NUR 2989 -CAPSTONE PROCTORED MODULE 3 ATI QUIZ 90 QUESTIONS AND ANSWERS

1. a nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse plan to include in the plan? (SATA) Lock beds and wheelchairs when not providing care Administer a sedative at bedtime Provide information about home safety checks Teach balance and strengthening exercises Place the bedside table within the clients reach; 2. a nurse is providing teaching to a client who has schizophrenia about thioridazine. Which of the following instructions should the nurse include in the teaching? Report any sign of infection to the provider immediately Expect your blood pressure to increase Easy bruising may occur while taking this medication Muscle rigidity is an expected adverse effect during the first few days of therapy 3. A nurse is teaching a client who has a new prescription for amoxicillin clavulanate to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching? I will double my dose if I miss one I should take this medication on an empty stomach between meals I will take medication until my sore throat goes away I will stop taking this medication if I develop itching 4.A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first? A client who has pneumonia a WBC count of 11,500/mm3 and is prescribed piperacillin A client who has renal failure, a serum potassium of 5.8/mEq/L and is prescribed sodium polystyrene sulfonate A client who is post coronary artery bypass graft (CABG) has total cholesterol of 318mg/dl and is prescribed atorvastatin A client who has anemia hemoglobin of 11g/dl and is prescribed epoetin alfa5. a nurse caring for a client who is vomiting. Which of the following actions should the nurse take first? Administer an antiemetic to the client Notify housekeeping Prevent the client from aspirating Providing the client with an emesis basin 6. A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child? Rice Barley Wheat Rye 7. A nurse is caring for a client who is postoperative and has a prescription stockings. which of the following actions should the nurse take? Check the stockings for winkles Apply the stockings while the client is siting in a chair Measure the size of the clients foot Remove the stockings once each day 8. A nurse is teaching a client about which foods she should include in her low fiber diet. Which of the following statements indicates the client understands the teaching? A fresh pear would be a good snack option I can prepare refried beans for supper I should choose white rice as a side dish Bran cereal would be a good breakfast choice 10. A client is prescribed 1g potassium phosphate IV to be infused continuously over 6 hr. Available is 1 g potassium phosphate in 250ml dextrose 5% water (D5W). The nurse should set the IV pump to run at how many ml/hr?(round nearest whole number) 42.11. a nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect? Hip pallor Leg abduction Muscle spasms Leg lengthening 12. A nurse is reviewing the medical record of a client who has a new prescription for clozapine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to clozapine? Fasting blood glucose 120mg/dl Asthma Hypertension WBC count 3.300/mm 13. A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client understands the instructions? I will walk briskly for 30minute before bedtime I will have a cup of hot cocoa immediately before bedtime I will no longer have a glass of wine before bedtime I will do my muscle relaxation techniques each afternoon 14. A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the clients skin? Elevate the head of the bed no more than 45 Apply cornstarch to keep sensitive skin area dry Massage the skin over the clients bony prominences Use a transfer device to lift the client up in bed15. A nurse is teaching an older adult client who has left sided weakness about cane use. Which of the following instructions should the nurse include? Hold the cane with your left hand Move the cane forward 18 inches with each step When walking moves your left foot forward first Keep your elbow straight when you hold the cane 16. A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following intervention should the nurse include in the plan of care? Monitor the clients intake and output every 6 hr Administer furosemide to the client Check the clients IV infusion every 8hr Offer the client 240 ml (8oz ) of oral fluids every 4hr 18. A nurse is teaching a client who has a new diagnosis of type 1diabetes mellitus about self administration of insulin. Which of the following instructions should the nurse include? Store the current bottle of insulin at room temperature Massage the injection site after removing the needle Pull back on the plunger after injecting the insulin Use each syringe up to six times 19. a nurse is reviewing a clients lab result. Which of the following lab values should the nurse report to the provider? Magnesium 1.9mEq/L Potassium 3.6mEq/L Sodium 126 mEq/L Chloride 99 mEq/L20. a nurse is teaching a female client who is experiencing alcohol withdrawal about chlordiazepoxide. Which of the following information should the nurse include in the teaching? This medication may increase your blood pressure Breast tenderness may occur with this medication You can double the dose of medication if you feel anxious Notify the provider if pregnancy is desired or suspected 22. a nurse is teaching a female client who has anxiety disorder about alprazolam. Which of the following information should the nurse include in the teaching? This medication may increase your blood pressure Use a reliable form of contraception while taking this medication If a dose is missed double the next dose of medication Do not eat age cheeses while taking this medication 23. A nurse is caring for an older adult client. The nurse informs the client that straining while defecating can cause which of the following? Diarrhea Gastric ulcer Dilated pupils Dysrhythmias 24. A nurse manager is presenting to a group of unit nurses the categories regulated under the controlled substances Act. Which of the following medication prescriptions should the nurse include under schedule II? Buprenorphine hydrochloride Hydrocodone bitartrate Diazepam Morphine 25. A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurses priority? Level of consciousness Pain NauseaGag reflex