and UVB protection
- apply 30 min before exposure and reapply every 2 hours
What is the earliest possible indicators of Alzheimer’s Disease
- They are aware of their memory lapses
- losing or misplacing items
- difficulty concentrating and organizing
- unable to remember material just read
- still able to perform ADLs
- Short-term memory loss noticeable to clos relations
What is a cognitive sign of schizophrenia?
difficulty in decision making
Is periods of mood instability an affective or cognitive symptom of schizophrenia?
Affective symptom
Does organ transplantation change the appearance of the body?
No it does not. No one will notice the organs were donated if they have an open casket at the funeral
When does someone typically get their Hepatitis B vaccination?
At birth (Should be withheld for infants born prematurely and weighing less than 2000 g if the mother is negative for hep B)
When should someone get their Rotavirus, DTaP, Haemophilus influenzae type B, Pneumococcal conjugate, and inactivated poliovirus
vaccine?
At 6 weeks
When should someone get their MMR, varicella, and Hepatitis A vaccination?
12 months
When should someone get their inactivated influenza vaccine?
6 months
When should someone get their Meningococcal Conjugate vaccine?
2 months and 9 months
When should someone get their HPV vaccine?
9 years old
What should someone with gastric bypass surgery do after eating?
Stay in a reclining position for 30 minutes after they eat. This decreases the risk for dumping syndrome
What lab result is consistent with Hemophilia A?
- Coagulation factor VIII 50 % (Deficiency)
- Prolonged aPTT or PTT
- Platelets and prothrombin time are within expected reference ranges
- Whole blood clotting time is within expected range or prolonged
How should a nurse care for a newborn with myelomenigocele?
- Protect the sac from injury
- Inspect the sac closely for leaks, irritation, abrasions, and localized infection
- Apply a sterile, moist, nonadherent dressing with 0.9% Sodium chloride on the sac and change it every 2 hours
- avoid cuddling and putting pressure on the sac
How should a patient use an EpiPen?
Inject the medication into their upper thigh at a 90 degree angle, and throw away the device if it appears discolored
What is important to make a priority when caring for a patient with acute post-streptococcal glomerulonephritis?
Maintain a strict record of the person’s daily weight. This determines the fluid balance and inflammation level
What common medications are used for antimicrobials?
- Ciprofloxacin
- Metronidazole
- Sulfamethoxazole-trimethoprim
What are the manifestations of pylonephritis?
- chills
- colicky-type abdominal pain
- Nausea
- Malaise, fatigue
- burning, urgency, and frequency with urination
- costovertebral tenderness
- flank and back pain with redness
- nocturia, fever, tachycardia, tachypnea, hypertension, vomiting
- inability to concentrate urine or conserve sodium
- asymptomatic bacteremia
What lab result is consistent with acute pancreatitis?
WBC count of 21,000. Someone with acute pancreatitis has an elevated WBC count
