ATI 3 Practice B Review Challenge Questions & Answers (110 Terms) with Guaranteed Success, Exams of Nursing

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1. nurse assessing opioid withdrawal should expect what manifestation - Correct Answer: rhinorrhea
2. nurse is counseling a client who has been undergoing treatment for OCD. which of the following statements should the nurse identify as an indication that the client's therapy has been effective? - Correct Answer: i say stop out loud whenever i have a compulsion to wash my hands.
3. nurse is caring for a client who is experiencing infertility. which of the following meds should the nurse expect the provider to prescribe - Correct Answer: clomiphene
4. a nurse is caring for a client who has alzheimers. the client's daughter asks the nurse if she will have AD as well. which of the responses should the nurse make regarding the genetic predisposition of this disease. - Correct Answer: you can be tested for the presence of apolipoprotein, an indication of an increased risk of developing AD.

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5. a nurse is teaching a client who has chronic pain about biofeedback. which of the following information should the nurse include about this complementary therapy. - Correct Answer: biofeedback provides audio and visual signals to induce a physiological change
6. a nurse is planning care for a client who has alcohol use disorder. which of the following medications should the nurse expect the provider to prescribe - Correct Answer: naltrexone
7. nurse is reviewing the medical history of a client. the nurse should identify that which of the following findings indicates the client is at risk for a stroke? - Correct Answer: takes a combination oral contraceptive
8. nurse is reviewing the medical record of a client who requests a prescription for an oral contraceptive. which of the following

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findings should the nurse identify as a contraindication to an oral contraceptive? - Correct Answer: migraine with aura

9. nurse is teaching about acute glomerulonephritis. which of the following info should the nurse include - Correct Answer: restrict fluid intake based on previous day's urine output
10. nurse is assessing a 2 year old toddler at a well visit. for which of the following findings shuld the nurse refer the toddler for an evaluation for autism spectrum disorder - Correct Answer: reluctance to make eye contact
11. nurse is teaching a client who has a new diagnosis of pelvic inflammatory disease and is starting oral antibiotic therapy. which of the following information should the nurse include in the teaching? - Correct Answer: avoid sexual activity until antibiotic therapy is complete.

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12. nurse is providing discharge teaching to the parent of a school-age child who has a severe bee allergy and a new prescription for an epinephrine auti-injector. which of the following instructions should the nurse include in the teaching? - Correct Answer: give a second injection if the first fails to entirely reverse your child's reaction
13. nurse is planning care for a newborn who was born at 33 weeks gestation and is 2 days old. which of the following interventions should the nurse include? - Correct Answer: position the newborn side-lying or prone while in the nursery.
14. nurse is obtaining a history from a client who has major depressive disorder. which of the following findings should the nurse identify as a risk factor for suicide - Correct Answer: recent move across the country to look for work
15. nurse is assessing a newly admitted client who has major depressive disorder. which of the following manifestations should

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the nurse expect in this client? - Correct Answer: experiences delusions of persecution

16. nurse is assessing a 2 year old toddler who has Down syndrome during a well-child visit. the parent reports concerns regarding his child's delayed developmental achievement. which of the following responses should the nurse make? - Correct Answer: is your child receiving the physical therapy we recommended?
17. nurse is teaching about pancreatic enzyme replacement therapy with a client who has chronic pancreatitis and is starting to take pancrelipase capsules. which of the following info should the nurse include when teaching about pancrelipase - Correct Answer: vary the amount of medication taken based on the amount of food consumed
18. nurse is teaching a client who has epilepsy and a prescription for valproic acid. the nurse should instruct the client to report

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which of the following as an adverse effect of the medication - Correct Answer: yellow sclera

19. nurse is counseling a client who has experienced intimate partner violence. which of the following instructions is the priority for the nurse to include in the teaching - Correct Answer: develop a safety plan
20. nurse is reviewing the medical record of a 9 mo. old infant. which of the following findings shoud the nurse report to the provider - Correct Answer: gross motor skills
21. nurse is providing teaching to a cleint who has preeclampsia without severe features. which of the following instructions should the nurse include? - Correct Answer: use a side-lying position when resting in bed or on the couch
22. nurse is updating the meal plan for a client who has resolving diverticulitis and is being advanced to a high fiber diet.

