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ATI for Exam 4 Adult Health 1revise

Quiz by Brittany

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42 questions
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  • Q1
    A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI?
    Angina can be relieved with rest and nitroglycerin
    Angina can occur for longer than 30 min.
    The type of activity that causes an MI can be identified.
    The pain of an MI resolves in less than 15 min
    120s
  • Q2
    A nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of MI and reports that his dyspnea began 2 weeks ago. Which of the following enzymes would confirm the MI occurred 14 days ago?
    CK-MB
    Troponin T
    Troponin I
    Myoglobin
    120s
  • Q3
    A nurse is caring for a client who asks why her provider prescribed a daily aspirin. Which of the following is am appropriate response by the nurse?
    Aspirin dissolves clots that are forming in your coronary arteries.
    Aspirin relives headaches that are caused by other medications.
    Aspirin relieves the pain due to Myocardial Ischemia
    Aspirin reduced the formation of blood clots that could cause a heart attack.
    120s
  • Q4
    A nurse is teaching a client who has angina about a new prescription for metoprolol. Which of the following statements by the client indicates understanding of the teaching?
    I should place the tablet under my tongue
    I will call my doctor if my pulse rate is less than 60
    I should have my clotting time checked weekly
    I will report any ringing in my ears.
    120s
  • Q5
    A nurse is presenting a community education program on reccommended lifestyle changes to prevent angina and myocardial infarction. Which of the following changes should the nurse recommend be made first?
    Smoking cessation
    taking omega-3-capsules.
    relaxation exercises
    diet modification
    120s
  • Q6
    A nurse is caring for a client who has heart failure and reports increased SOB. The nurse increases the client's oxygen per protocol. Which of the following actions should the nurse take first?
    Auscultate lung sounds
    Obtain the clients weight
    Check O2 saturation with pulse ox
    Assist the client to high fowler's position.
    120s
  • Q7
    A nurse is teaching a client who has heart failure about the need to limit sodium in the diet to 2,000 mg daily. Which of the following foods should the nurse recommend for the client? (Select All That Apply) A. 1 slice of cheddar cheese, B. 1 medium beef hot dog, C. 3 oz Atlantic Salmon, D. 3oz roasted chicken breast, E. 2 oz
    A,B,C
    A,B,C,D,
    A,B,
    C,D,E
    120s
  • Q8
    A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Which of the following manifestations are expected findings? ( Select all that apply) A. Tachypnea, B. Persistent cough, C. Increased Urinary Output, D. Thick, yellow sputum, E. Orthopnea
    C,D,E
    A,B,C,D
    A,B,
    A,B,E
    120s
  • Q9
    A nurse is providing discharge teaching for a client who has heart failure and is on fluid restriction of 2,000 ml/day. The client asks the nurse how to determine the appropriate amount of fluids he is allowed. Which of the following statements is an appropriate response by the nurse?
    Pour the amount of fluid you drink into an empty 2-liter bottle to keep track of how much you drink.
    Take sips of water or ice chips so you will not take in too much fluid.
    Each glass contains 8 oz. There are 30 ml in an ounce, so you have a total of 8 glasses or cups of fluid each day.
    This is the same as two quarts, or about the same as two pots of coffee.
    120s
  • Q10
    A nurse is caring for a client following a paracentesis. Which of the following findings indicate the bowel was perforated during the procedure?
    decreased urine output
    pallor
    Client report of upper chest pain
    Temperature elevation
    120s
  • Q11
    A nurse is planning care for a client who has a new prescription for total parenteral nutrition ( TPN). Which of the following interventions should be included in the plan of care? ( Select all that apply): A. Obtain a capillary blood glucose four times a day, B. Administer prescribed medications through a secondary port on the TPN IV tubing., C. Monitor the vital signs three times during a 12 hour shift. D. Change the TPN IV tubing every 24 hours. E. ensure a daily APTT is obtained.
    A,B,C,D
    C,D,E
    A,B,D
    A,C,D
    120s
  • Q12
    A nurse is providing care to a client who is 1 day post operative following a paracentesis. The nurse observes clear, pale-yellow fluid leaking from the operative site. Which of the following is an appropriate nursing intervention?
    Apply a dry, sterile dressing
    Place a clean towel near the drainage site.
    Apply direct pressure to the site
    place the client in a supine position.
    120s
  • Q13
    A nurse is completing discharge with a client who is 3 days postoperative following a transverse colostomy. Which of the following should the nurse include in the teaching?
    change the stony bag when it is 3/4 full
    Expect 500 to 1,000 ml of semi-liquid stool after 2 weeks.
    Mucus will be present in stool for 5 to 7 days after surgery
    Stoma should be moist and pink
    120s
  • Q14
    A nurse is caring for a client who is receiving TPN. The current bag of solution was hung 24 hours ago, and 400 ml remains to infuse. Which of the following is the appropriate action for the nurse to take?
    remove the current bag and hang a new bag
    Remove the current bag and hang a bag of lactated ringers.
    infuse the remaining solution at the current rate and then hang a new bag.
    Increase the infusion rate so the remaining solution is administered within the hour and hang a new bag
    120s
  • Q15
    A nurse is caring for a client who has a new diagnosis of GERD. The nurse should anticipate prescriptions for which of the following medications? ( Select all that apply) A. Antacids, B. Histamine receptor antagonist, C. Opioid analgesics, D. Fiber laxatives, E. Protein pump inhibitors.
    A,B,C,D
    A,B,D
    A,B,C
    A,B,E
    120s

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