ATI Practice A

Question 1

Give an intervention for a DVT, and does walking or activity increase the risk for a PE?

Answer 1

1. elevate the legs

2. Walking or activity does not increase the risk for a PE

Question 2

What is important for patients with cancer to do to reduce the risk for pulmonary stasis and prevent the development of respiratory infections?

Answer 2

Walk short distances throughout the day

Question 3

How often should someone wash their toothbrush in the dishwasher if they are immunocompromised?

Answer 3

Every week, not once a month

Question 4

How often should a patient in mechanical restraints be assessed?

Answer 4

every 15-30 minutes

Question 5

Should someone stay with a patient if they are in mechanical restraints?

Answer 5

Yes

Question 6

What are the responsibilities of a nurse during the response stage of a disaster?

Answer 6

Performing a rapid needs assessment

Question 7

What should a nurse do during the preparedness stage of a disaster?

Answer 7

Identify the roles of disaster workers

Question 8

What types of foods should be given if someone has uric acid-based urinary calculi formation?

Answer 8

citrus fruits, avoid foods that contain purine

Question 9

Give an adverse effect of Estradiol

Answer 9

headaches- it can be an indication of a thromboembolic stroke

Question 10

What is the antidote for Lorazepam (benzodiazepine)

Answer 10

Flumazenil (benzodiazepine receptor antagonist)

Question 11

What is the antidote for opiates?

Answer 11

Naloxone

Question 12

What is the antidote for Acetaminophen?

Answer 12

Acetylcysteine

Question 13

If a patient with a fiberglass leg cylinder cast has a redded and tender heel, what is that a sign of?

Answer 13

A pressure injury

Question 14

What is an intervention for someone who has Cranial Nerve II deficits?

Answer 14

Clear objects from the client’s walking area because the optic nerve is damaged and can lead to falls.

Question 15

What is an indication of a hemolytic transfusion reaction from a blood transfusion?

Answer 15

Low back pain

Question 16

When do blood draws occur after starting warfarin?

Answer 16

Should occur within the first 5 days

Question 17

What are individuals receiving TPN and IV lipid emulsions for extensive burn injury at risk for?

Answer 17

At risk for hyperglycemia

Question 18

What can be used to clean kitchen surfaces to kill hepatitis A?

Answer 18

Hydrogen peroxide

Question 19

What is Nystagmus?

Answer 19

Involuntary eye movements and muscle spasticity

Question 20

What can hypokalemia cause?

Answer 20

Decreased DTR and muscle weakness

Question 21

What are the manifestations of abruptio placentae?

Answer 21

persistent uterine contractions, board-like abdomen, and dark red vaginal bleeding

Question 22

What is sublimination?

Answer 22

Displayed when a client substitutes socially unacceptable behavior for acceptable behavior

Question 23

What is displacement?

Answer 23

Transferring emotions of a particular situation to another nonthreatening situation

Question 24

What foods have a lot of Vitamin A?

Answer 24

Raw carrots

Question 25

What should your water heater temp be set at if you have a newborn?

Answer 25

at or below 120 degrees F

Question 26

How many inches apart should crib slats be for newborn safety?

Answer 26

2.25 inches

Question 27

What type of precautions should be used for Herpes Simplex Virus?

Answer 27

Contact Precautions

Question 28

What are some common reactions to amitriptyline?

Answer 28

Dry mouth and constipation

Question 29

How should NPH and regular insulin be drawn up?

Answer 29

1. inject 20 units of air into the NPH insulin vial
2. Inject the air and withdraw the needle without touching the insulin
3. Proceed to inject 15 units of air into the regular insulin vial

Question 30

What are the symptoms of digoxin toxicity?

Answer 30

nausea, anorexia, abdominal pain, bradycardia, and visual changes

Question 31

What is a sign of acute glomerulonephritis?

Answer 31

protein in the urine because of increased glomerular permeability which allows protein to filter into the blood

Question 32

What intervention should be done for a toddler who has infectious gastroenteritis?

Answer 32

Initiate oral rehydration therapy for the toddler. Soft or pureed foods can be given along with the oral rehydration therapy

Question 33

What intervention should the nurse do if a woman 4 hours postpartum has a boggy uterus and heavy lochia?

Answer 33

Massage the uterus to expel clots because it results in decreased bleeding

Question 34

What medication would be given to decrease intracranial pressure if they have a closed-head injury with mechanical ventilation?

Answer 34

Mannitol (osmotic diuretic)

Question 35

What is an expected assessment finding for cardiac tamponade?

Answer 35

Pulse paradoxus (systolic BP is 10 mmHg or greater on expiration than inspiration along with jugular vein distention, bradycardia, and hypotension)

Question 36

What should a nurse give if a TPN solution by continuous IV infusion at 60 mL/hour stops working?

Answer 36

Provide dextrose 10% in water solution using manual drip tubing at 60 mL/hour because it will prevent hypoglycemia

Question 37

Manifestation of the acute phase of Kawasaki disease?

Answer 37

fever that is unresponsive to antipyretics

Question 38

Should a nurse write assessments down in detail?

Answer 38

no because it could cause delays

Question 39

If someone is taking cyclophosphamide what should they do?

Answer 39

Maintain hydration with liberal fluid intake because it prevents hemorrhagic cystitis

Question 40

What are the manifestations of autonomic dysreflexia?

Answer 40

Severe headache and nasal congestion

Question 41

Teaching for someone who has a tunneled central venous catheter without a pressure-sensitive valve:

Answer 41

You should keep the catheter clamped when not in use because it prevents blood backflow

Question 42

What in the ABG’s shows that someone is uncompensated?

Answer 42

if there is one normal level out of the three