ATI Comprehensive Questions and Answers 2022

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ATI Comprehensive Questions and Answers 2022 Pt has a PE and is being given heparin continuously via IV at 1,200 units/hr and warfarin 5mg PO daily. The labs show aPTT of 98sec and INR of 1.8 Shou... ld withhold the heparin infusion because the aPTT is to high, the normal therapeutic range while receiving heparin is 60-80sec Pt in urgent care reports impaired vision in one eye. What would indicate a detached retina? A floating dark spot is one of the manifestations due to bulges, folds, or holes in the affected retina Infant with hydrocephalus and is 6hr post-op following a placement of ventriculoperitoneal shunt (VP). What finding should be reported to the HCP? Irritability when being held, this is a manifestation of increased ICP. This indicates that the VP shunt is malfunctioning and should be reported A pt is taking phenelzine, what food recommendation should be given? - Phenelzine is an MAOI, while taking the pt should avoid foods containing tyramine - Foods the pt can eat include broccoli, yogurt, cream cheese - Foods that do contain tyramine include processed like pepperoni and bologna A pt is 20wks of gestation and the nurse is discussing common prenatal discomforts. Which statement indicates understanding? - Wearing a supportive bra overnight, this will help with the breast changes - Increase intake of high-fiber foods, this will help with constipation - Development of face rash is normal, anti-inflammatory ointment doesn't help this - Sleep on side to help with back pain A nurse is providing discharge teaching to a pt receiving home oxygen therapy. What should the nurse include in the teaching? - Check the function of the equipment daily - Wear cotton clothing while oxygen is in use, this decreases static electricity from the clothing and risk of fire -Apply water-soluble lubricants to the nares vs. oil based - Store tanks in an upright position Pt receiving continuous bladder irrigation following a transuretheral resection of the prostate. The pt reports bladder spasms and there is decreased urinary output. What should be done? - Irrigate the catheter with 0.9% sodium chloride irrigation - This indicates internal obstruction of the catheter Child with sickle cell anemia who is having vaso-occlusive crisis. What intervention should be done first? - Infuse IV fluids, this promotes hydration and circulation, decreases the tissue and organ ischemia A nurse is teaching a pt about basal body temp. method of birth control. What information should the nurse include? - The body temp. might decrease slightly just prior to ovulation A nurse is assessing for hypocalcemia, where should the nurse tap on the face to elicit a positive Chvostek's sign? - The nurse should tap the pts facial nerve about an inch from the tragus of the ear. Facial twitching is positive finding for hypocalcemia A pt has acute glomerulonephritis, which of the following findings in the urine should be expected? - Protein is expected - Increased glomerular permeability allows protein to filter into the urine A nurse on an oncology unit is administering doxorubicin to a pt with breast cancer. Which action should be taken? - Inspect the pts mucosa for petechiae q8hr - This medication causes thrombocytopenia and increases the risk of bleeding - Should also assess for hematuria, guaiac, and bruising The nurse recognizes that a sedentary lifestyle is a risk factor for osteoporosis in older adult pts. What should this pt be taught? - The nurse should encourage the pt to engage in weight-bearing exercises to promote bone health, this will increase calcium and phosphorus levels Isolation precautions - A pt with measles should be placed on airborne precautions - A pt with airborne precautions should be placed in a negative-pressure airflow room - A pt with C-diff should be placed on contact plus precautions A child is taking valproic acid, what diagnostic test should be expected for the HCP to order? - Serum liver enzyme levels - Valproic acid can cause hepatic toxicity A pt with schizophrenia has started taking risperidone. What action should the nurse take? - Implement fall precautions for the pt - Risperidone can cause orthostatic hypotension and dizziness, which can lead to falls A child in the ED who has a fever and fluid-filled vesicles on the trunk and extremities. What intervention is priority? - Initiate transmission-based precautions - This indicates that the child most likely has varicella, which is infectious A nurse is assessing a pt for compartment syndrome. What is an expected finding? - Edema - Compartment syndrome causes increased pain, pallor, and paresthesias from increased edema A nurse is assessing a pt after giving epinephrine for an anaphylactic reaction. What is an adverse effect of this medication? - Chest pain - Epinephrine increases cardiac workload and oxygen demand, which can result in angina A nurse is providing teaching to a pt who is 24wks gestation and is scheduled for a 3hr oral glucose tolerance test. Which of the following instructions should the nurse include? - You will need to fast the night before the test A nurse is assessing an older adult pt with pneumonia. Which finding should the nurse expect? - Acute confusion - Typical findings in an older adult is acute confusion, fatigue, lethargy, and anorexia A pt in the ED has been having nausea and vomiting for the past 2days. What finding should be expected? [Show More]

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