ATI Practice b

Question 1

If a long term facility is having difficulty with weekend staffing, what can be done?

Answer 1

Form a committee of staff members to investigate current staffing issues

Question 2

What is an adverse effect of valproic acid for seizure control?

Answer 2

Jaundice because they are at risk for liver damage

Question 3

What is a sign of potential violence?

Answer 3

Client is pacing around the chair in which their partner is sitting

Question 4

What is an intervention for a patient that has a clogged percutaneous gastrostomy feeding tube

Answer 4

Change the position of the client (flushing is only necessary if we know for sure that there is any residual that formed)

Question 5

Continuous bladder irrigation following a transurethral resection of the prostate with bladder spasms and decreased urinary output

Answer 5

Irrigate the catheter with 0.9% sodium chloride irrigation

Question 6

What are some interventions for a schizophrenic pt taking risperidone?

Answer 6

Implement fall precautions for the client

Question 7

What lab value is consistent with someone who is 9 weeks gestation having nausea and vomiting for the past 2 days?

Answer 7

Urine specific gravity 1.052- it would be elevated because of the dehydration from vomiting

Question 8

What is the normal rate for creatinine?

Answer 8

1.005-1.030

Question 9

What part of the body are manifestations found on an infant with Hirschbrung disease?

Answer 9

Infant’s abdomen for distention and visible peristalsis

Question 10

What medication should be given if a patient has heavy lochia and a boggy fundus?

Answer 10

Oxytocin to help stimulate uterine contractions and decrease vaginal bleeding

Question 11

What are some ventriculsrperitoneal shunt signs to report to the provider?

Answer 11

Irritability because it is a sign of increased intracranial pressure

Question 12

How often should a clients mouth get checked if they have immunosuppression and a continuous IV infusion

Answer 12

Every 8 hours

Question 13

How often should WBCs be checked on a patient that is immunosuppressive and on continuous IV infusion

Answer 13

Every 24 hours

Question 14

How often should iv tubing be checked if a patient is immunocompromised and on continuous iv therapy?

Answer 14

Every 24 hrs; the iv site should be checked every 4 hrs

Question 15

What are some things that can be taught to someone who is 20 weeks pregnant and would like to know about comfort measures?

Answer 15

Wear a bra overnight because it can promote comfort by providing support to enlarged breasts during pregnancy

Question 16

What is some good teaching for a patient on a CPM machine for a total knee arthroplasty?

Answer 16

Turn of the machine during mealtime because it promotes comfort and dietary intake.

Question 17

Who prescribes the proper settings for a CPM machine?

Answer 17

A physical therapist; the client should not adjust the setttings

Question 18

What are the manifestations of hyperthyroidism?

Answer 18

Tremors, tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia

Question 19

What is a sign that a child with CF needs a high-frequency chest compression vest?

Answer 19

My child has only a small amount of mucous after percussion therapy

Question 20

What is included in the diet for someone with rheumatoid arthritis?

Answer 20

Increase the client’s dietary intake of iron to promote tissue repair. They also need lots of protein and vitamins

Question 21

How can a nurse prevent heat loss through conduction with an infant?

Answer 21

Use a protective cover on the scale when weighting the infant

Question 22

A nurse suspects abuse due to scald burns on both hands and wrists, what should she do?

Answer 22

Immediately contact child protective services; no need to get providers opinion

Question 23

What is some education needed for a client using home oxygen therapy?

Answer 23

Wear clothing made with cotton fabrics while oxygen is in use. Woolen and synthetic fabrics can generate static electricity and increases the risk of taking fire

Question 24

How long should an insulin be held to the patient after injection?

Answer 24

6-10 seconds after injecting to ensure that the insulin is received

Question 25

What is the role of the orienteer for a group?

Answer 25

Noting the progress of the group toward assigned goals

Question 26

What is the role of the information giver in a group?

Answer 26

Sharing experiences as an authority figure

Question 27

What is an intervention for a magnesium level of 2.7?

Answer 27

Initiate continuous cardiac monitoring (hypermagnesemia can cause cardiac dysrhythmias and cardiac arrest)

Question 28

How should digitally evacuating stool for fecal impaction be done?

Answer 28

Insert a lubricated gloved finger and advance along the rectal wall

Question 29

What is a priority action if someone with newly diagnosed terminal cancer asks to go home to be with family and loved ones?

Answer 29

Make a referral to social services to ensure that the client’s home needs are met

Question 30

What is flight of ideas?

Answer 30

An alteration in a speech in which the speaker talks continuously with sudden and frequent topic changes

Question 31

List the steps of assessment (except abdominal)

Answer 31

Inspection, auscultation, percussion, palpitation

Question 32

Why is ginger helpful for someone who is 11 weeks gestation for nausea?

Answer 32

It alleviates nausea (ex: ginger ale, ginger tea)

Question 33

What is a complication of a vacuum assisted birth?

Answer 33

Cervical laceration

Question 34

What are some precautions for active TB and are they allowed visitors?

Answer 34

Have the client wear a surgical mask while being transported outside of the room. The are still allowed to have visitors if the wear the proper PPE.