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the nurse should recognize that which of the following food is the best source of fiber - Correct Answer: one medium banana

23. nurse is admitting a client who is at 36 weeks of gestation and is experiencing eclampsia. which of the following actions is the nurse's priority - Correct Answer: keep the client's head to one side
24. nurse is assessing a client who has acute leukemia and has received an allogeneic bone marrow transplant. the nurse should identify that which of the following findings is a manifestation of graft versus host disease - Correct Answer: diffuse rash
25. a nurse caring for a client who has gastroenteritis and reports diarrhea and vomiting for 3 days. which of the following findings should the nurse recognize as a manifestation of this inflammatory bowel disease - Correct Answer: orthostatic hypotension

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26. nurse is reviewing the lab findings of a client who has acute pancreatitis. which of the following findings should the nurse expect - Correct Answer: amylase 300 units/L
27. nurse is providing discharge teaching to a client who is at 34 weeks of gestation and has placenta previa. which of the following statements by the client indicates an understanding of the instructions - Correct Answer: i need to make arrangements so that i am not by myself at home.
28. nurse is providing discharge teaching to a client who is at 32 weeks of gestation and had an episode of preterm labor. which of the following should the nurse include in the instructions - Correct Answer: if contractions recur, drink two or three glasses of water
29. nurse is reviewing the recent lab reports for a client who has anorexia nervosa with recurrent purging behavior. which of the following lab values indicates a therapeutic response to the treatment plan - Correct Answer: BUN 18 mg/dL

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30. a nurse is admitting a client who is at 36 weeks of gestation and has placenta previa. the client is experiencing moderate vaginal bleeding. which of the following actions should the nurse take - Correct Answer: initiate IV access for the client
31. a nurse in an emergency dept. is assessing a newly admitted client. the nurse should identify that which of the following findings is a manifestation of acute cocaine toxicity - Correct Answer: agitation
32. nurse is teaching about home safety with parent of a newborn. which of the following info should the nurse include - Correct Answer: increase the temperature of the room prior to bathing the newborn
33. nurse is teaching a client who has melanoma about nonsurgical treatment options. the nurse should include which of

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the following options in the teaching - Correct Answer: targeted therapy

34. nurse is assessing an infant who has down syndrome. which of the following manifestations should the nurse expect - Correct Answer: depressed nasal bridge
35. nurse is preparing to administer phenytoin via intermittent IV bolus to a client who is having a tonic-clonic seizure caused by epilepsy. which of the following factors should the nurse consider when administering IV phenytoin - Correct Answer: administer phenytoin at a rate no greater than 50 mg/min
36. nurse is caring for an infant who has a patent ductus arteriosus and HF. which of the following interventions should the nurse perform - Correct Answer: offer the infant small, frequent feedings.

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37. nurse in a mental health facility is assessing a client who has a history of alcohol use disorder. the client states their last drink was 24 hour ago. for which of the following manifestations of alcohol withdrawal should the nurse monitor - Correct Answer: tremor
38. nurse is teaching a family member of a client who has alzheimers about minimizing behavioral problems at home. which of the following info should the nurse include in the teaching - Correct Answer: briefly leave the room when the client becomes agitated
39. nurse is assessing an adolescent client who has ewing sarcoma. which of the following manifestations should the nurse expect - Correct Answer: pain in the upper thigh
40. nurse is teaching a client who has a new prescription for sildenafil to treat erectile dysfunction. which of the following

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information should the nurse include in the teaching - Correct Answer: monitor for dizziness while on this medication

41. nurse is providing dietary teaching for a client who is obese and wants to lose 0.91 kg / 2 lb per week. the client currently consumes about 2500 cals per day. to achieve this goal, how many cals should the nurse instruct the client to consume per day - Correct Answer: 1500
42. nurse is planning to administer recommended immunizations to a 65 year old client. which of the following immunizations should the nurse plan to administer - Correct Answer: influenza, herpes zoster, pneumococcal vaccine
43. nurse is assessing a client who has PTSD after a workplace explosion 3 mo. ago. which of the following findings should the nurse expect - Correct Answer: hypervigilance

