ATI COMPREHENSION A/B RATIONALES
what is montelukast (singular) for? Correct Answer: a leukotriene modifier, and is taken on a
regular basis, once a day, and not prn, and is not used for exercise induced asthma
what does advance directives contain? Correct Answer: written instructions regarding end of life
care
what is the greatest risk to a pt receiving hemodialysis? Correct Answer: disequilibrium
syndrome as a result of rapid loss of fluids and decrease bun
what is the clinical manifestation of disequilibrium? Correct Answer: restlessness and decreased
level of consciousness
what are expected findings in hemodialysis? Correct Answer: elevated temp
weight loss
decreased bp
what should the nurse do when a pt feels lightheaded and begins to fall? Correct Answer: spread
feet apart and extend one leg for the pt to slide down while lowering the pt to the floor
what are the characteristics of a pt with dependent personality disorder? Correct Answer: they
have problems making everyday decision without input from others
a pregnant pt who is bleeding is always? Correct Answer: priority
what should a pregnant pt with urgency and frequent urination do? Correct Answer: should
perform kegel exercises
what should a pregnant pt with odorless vaginal mucus do? Correct Answer: practice good
hygiene, use perineal pads
a pregnant pt with edema of the ankles do? Correct Answer: avoid prolonged standing, to wear
support hose, and rest through out the day with legs/hip elevated
when should a colostomy bag be changed? Correct Answer: when is 1/3 -1/2 full
how large should the opening of the stoma pouch be? Correct Answer: no larger than 1/4 inch
what should the pt with a colostomy avoid? Correct Answer: the use of moisturizers, which will
decrease the adherence of the pouch to the skin
what should the pt do with the pouch removing it? Correct Answer: they should empty the
pouch to avoid spilling the effluent on to the skin
where should drops be instill into? Correct Answer: into the conjuctival sac
,what is a positive way of dealing with a terminal illness? Correct Answer: "remembering things
they used to do together"
what are normal findings after a colonoscopy? Correct Answer: abd cramping
fatigue
passage of liquid stools
what are unexpected finding after a colonoscopy? Correct Answer: guarding- can indicate bowel
perforation
what do you do if an order is questioned? Correct Answer: the nurse should record seeking
clarification from the provider
what should pt with gastritis eat? Correct Answer: a well balanced diet, they should keep a
record of foods that cause discomfort, pts can modify their diet accordingly
what is the cause autonomic dysreflexia? Correct Answer: bladder distention
what are s/s of icp? Correct Answer: restlessness
change in LOC
what is late s/s of ICP? Correct Answer: widening pulse
decerebrate posturing
when can a child with varicella(chickenpox) return school? Correct Answer: the child can return
to school when the blisters are dry and no longer drained (scabbed over)
what is an appropriate behavior of a pt with hx of violence? Correct Answer: pt will avoid
violence provoking situations
what is a skin cancer prevention? Correct Answer: pts should use sunscreen that protects against
uva and uvb
what is the first thing you should do with excessive lochial discharge? Correct Answer: perform
a fundal massage
what is the nurse responsibility of the nurse when witnessing the pts signature on an informed
consent? Correct Answer: that the pt is fully informed and understands the procedure befor
signing the consent form
who are at greater risk for std? Correct Answer: females because of increased vascularity to the
vagina
does trichomonas vaginalis increased the risk for cervical cancer? Correct Answer: NO
, Gonorrhea can lead to? Correct Answer: pelvic inflammatory disease and tubal scarring and can
result in infertility
what should you do with postmortem care? Correct Answer: always check about religious
practices prior to body preparation in order to honor fam wishes
what can you not give to a pt with thickened liquids? Correct Answer: no ice chips
no water
no icepops
what can a pt with thickened liquids have? Correct Answer: oatmeal
what should a pt do with incentive spirometer? Correct Answer: they should elevate the cylinder
by inhaling deeply
assume semi fowlers or high fowlers position
in order to maintain sterile technique what should the nurse do? Correct Answer: should open all
sterile packages prior to donning sterile gloves
what is psycho-motor learning? Correct Answer: have the pt demonstrate back the procedure
what places a newborn at risk for respiratory depression? Correct Answer: administration of an
opioid analgesic
exa: fentanyl (sublimaze)
what is an effective method of bowel retraining? Correct Answer: anal stimulation with a gloved
finger after the evening meal, it will help stimulate the gastrocolic reflex
when inserting an NG tube? Correct Answer: the nurse should insert the tube into the airway
that is patent and has greater airflow
what technique should be NG tube insertion? Correct Answer: clean technique
if NG tube meets resistance? Correct Answer: the nurse should rotate the tube without forcing it
past the area of resistance
what kind of lubricant should be used during NG tube insertion? Correct Answer: water- based
lubricant NOT petroleum jelly
what is pediculosis capitis management? Correct Answer: store child's clothing in a separate
cubicle at school
boil brushes and combs in water for 10 mins
dry bed lines and clothing in a hot dryer for at least 20 mins
what can visual disturbances indicate? Correct Answer: preeclampsia
