CM EXAM 3 STUDY GUIDE:
ATI Ch
86---------HIV/AIDS2
87-----Lupus, gout, fibromyalgia 1
88------------RA 2
89---------------------------------------- General Princ of Cancer 7 Cancer Questions (read ATI
X3)
90- Cancer Screening and Diagnostic
Procedures 91-Cancer Tx
Medical Surgical
Ch 18-RA-
19-HIV
29----------------------------------------------------------------- Upper Resp (nose bleed,
largnectomy, etc)--------------------------------------5 (read TB)
30------------------------------------------------ Lower Resp (COPD, asthma) (read TB)
ATI Nutrition
7-Nutrition Across Lifespan------12**************(read ATI)
1. A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. List
side effects and ways to manage side effects of naproxen.
a. Naproxen: to relieve pain.
b. Side effect: GI upset
c. Take w full glass water and or milk, food, anacid
d. Do not lay down 10 mins after drug
2. A nurse is caring for a client who is taking betamethasone. List side effects and ways to manage side effect
of betamethasone.
a. Betamethasone: anti-inflammatory corticosteroid to tx skin condition.
b. Side effects: increased---cholesterol, glucose, weight, risk infection
i. growth, moon face
3. A patient is scheduled for colonoscopy and is very anxious about feeling pain during the procedure. What can
the nurse say to decrease his anxiety?
a. Give info about--procedure, level of sedation, possibility of pain
i. Reassure---pain control by meds, have anesthesiologist, will be asleep
4. List ways to decrease nausea due to chemotherapy.
5. A client who has chronic lymphocytic leukemia is starting chemotherapy treatments – what advice can
the given to decrease nausea and vomiting.
, a. Use ondansetron (serotonin blocker) w—
i. corticosteroids, phenothiazine, or antihistamines
b. Can also use prokinetic agent---“pramide”, “zepines”, and cannabinoid
c. Give antiemetic before and after chemo
d. Remove odors
e. Use visuals, relaxation, acupuncture, or distractions
6. Select from this list the foods that are a good source of high quality protein.
a. Soybeans, Grains, Legumes, Green vegetables
i. Soybeans is complete protein
7. How long should infants feed when taking formula (in minutes?)
a. Breatsfeed 15-20 mins
8. What solid food is best to be introduced first to a infant?
a. Iron-fortified rice cereal
9. Select for the list the BEST food for a snack to offer a toddler?
a. ****************graham crackers, apple, cheese**********************
b. *************For teens: carrots, cheese n crackers, unbuttered popcorn*************
c. Sliced bananas, Raw celery, Peanut butter, Grapes
i. Bananas
ii. Toddlers also like plain food like—mac and cheese, spaghetti, and pizza.
10. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse
should instruct that the transition to whole milk can occur at which of the following ages?
i. 6, 8, 10, or 12 months?
1. 12 months
11. A client is in her second trimester of pregnancy. It is recommended the client increase her caloric intake
by how many calories during this trimester?
a. 340 cals
12. A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse
that her son is a "picky eater." Remember that most children go through these food jags and do not starve!!
What would the nurse say to the mother to reassure her?
a. “food jags are common and short lived”
13. Important to Know: Iron stores in infants are adequate until about 6 months of age. Infants who are weaned
before 6 months of age should be given iron-fortified formula until 12 months of age. Iron stores will also be
supplemented with the addition of iron-fortified cereals and iron-rich foods to the
infant’s diet at 6 months of age.
a. Infants weaned before 6 months should be given iron formula until 12 months.
b. *******************for preg: give beans, fish, red meat************
14. A client has neutropenia as a result of radiation therapy for the treatment of lung cancer. What types of or
beverage would have the least amount of bacteria?
a. Bottled water, The salad bar, Soft-boiled eggs, A buffet
i. Bottled water has least bacteria.
ATI Ch
86---------HIV/AIDS2
87-----Lupus, gout, fibromyalgia 1
88------------RA 2
89---------------------------------------- General Princ of Cancer 7 Cancer Questions (read ATI
X3)
90- Cancer Screening and Diagnostic
Procedures 91-Cancer Tx
Medical Surgical
Ch 18-RA-
19-HIV
29----------------------------------------------------------------- Upper Resp (nose bleed,
largnectomy, etc)--------------------------------------5 (read TB)
30------------------------------------------------ Lower Resp (COPD, asthma) (read TB)
ATI Nutrition
7-Nutrition Across Lifespan------12**************(read ATI)
1. A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. List
side effects and ways to manage side effects of naproxen.
a. Naproxen: to relieve pain.
b. Side effect: GI upset
c. Take w full glass water and or milk, food, anacid
d. Do not lay down 10 mins after drug
2. A nurse is caring for a client who is taking betamethasone. List side effects and ways to manage side effect
of betamethasone.
a. Betamethasone: anti-inflammatory corticosteroid to tx skin condition.
b. Side effects: increased---cholesterol, glucose, weight, risk infection
i. growth, moon face
3. A patient is scheduled for colonoscopy and is very anxious about feeling pain during the procedure. What can
the nurse say to decrease his anxiety?
a. Give info about--procedure, level of sedation, possibility of pain
i. Reassure---pain control by meds, have anesthesiologist, will be asleep
4. List ways to decrease nausea due to chemotherapy.
5. A client who has chronic lymphocytic leukemia is starting chemotherapy treatments – what advice can
the given to decrease nausea and vomiting.
, a. Use ondansetron (serotonin blocker) w—
i. corticosteroids, phenothiazine, or antihistamines
b. Can also use prokinetic agent---“pramide”, “zepines”, and cannabinoid
c. Give antiemetic before and after chemo
d. Remove odors
e. Use visuals, relaxation, acupuncture, or distractions
6. Select from this list the foods that are a good source of high quality protein.
a. Soybeans, Grains, Legumes, Green vegetables
i. Soybeans is complete protein
7. How long should infants feed when taking formula (in minutes?)
a. Breatsfeed 15-20 mins
8. What solid food is best to be introduced first to a infant?
a. Iron-fortified rice cereal
9. Select for the list the BEST food for a snack to offer a toddler?
a. ****************graham crackers, apple, cheese**********************
b. *************For teens: carrots, cheese n crackers, unbuttered popcorn*************
c. Sliced bananas, Raw celery, Peanut butter, Grapes
i. Bananas
ii. Toddlers also like plain food like—mac and cheese, spaghetti, and pizza.
10. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse
should instruct that the transition to whole milk can occur at which of the following ages?
i. 6, 8, 10, or 12 months?
1. 12 months
11. A client is in her second trimester of pregnancy. It is recommended the client increase her caloric intake
by how many calories during this trimester?
a. 340 cals
12. A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse
that her son is a "picky eater." Remember that most children go through these food jags and do not starve!!
What would the nurse say to the mother to reassure her?
a. “food jags are common and short lived”
13. Important to Know: Iron stores in infants are adequate until about 6 months of age. Infants who are weaned
before 6 months of age should be given iron-fortified formula until 12 months of age. Iron stores will also be
supplemented with the addition of iron-fortified cereals and iron-rich foods to the
infant’s diet at 6 months of age.
a. Infants weaned before 6 months should be given iron formula until 12 months.
b. *******************for preg: give beans, fish, red meat************
14. A client has neutropenia as a result of radiation therapy for the treatment of lung cancer. What types of or
beverage would have the least amount of bacteria?
a. Bottled water, The salad bar, Soft-boiled eggs, A buffet
i. Bottled water has least bacteria.
