1. A nurse is reviewing the medical record of a client who has schizophrenia and is taking
clozapine. Which of the following findings should the nurse identify as a contraindication
to theadministration of clozapine ?
a. WBC count 2,900 /mm3 - AGRANULOCYTOSIS - 4,800- 15,000 is normal range
b. FAsting blood glucose 100 mg/dl
c. Hgb 14 g/Dl
d. Heart rate 58/min
ATI PHARM 116 Complications
2. A nurse is caring for a client who is at 38 weeks of gestation and has a history of hepatitis C.
The client asks the nurse if she will be able to breastfeed. Which of the following responses
by the nurse is appropriate?
a. You may breastfeed unless your nipples are cracked or bleeding.
b. You must use a breast pump to provide breast milk.
c. You must use nipple shield when breastfeeding.
d. You may breastfeed after your baby develops his antibiotics
3. A nurse is caring for a client who has returned to the medical-surgical unit following a
transurethral resection of the prostate. Which of the following should the nurse
identify aspriority nursing assessment after reviewing the clients information?
Exhibit.
a. Level of consciousness. (priority)- decreased LOC can mean less o2 going to the
brain ?
b. Skin turgor
c. Deep-tendon reflexes
d. Bowel sounds
4. A nurse is caring for a client who has hyperthermia .Which of the following actions for the
nurse to take ?
a. Submerge the adolescent feet in ice water
b. Cover the adolescent with a thermal blanket → if hypothermia.
c. Administer oral acetaminophen
d. Initiate seizure precautions
5. A nurse manager is updating protocols for belt restraints. Which of the following
guidelinesshould the nurse include.
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours
6. A nurse in emergency department is caring for a client who has full thickness burn of
the thorax and upper torso. After securing the client's airway, which of the following is the
nurse'spriority intervention?
P. 482 ch 75 CONFIRMED
a. Providing pain management
b. Offering emotional support
c. Preventing infection
, d. Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd
spacing
7. A nurse is caring for a client who has cancer and is being transferred to hospice care.
Theclient’s daughter tells the nurse, “I’m not sure what to say to my mom if she asks me
about dying.” which of the following responses by the nurse is appropriate? (SATA)
A. Hospice will take good care of your mom, so I wouldn’t worry about that.
B. Let's talk about your mom’s cancer and how things will progress from here.
C. Tell me how you are feeling about your mom dying.
D. Tell her not to worry. She still has plenty of time left.
clozapine. Which of the following findings should the nurse identify as a contraindication
to theadministration of clozapine ?
a. WBC count 2,900 /mm3 - AGRANULOCYTOSIS - 4,800- 15,000 is normal range
b. FAsting blood glucose 100 mg/dl
c. Hgb 14 g/Dl
d. Heart rate 58/min
ATI PHARM 116 Complications
2. A nurse is caring for a client who is at 38 weeks of gestation and has a history of hepatitis C.
The client asks the nurse if she will be able to breastfeed. Which of the following responses
by the nurse is appropriate?
a. You may breastfeed unless your nipples are cracked or bleeding.
b. You must use a breast pump to provide breast milk.
c. You must use nipple shield when breastfeeding.
d. You may breastfeed after your baby develops his antibiotics
3. A nurse is caring for a client who has returned to the medical-surgical unit following a
transurethral resection of the prostate. Which of the following should the nurse
identify aspriority nursing assessment after reviewing the clients information?
Exhibit.
a. Level of consciousness. (priority)- decreased LOC can mean less o2 going to the
brain ?
b. Skin turgor
c. Deep-tendon reflexes
d. Bowel sounds
4. A nurse is caring for a client who has hyperthermia .Which of the following actions for the
nurse to take ?
a. Submerge the adolescent feet in ice water
b. Cover the adolescent with a thermal blanket → if hypothermia.
c. Administer oral acetaminophen
d. Initiate seizure precautions
5. A nurse manager is updating protocols for belt restraints. Which of the following
guidelinesshould the nurse include.
a. Document the client's conditions every 15 minutes
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours
6. A nurse in emergency department is caring for a client who has full thickness burn of
the thorax and upper torso. After securing the client's airway, which of the following is the
nurse'spriority intervention?
P. 482 ch 75 CONFIRMED
a. Providing pain management
b. Offering emotional support
c. Preventing infection
, d. Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd
spacing
7. A nurse is caring for a client who has cancer and is being transferred to hospice care.
Theclient’s daughter tells the nurse, “I’m not sure what to say to my mom if she asks me
about dying.” which of the following responses by the nurse is appropriate? (SATA)
A. Hospice will take good care of your mom, so I wouldn’t worry about that.
B. Let's talk about your mom’s cancer and how things will progress from here.
C. Tell me how you are feeling about your mom dying.
D. Tell her not to worry. She still has plenty of time left.