what is montelukast (singular) for? Correct Answer: a leukotriene modifier, and is taken on a
regular basis, once a day, and not prn, and is not used for exercise induced asthma
what does advance directives contain? Correct Answer: written instructions regarding end of life
care
what is the greatest risk to a pt receiving hemodialysis? Correct Answer: disequilibrium
syndrome as a result of rapid loss of fluids and decrease bun
what is the clinical manifestation of disequilibrium? Correct Answer: restlessness and decreased
level of consciousness
what are expected findings in hemodialysis? Correct Answer: elevated temp
weight loss
decreased bp
what should the nurse do when a pt feels lightheaded and begins to fall? Correct Answer: spread
feet apart and extend one leg for the pt to slide down while lowering the pt to the floor
what are the characteristics of a pt with dependent personality disorder? Correct Answer: they
have problems making everyday decision without input from others
a pregnant pt who is bleeding is always? Correct Answer: priority
what should a pregnant pt with urgency and frequent urination do? Correct Answer: should
perform kegel exercises
what should a pregnant pt with odorless vaginal mucus do? Correct Answer: practice good
hygiene, use perineal pads
a pregnant pt with edema of the ankles do? Correct Answer: avoid prolonged standing, to wear
support hose, and rest through out the day with legs/hip elevated
when should a colostomy bag be changed? Correct Answer: when is 1/3 -1/2 full
how large should the opening of the stoma pouch be? Correct Answer: no larger than 1/4 inch
what should the pt with a colostomy avoid? Correct Answer: the use of moisturizers, which will
decrease the adherence of the pouch to the skin
what should the pt do with the pouch removing it? Correct Answer: they should empty the
pouch to avoid spilling the effluent on to the skin
where should drops be instill into? Correct Answer: into the conjuctival sac
,what is a positive way of dealing with a terminal illness? Correct Answer: "remembering things
they used to do together"
what are normal findings after a colonoscopy? Correct Answer: abd cramping
fatigue
passage of liquid stools
what are unexpected finding after a colonoscopy? Correct Answer: guarding- can indicate bowel
perforation
what do you do if an order is questioned? Correct Answer: the nurse should record seeking
clarification from the provider
what should pt with gastritis eat? Correct Answer: a well balanced diet, they should keep a
record of foods that cause discomfort, pts can modify their diet accordingly
what is the cause autonomic dysreflexia? Correct Answer: bladder distention
what are s/s of icp? Correct Answer: restlessness
change in LOC
what is late s/s of ICP? Correct Answer: widening pulse
decerebrate posturing
when can a child with varicella(chickenpox) return school? Correct Answer: the child can return
to school when the blisters are dry and no longer drained (scabbed over)
what is an appropriate behavior of a pt with hx of violence? Correct Answer: pt will avoid
violence provoking situations
what is a skin cancer prevention? Correct Answer: pts should use sunscreen that protects against
uva and uvb
what is the first thing you should do with excessive lochial discharge? Correct Answer: perform
a fundal massage
what is the nurse responsibility of the nurse when witnessing the pts signature on an informed
consent? Correct Answer: that the pt is fully informed and understands the procedure befor
signing the consent form
who are at greater risk for std? Correct Answer: females because of increased vascularity to the
vagina
does trichomonas vaginalis increased the risk for cervical cancer? Correct Answer: NO
, Gonorrhea can lead to? Correct Answer: pelvic inflammatory disease and tubal scarring and can
result in infertility
what should you do with postmortem care? Correct Answer: always check about religious
practices prior to body preparation in order to honor fam wishes
what can you not give to a pt with thickened liquids? Correct Answer: no ice chips
no water
no icepops
what can a pt with thickened liquids have? Correct Answer: oatmeal
what should a pt do with incentive spirometer? Correct Answer: they should elevate the cylinder
by inhaling deeply
assume semi fowlers or high fowlers position
in order to maintain sterile technique what should the nurse do? Correct Answer: should open all
sterile packages prior to donning sterile gloves
what is psycho-motor learning? Correct Answer: have the pt demonstrate back the procedure
what places a newborn at risk for respiratory depression? Correct Answer: administration of an
opioid analgesic
exa: fentanyl (sublimaze)
what is an effective method of bowel retraining? Correct Answer: anal stimulation with a gloved
finger after the evening meal, it will help stimulate the gastrocolic reflex
when inserting an NG tube? Correct Answer: the nurse should insert the tube into the airway
that is patent and has greater airflow
what technique should be NG tube insertion? Correct Answer: clean technique
if NG tube meets resistance? Correct Answer: the nurse should rotate the tube without forcing it
past the area of resistance
what kind of lubricant should be used during NG tube insertion? Correct Answer: water- based
lubricant NOT petroleum jelly
what is pediculosis capitis management? Correct Answer: store child's clothing in a separate
cubicle at school
boil brushes and combs in water for 10 mins
dry bed lines and clothing in a hot dryer for at least 20 mins
what can visual disturbances indicate? Correct Answer: preeclampsia
