ATI: Comprehensive Practice A/B
Which of the following is a manifestation of autism:
- Strict adherence to routines
- Excessive anxiety when seperated from parents
trict adherence to routines.
Excessive anxiety is a manifestation of seperation anxiety disorder
Which of the following is appropriate teaching for the rhomberg test?
- I will be checking on you with your eyes open and once with them closed
- You will place your hands and hold your hands on your hips
- I will be checking on you with your eyes open and once with them closed
How will the feet be positioned in proximity to one another during the romberg test?
Feet will be together
The nurse should be standing across the room or near the patient during the performance of a
romberg test?
Close- due to risk of fall
A client with new terminal cancer would like to go home with loved ones. Which of the following
should the nurse do?
- Explain the process of leaving the facility against medical advice
- Make a referral for social services
Make a referral for social services.
The client isn't leaving against medical advice.
In adults, the goal for oxygen therapy is to keep O2 > what %?
95
,For clients with increased ICP, should care be clustered or spaced apart?
Spaced apart. Clustering their care would increase stress which can increase ICP.
Should clients with increased ICP be supine?
No. Elevate HOB to promote blood return away from the heart
A client who is receiving mechanical ventilation is at risk for what blood pressure alteration?
Hypotension due to increased chest pressure and decreased blood return to the heart
Which of the following is an adverse effect of PEEP?
- Tension pneumothorax
- Atelectasis
Tension pneumothorax
PEEP is used to prevent atelectasis by strengthening gas exchange
Clients who are receiving home therapy oxxygen should wear cotton or synthetic / woolen
fabric?
Cotton fabrics.
Synthetic or woolen fabrics can create static electricity, which increases risk for fire.
Which of the two lubricants can be used for clients receiving oxygen therapy?
- Petroleum
- Water-soluble
Water soluble
Petroleum is flammable when near oxygen
How often should oxygen equipment functionality be tested?
Once a day
, Which of the following should be done prior to administering a bolus NG tube feeding
- Review the medical record for previous x-ray verification of placement
- Aspirate contents from the tube and verify the pH level
- Aspirate contents from the tube and verify the pH level
Which of the following is priority for a client who had abdominal surgery 24hr ago
- Assist with deep breathing and coughing
- Monitor the incision site for findings of infection
- Assist with deep breathing and coughing
Which of the following is an adverse reaction to propranolol?
- Hypertension
- Tachycardia
- Wheezing
Wheezing
What kind of BP cuff should you use for clients with sickle cell anemia - automatic or manual?
Manual - use alternatives to monitoring BP due to the clients increased risk of venous occlusion
Which of the following is an adverse effect of amitriptyline?
- DIarrhea
- Frequent urination
- Blurred vision
Blurred vision
Frequent urination, or urinary retention, is an adverse effect of amitriptyline?
Urinary retention
Which of the following is a manifestation of autism:
- Strict adherence to routines
- Excessive anxiety when seperated from parents
trict adherence to routines.
Excessive anxiety is a manifestation of seperation anxiety disorder
Which of the following is appropriate teaching for the rhomberg test?
- I will be checking on you with your eyes open and once with them closed
- You will place your hands and hold your hands on your hips
- I will be checking on you with your eyes open and once with them closed
How will the feet be positioned in proximity to one another during the romberg test?
Feet will be together
The nurse should be standing across the room or near the patient during the performance of a
romberg test?
Close- due to risk of fall
A client with new terminal cancer would like to go home with loved ones. Which of the following
should the nurse do?
- Explain the process of leaving the facility against medical advice
- Make a referral for social services
Make a referral for social services.
The client isn't leaving against medical advice.
In adults, the goal for oxygen therapy is to keep O2 > what %?
95
,For clients with increased ICP, should care be clustered or spaced apart?
Spaced apart. Clustering their care would increase stress which can increase ICP.
Should clients with increased ICP be supine?
No. Elevate HOB to promote blood return away from the heart
A client who is receiving mechanical ventilation is at risk for what blood pressure alteration?
Hypotension due to increased chest pressure and decreased blood return to the heart
Which of the following is an adverse effect of PEEP?
- Tension pneumothorax
- Atelectasis
Tension pneumothorax
PEEP is used to prevent atelectasis by strengthening gas exchange
Clients who are receiving home therapy oxxygen should wear cotton or synthetic / woolen
fabric?
Cotton fabrics.
Synthetic or woolen fabrics can create static electricity, which increases risk for fire.
Which of the two lubricants can be used for clients receiving oxygen therapy?
- Petroleum
- Water-soluble
Water soluble
Petroleum is flammable when near oxygen
How often should oxygen equipment functionality be tested?
Once a day
, Which of the following should be done prior to administering a bolus NG tube feeding
- Review the medical record for previous x-ray verification of placement
- Aspirate contents from the tube and verify the pH level
- Aspirate contents from the tube and verify the pH level
Which of the following is priority for a client who had abdominal surgery 24hr ago
- Assist with deep breathing and coughing
- Monitor the incision site for findings of infection
- Assist with deep breathing and coughing
Which of the following is an adverse reaction to propranolol?
- Hypertension
- Tachycardia
- Wheezing
Wheezing
What kind of BP cuff should you use for clients with sickle cell anemia - automatic or manual?
Manual - use alternatives to monitoring BP due to the clients increased risk of venous occlusion
Which of the following is an adverse effect of amitriptyline?
- DIarrhea
- Frequent urination
- Blurred vision
Blurred vision
Frequent urination, or urinary retention, is an adverse effect of amitriptyline?
Urinary retention
