ATI Boardvitals Review Questions

ATI Boardvitals Review Questions Leave the first rating Students also studied Terms in this set (19) Science MedicineNursing Save ALTERNATE FORMAT Safe and Effec...48 terms caro0522Preview NUR 211 Quiz 5 76 terms themwaldrupPreview VATI Comprehensive Predictor NCL...175 terms robncashPreview

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70 terms sup A client undergoing radiation therapy complain to the nurse that he is experiencing diarrhea. Which of the following interventions should the nurse advise for the client?

• increase intake of milk to soothe your stomach
• Drink more caffeinated beverages to increase

circulation to GI tract

• Eat three large meals a day instead of smaller meals

and snacks

• Increase water intake to at least 8 cups per day

D A nurse caring for a client who has an oder for fasting blood glucose test tells the nurse that his last meal was 3 hours ago. Which of the following is correct?

• Lets get started and ill check your glucose now
• Ill need to come back in an hour and check it then
• You were supposed to fast for 24 hours before this test
• Ill check with the provider first before performing the

test D (fasting for 8 hour period) A nurse is caring for a client with 3rd degree burns over 15% of his body surface. Which indicates adequate fluid replacement during the first 24 hours post-burn?

• Hct levels rising from 50-55
• Slowing of a previously rapid HR
• Falling CVP readings
• Urinary output of 15-20mL/hr

B

A nurse caring for a pt with COPD would find what to support their suspicion that the client is developing cor pulmonale?

• Peripheral edam
• productive cough
• twitching of extremities
• lethargy progressing to coma

A A nurse is teaching a wellness class to middle aged women. She instructs the women who are present that

their risk of developing osterporosis is increased if:

• they have history of long term steroid use
• they have a history of hypoparathyroidism
• they have taken lots of estrogen
• they lift weights at the gym

A Which is most appropriate in a hospitalized client at risk of impaired skin integrity?

• limit chair seating to 4 hours at a time
• break blisters and cover them
• encourage food intake of 4000-5000 calories a day
• promote ambulation when the client is ready

D A nurse is developing a plan of care for a pt scheduled for genetic testing for suspected cancer. Which action should the nurse take?

• Very signed informed consent
• withheld oral meds before test
• verify prescription for a tumor marker assay
• Ensure they client is in side lying position after test

A A nurse caring for a client who had a thoraco-abdominal aneurysm repaired 2 days ago should report what to the provider?

• abdominal pain of 5 for 2 days
• HR 100 BPM after ambulating 200 ft
• urine output of 2000 in 24 hours
• weakness and numbers in lower extremities

D (a complication is spinal cord injury) A nurse is caring for a client in Buck's traction after a femur fracture. When repositioning the client toward the HOB, what should the nurse do?

• Lift the weights while lifting pt
• place more tension on traction cords
• maintain same degree of traction tension while

repositioning pt

• release weight while repositioning pt

C

What is consistent with appropriate infection control procedures by a home health nurse who is changing a dressing for a pt with a chronic wound in the left heel?

• if there are unused sterile gauze pads, the original

container should be taped shut and preserved for next dressing change

• Soiled dressings should be placed in sealed plastic

bag before disposal

• Gloves should be removed after dressing change and

all soiled dressing is disposed in trash can

• The container of sterile gauze pads should be opened

by peeling the innermost corner

• it is only necessary to wash hands after removing

gloves when the dressing change is complete D A nurse is teaching a student about assistive devices.Which is the primary purpose of dressing, grooming, and ambulation?

• Ensuring pt safety
• promote independence
• enable early discharge
• prevent hazards of immobility

B Which of the following demonstrates an understanding of proper oral hygiene?

• use hard bristle tooth brush for brushing, brush

tongue, and floss daily

• use soft bristle tooth brush for brushing, brush tongue,

and floss daily

• use hard bristle tooth brush for brushing, brush roof of

mouth, and then rinse with mouthwash

• use soft bristle tooth brush for brushing, brush roof of

mouth, and then rinse with mouthwash B (never brush roof of mouth) While caring for a pt NPO since surgery 24 hours ago, what food should be offered once the surgeon orders their diet to be advanced as tolerated?

• chicken broth, cranberry juice, sherbet
• chicken broth, cranberry juice, Italian ice or pudding
• beef broth, ginger ale, pudding
• beef broth, gelatin, citrus soda

D (all CLEAR liquids) Which of the following should be implemented promptly after a clients NG tube has been removed?

• provide oral hygiene
• offer liquids to drink
• encourage the client to cough and deep breathe
• listen to bowel sounds

A

A nurse is administering an IM injection to a 6 month old, which site should be used?

• dorsal gluteal muscle
• vastus lateralis
• deltoid
• rectus femoris

A When should digoxin be withheld?

• decreased urinary output
• chest pain
• blurred vision
• singultus

C What beverage should a pt take with an iron supplement?

• coffee
• milk
• green tea
• orange juice

D Why should the nurse emphasize the need for meticulous oral hygiene with phenytoin?

• causes hyperplasia of gums
• increases alkalinity of oral secretions
• irritates gingival tissue and destroys tooth enamel
• causes increased plaque and bacterial growth along

the gum lines A (managing therapeutic blood levels help reduce this risk) What should the nurse do if a client is taking metormin before a cardiac catheterization?

• withhold the med
• admin the med before the test
• give the med before breakfast
• limit the amount of protein in the diet before the test

A (withhold it before any test requiring dye)