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UPDATED 2023 GRADED A
1. A nurse is assessing a client who is receiving IV therapy. The nurse should identify which
of the following findings as a manifestation of fluid volume excess?
1. Decreased bowel sounds
2. Distended neck veins
3. Bilateral muscle weakness
4. Thready pulse
2. A nurse is caring for a client who has hyponatremia and is receiving an infusion of a
prescribed hypertonic solution. Which of the following findings should indicate to the
nurse that the treatment is effective?
a. Absent Chvostek’s sign
b. Improved cognition
c. Decreased vomiting
, d. Cardiac arrhythmias absent
3. A nurse is teaching a client who has a new prescription for a nitroglycerin transdermal
patch. Which of the following instructions should the nurse include?
a. “Discontinue the patch if you experience a headache.”
b. “Apply a new patch if you have chest pain.”
c. “Cover the patch with dry gauze when taking a shower.”
d. “Remove the patch prior to going to bed.”
4. A nurse is reviewing the lab results of a client who has a prescription for sodium
polystyrene sulfonate every 6 hours. Which of the following should the nurse report to
the provider?
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
, d. Potassium 5.2 mEq/L
5. A nurse is caring for a client who has tuberculosis and is taking isoniazid and rifampin.
Which of the following outcomes indicates that the client is adhering to the medication
regimen?
a. The client has a negative sputum culture.
b. The client tests negative for HIV.
c. The client has a positive purified protein derivative test.
d. The client’s liver function test results are within the expected reference range.
, 6. A nurse is caring for a client who develops an anaphylactic reaction to IV administration.
After assessing the client’s respiratory status and stopping the medication infusion, which
of the following actions should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client’s legs and feet
d. Administer epinephrine IM
7. A nurse is caring for a client who is taking sertraline and reports a desire to begin taking
supplements. Which of the following supplements should the nurse advise the client to
avoid?
a. St John’s Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
8. A nurse is caring for a client who has heart failure and a new prescription for lisinopril.
For which of the following adverse effects should the nurse monitor when administering
lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
9. A nurse is assessing a client who is receiving heparin continuous IV. The client has an
aPPT of 90 seconds. They should monitor the client for which of the following changes
in their vital signs?
a. Decreased temperature
b. Increased pulse rate Page 193 in ATI book says monitor for hemorrhage which
would be tachycardia and hypotension
c. Decreased respiratory rate
d. Increased blood pressure I think this is right - Rosie
10. A nurse is preparing to administer medication to a client and discovers a medication error.
The nurse should recognize which of the following staff members is responsible for
completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error Found this in ATI Med Administration 1 Skills
-Bailey
d. The charge nurse