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44. community health nurse is assessing an older adult client. nurse should identify that which of the following findings is a manifestation of elder neglect - Correct Answer: sunken eyes
45. a nurse is evaluating the plan of care for an adolescent who has ADHD. which of the following statements made by the adolescent should indicate to the nurse an improvement in the adolescent's social interaction - Correct Answer: i work well in groups of two or three people
46. nurse is assessing a client who had a stroke. nurse should identify that which of the following findings is a manifestation of a right hemisphere stroke - Correct Answer: euphoria
47. nurse at a crisis center is meeting with a client who reports that his adolescent daughter has been increasingly defiant since his divorce 2 years ago. the client states im so stressed that i cant take this anymore. which of the following actions should the nurse

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take first - Correct Answer: identify the client's current coping strategies

48. nurse is assessing a client who is a survivor of intimate partner violence. which of the following findings indicates that the client is in the tension-building phase of battering - Correct Answer: client rationalizes the partner's battering behavior
49. nurse is teaching a client who is scheduled for the placement of a penile implant for the treatment of erectile dysfunction. which of the following statements by the client indicates an understanding of the teaching - Correct Answer: this implant can be deflated by pushing a button in my scrotum
50. nurse is reviewing the medical record for a client who is in active labor. which of the following findings should the nurse identify as a risk factor for postpartum hemorrhage - Correct Answer: labor induced with oxytocin

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51. nurse is assessing a client who has a benign tumor resulting from fibrocystic breast condition. which of the following findings should the nurse expect - Correct Answer: breast pain
52. nurse is caring for a client who is experiencing a postpartum hemorrhage. which of the following medications should the nurse plan to administer - Correct Answer: methylergonovine
53. nurse is educating a group of staff nurses about the difference between non-Hodgkin's lymphoma and hodgkins lymphoma. the nurse should include which of the following statements in the teaching - Correct Answer: non-hodgkins lymphoma progresses erratically through the lymphatic system
54. nurse in an emergency dept. is counseling a client who experienced sexual violence. after addressing the client's physical needs, which of the following statements is the priority for the nurse to make - Correct Answer: you are safe here

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55. nurse is providing teaching to a client who has a new prescription for a diaphragm. which of the following statements should the nurse make? - Correct Answer: you should be refitted for a new diaphragm if your weight changes by 20 percent or more
56. nurse is caring for a client following a stroke. which of the following actions should the nurse take to increase the clients cerebral perfusion - Correct Answer: position the client's head in a midline position
57. nurse in a pediatric clinic is planning an education program for guardians of school-age children about preventing obesity. which of the following information should the nurse include - Correct Answer: avoid using food as a reward for good behavior
58. nurse is performing an admission assessment on a client. which of the following findings should the nurse expect - Correct Answer: foul smelling bulky stool

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59. nurse is reviewing the lab report of a school age child who has acute poststreptococcal glomerulonephritis. which of the following lab values should the nurse expect - Correct Answer: increased SG
60. a nurse is teaching a client who is preop for an abd. hysterectomy with a bilateral salpingo-oopherectomy. which of the following statements should the nurse make - Correct Answer: you might develop menopausal symptoms after this procedure
61. nurse is assessing a client who has borderline personality disorder. which of the following characteristics should the nurse expect - Correct Answer: impulsiveness
62. nurse is teaching about disease management with a client who has parkinsons disease. which of the following statements

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should the nurse include in the teaching - Correct Answer: take medications at the same time each day

63. nurse is assessing a client who has schizophrenia. which of the following manifestations should the nurse identify as positive symptoms of schizophrenia. - Correct Answer: magical thinking, clang association, auditory hallucinations
64. nurse is assessing a client who has depression. which of the following manifestations should indicate to the nurse that the client is experiencing low self-esteem - Correct Answer: hypersensitivity to criticism
65. nurse is assessing a newly admitted client following a stroke. which of the following findings should indicate to the nurse the client has experienced a left hemispheric stroke - Correct Answer: difficulty reading

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66. nurse is teaching a client who is at 22w of gestation and has gestational HTN. which of the following information should the nurse include in teaching - Correct Answer: gestational HTN usually resolves during the first week postpartum
67. nurse is caring for a client who has bipolar disorder and is experiencing mania. which of the following actions should the nurse take - Correct Answer: give the client short, firm directions when communicating
68. hospice nurse is providing palliative care for a client who is near death and not responding to verbal stimuli. which of the following actions should the nurse take - Correct Answer: apply a scopolamine transdermal patch for increased oral or resp. secretions
69. nurse is admitting a toddler who has wilms tumor. which of the following actions is the nurses priority - Correct Answer: avoid palpation of the abdomen

