ATI RN Practice Quiz B UPDATED 2022 60 QUESTIONS WITH 100% CORRECT ANSWERS & RATIONALE

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ATI RN Practice Quiz B UPDATED 2022 60 QUESTIONS WITH 100% CORRECT ANSWERS & RATIONALE A nurse is caring for a client who is receiving end-of-life care and has a prescription for fentanyl patches. ... Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family? - Take a stool softener on a daily basis. Rationale: constipation is an adverse effect of opioid use. --Naloxone is only for use in the acute care setting. --Urinary retention is an adverse effect of opioids, including fentanyl. A nurse is caring for a client who has diabetes mellitus and is taking glyburide. The client reports feeling confused and anxious. Which of the following actions should the nurse take first? - Perform a capillary blood glucose test. A nurse is providing teaching to a client who is to start therapy with digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? A- Dry cough B- Pedal edema C- Bruising D- Yellow-tinged vision - D- Yellow-tinged vision Rationale: this is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include nausea, vomiting, loss of appetite, and fatigue. A nurse is reviewing the laboratory results of a client who is taking carbamazepine for a seizure disorder. Which of the following findings should the nurse report to the provider? - WBC 3,500 Rationale: WBC reference range is 5,000 to 10,000A nurse is reviewing lab results for a client who is to receive a dose of ceftazidime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication? - Creatinine 2.6 mg/dL Normal creatinine levels are 0.8 to 1.2 mg/dL A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate. The nurse should identify that which of the following findings indicates a therapeutic response to the medication? - Client report of decreased paresthesia. Rationale: paresthesia (tingling/numbness) is a manifestation of hypocalcemia. The nurse should also monitor for a decrease in other manifestations of hypocalcemia including muscle twitching and cardiac dysrhythmias. A nurse is providing teaching to a client who has a prescription for trimethoprim/sulfamethoxazole. Which of the following instructions should the nurse include in the teaching? - Drink 8 to 10 glasses of water daily. A nurse should instruct the client to increase water intake to 1,920 to 2,400ml a day to decrease the chance of kidney damage from crystallization. A nurse is preparing to administer hydrochlorothiazide to a client. Which of the following actions should the nurse take prior to administering the medication? - Take the client's BP. Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. A nurse is providing teaching for a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? - --Blood glucose levels will need to be monitored --Avoid contact with persons who have known infections--Grapefruit juice can increase the blood levels of the medication A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse include in the plan of care? - Place monitoring cords and tubes in a stockinet. A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately? - Hyperventilation. Rationale: This may occur due to acute salicylate poisoning, which causes respiratory alkalosis in the early stages. A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse identify as an adverse effect of the medication? - Orthostatic hypotension A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? - Creatine kinase A nurse is providing teaching to a client who is to start taking sumatriptan. Which of the following adverse effects should the nurse instruct the client to monitor for and report to the provider? - Chest pressure Rationale: sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider. A nurse is completing an incident report for a medication error. Which of the following should the nurse include in the report? - Administered propanolol 80 mg PO at 1800 to the client who did not have a prescription for the medication. A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching? - Drink 2L of water daily.The nurse should instruct the client to drink at least 2L of water each day to prevent renal stone formation and kidney injury, because allopurinol is eliminated through the kidneys A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? - I will remove the patch after 14 hours. A nurse is caring for a client who has developed hypomagnesemia due to long-term therapy with lansoprazole. The nurse should monitor the client for which of the following manifestations? - Disorientation [Show More]

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