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70. hospice nurse is caring for a client who has end stage cancer. the clients partner asked about ways to help reduce the clients pain. which of the following palliative actions should the nurse recommend for tactile distraction - Correct Answer: applying warm compresses
71. nurse is teaching about self management of STIs with a client who has genital herpes. which of the following instructions should the nurse include in the teaching - Correct Answer: wear gloves when applying anesthetic ointments
72. nurse is assessing a client who has MS. which of the following manifestations should the nurse expet - Correct Answer: decreased visual acuity
73. school nurse is planning an educational program for parents about bullying. which of the following information should the

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nurse include - Correct Answer: children who are victims of bullying behavior have an increased risk of suicidal ideation

74. nurse is teaching the guardian of a child who has juvenile idiopathic arthritis about pain management. which of the following statements should the nurse make - Correct Answer: discourage your child from taking naps during the daytime
75. nurse is teaching about adalimumab with a client who has rheumatoid arthritis. which of the following info should the nurse include - Correct Answer: have a TB skin test prior to administration of adalimumab
76. nurse is providing discharge teaching for the guardian of a newborn who was recently circumcised. which of the following statements should she include - Correct Answer: clean the penis with warm water until it is healed

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77. nurse is teaching about managing fatigue with a client who has end-stage COPD. which of the following statements should the nurse include in the teaching - Correct Answer: rest your elbows on a table when doing an activity
78. nurse is caring for an infant born at 31 weeks of gestation. for which of the following complications should the nurse anticipate and monitor the newborn - Correct Answer: apnea, necrotizing enterocolitis, hypoglycemia
79. nurse is teaching about approaches to care with the family of a client who has a new diagnosis of dementia with confusion. which of the following info should the nurse include in the teaching - Correct Answer: use pictures and gestures when giving instructions
80. nurse is assessing a client who is at 24 weeks of gestation during a monthly antepartum visit. which of the following

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manifestations is a potential prenatal complication and should be reported to the provider - Correct Answer: facial swelling

81. nurse is caring for a newborn who has hyperbillirubinemia. the newborn is prescribed phototherapy to treat this newborn complication. to provide for the safety of the newborn, the nurse should shield which area during phototherapy. - Correct Answer: eyes
82. a nurse is caring for a client who is receiving IV oxytocin for induction of labor. the fetal heart rate tracing reveals multiple variable decelerations. which of the following actions should the nurse take - Correct Answer: reposition the client
83. nurse is caring for a client who is at 33 w gestation and has a new diagnosis of preeclampsia. which of the following medications should the nurse expect the provider to prescribe - Correct Answer: nifedipine

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84. nurse is planning care for a client who is being admitted for treatment of anorexia nervosa. which of the following actions should the nurse include in the plan - Correct Answer: observe the client for 60 min. after meals
85. nurse is assessing a client who has parkinsons disease which of the following manifestations should the nurse expect - Correct Answer: bradykinesia
86. nurse is teaching the parents of a newborn about using a bulb syringe to clear the newborns nose and mouth of excess secretions. which of the following instructions should the nurse include - Correct Answer: discontinue suctioning when the newborns cry sounds clear
87. nurse is assessing a client following stroke. nurse should identify that which of the following findings is a manifestation of increased ICP - Correct Answer: vomiting

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88. nurse is caring for a client who has a newborn and exhibits manifestations of pospartum depression. which of the following assessment is the nurses priority - Correct Answer: determine whether the client plans to harm herself
89. nurse in a providers office is reviewing the lab report of a client who take lithium for bipolar disorder. which of the following lab results should the nurse report to the provider - Correct Answer: sodium 128
90. nurse is providing teaching to a client who has bipolar disorder and a new prescription for lithium. which of the following statements should the nurse make - Correct Answer: drink at least 1.5 L of fluid per day while taking this med
91. nurse is caring for a client who is at 13 w of gestation and has positive gonorrhea culture. which of the following medications should the nurse plan to administer - Correct Answer: ceftriaxone