Virtual ATI - Fundamentals
Dumping syndrome - ANS-results from emptying of the stomach into the small intestine after
eating, and manifests as vertigo, tachycardia, syncope, sweating, pallor, palpitations
Normal Respiratory Rate for Newborn - ANS-30-60
Normal Heart Rate for a Newborn - ANS-120-160
What does abdominal distention mean in a newborn? - ANS-tumor or abdominal wall defect
What type of precautions is rubella? - ANS-Droplet
What type of precautions is measles? - ANS-Airborne
What type of precautions is for Hep A? - ANS-Standard
What type of precautions for Rocky Mountain spotted Fever? - ANS-Standard
A nurse is caring for a school-age client who was diagnosed with sickle cell anemia and has
been admitted for vaso-occlusive crisis. Which of the following findings has the highest priority?
- ANS-Slurred Speech
A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine ear
drops for pain relief. Which of the following actions by the nurse is appropriate when
administering the ear drops? - ANS-Warm refrigerated drops to room temp prior to instillation
A nurse is caring for a client who is postoperative following a wedge resection of a lung and has
a chest tube with a water seal chest tube drainage system. A client reports burning pain in his
chest. Which of the following actions by the nurse is appropriate? - ANS-Assist the client to a
side-lying position - to move the top of the chest tube away from the tissues
A nurse is caring for a client who is pregnant with a singe fetus and has a BMI of 23. When
asked by the client how much weight she should gain during the pregnancy, which of the
following responses by the nurse is appropriate - ANS-25-35 lbs; (average weight gain with an
average BMI is 11.5-16 kg)
What are the normal levels of lithium? - ANS-0.6-1.2
A nurse is caring for a client who is experiencing night sweats and hemoptysis and is suspected
to have active pulmonary tuberculosis. Which of the following tests is used to confirm this
diagnosis? - ANS-Sputum culture for acid-fast bacillus
, What type of medication is Buspirone? - ANS-an anxiolytic medication to treat anxiety
A nurse is caring for a school-age child who is newly diagnosed with type 1 diabetes mellitus.
Which of the following actions by the nurse is appropriate to prepare the child for administration
of insulin? - ANS-Allow the child to manipulate the medical equipment.
After a supratentorial craniotomy, what position should the patient be in? - ANS-supine with
head elevated to 30 degrees; promote drainage and prevents hemorrhage by reducing blood
flow to the brain
What is symptom of pregnancy-induced hypertension that should be reported to a doctor? -
ANS-Facial Edema
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days ago.
Which of the following findings is associated with this diagnosis? - ANS-Elevated Temperature
A nurse is caring for a neonate who was delivered at weeks of gestation after his mother
received two injections of betamethasone (Celestone). Because of the administration of
betamethasone to the client's mother, the nurse should monitor the neonate for? -
ANS-Hypoglycemia because It is a corticosteroid (hyperglycemia in mother)
A public health nurse is triaging clients at the site of an explosion. The client with which of the
following injuries should be the nurses' priority concern?
Facial Abrasions
Penetrating Head Wound
Incomplete amputation of the foot
Tibia fracture requiring open reduction - ANS-Incomplete amputation of the foot; Should be
assigned to the immediate triage category because injuries are life-threatening, but survivable if
immediate care is received
Penetrating head wounds would be black tag because likelyhood of survival is slim
What are three signs of digoxin toxicity? - ANS-Vomiting, slow heart rate, and anorexia
What is solifenacin (vesicare) used for? - ANS-urinary incontinence
A nurse is caring for a toddler who has laryngotracheobronchitis and is having difficulty
breathing. Which of the following should be the first action of the nurse?
Administer nebulized epinephrine
Ensure adequate hydration
Obtain an oxygen saturation level
Encourage parents to comfort the client - ANS-Obtain an oxygen saturation level
ASSESSMENT FIRST
Dumping syndrome - ANS-results from emptying of the stomach into the small intestine after
eating, and manifests as vertigo, tachycardia, syncope, sweating, pallor, palpitations
Normal Respiratory Rate for Newborn - ANS-30-60
Normal Heart Rate for a Newborn - ANS-120-160
What does abdominal distention mean in a newborn? - ANS-tumor or abdominal wall defect
What type of precautions is rubella? - ANS-Droplet
What type of precautions is measles? - ANS-Airborne
What type of precautions is for Hep A? - ANS-Standard
What type of precautions for Rocky Mountain spotted Fever? - ANS-Standard
A nurse is caring for a school-age client who was diagnosed with sickle cell anemia and has
been admitted for vaso-occlusive crisis. Which of the following findings has the highest priority?
- ANS-Slurred Speech
A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine ear
drops for pain relief. Which of the following actions by the nurse is appropriate when
administering the ear drops? - ANS-Warm refrigerated drops to room temp prior to instillation
A nurse is caring for a client who is postoperative following a wedge resection of a lung and has
a chest tube with a water seal chest tube drainage system. A client reports burning pain in his
chest. Which of the following actions by the nurse is appropriate? - ANS-Assist the client to a
side-lying position - to move the top of the chest tube away from the tissues
A nurse is caring for a client who is pregnant with a singe fetus and has a BMI of 23. When
asked by the client how much weight she should gain during the pregnancy, which of the
following responses by the nurse is appropriate - ANS-25-35 lbs; (average weight gain with an
average BMI is 11.5-16 kg)
What are the normal levels of lithium? - ANS-0.6-1.2
A nurse is caring for a client who is experiencing night sweats and hemoptysis and is suspected
to have active pulmonary tuberculosis. Which of the following tests is used to confirm this
diagnosis? - ANS-Sputum culture for acid-fast bacillus
, What type of medication is Buspirone? - ANS-an anxiolytic medication to treat anxiety
A nurse is caring for a school-age child who is newly diagnosed with type 1 diabetes mellitus.
Which of the following actions by the nurse is appropriate to prepare the child for administration
of insulin? - ANS-Allow the child to manipulate the medical equipment.
After a supratentorial craniotomy, what position should the patient be in? - ANS-supine with
head elevated to 30 degrees; promote drainage and prevents hemorrhage by reducing blood
flow to the brain
What is symptom of pregnancy-induced hypertension that should be reported to a doctor? -
ANS-Facial Edema
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2 days ago.
Which of the following findings is associated with this diagnosis? - ANS-Elevated Temperature
A nurse is caring for a neonate who was delivered at weeks of gestation after his mother
received two injections of betamethasone (Celestone). Because of the administration of
betamethasone to the client's mother, the nurse should monitor the neonate for? -
ANS-Hypoglycemia because It is a corticosteroid (hyperglycemia in mother)
A public health nurse is triaging clients at the site of an explosion. The client with which of the
following injuries should be the nurses' priority concern?
Facial Abrasions
Penetrating Head Wound
Incomplete amputation of the foot
Tibia fracture requiring open reduction - ANS-Incomplete amputation of the foot; Should be
assigned to the immediate triage category because injuries are life-threatening, but survivable if
immediate care is received
Penetrating head wounds would be black tag because likelyhood of survival is slim
What are three signs of digoxin toxicity? - ANS-Vomiting, slow heart rate, and anorexia
What is solifenacin (vesicare) used for? - ANS-urinary incontinence
A nurse is caring for a toddler who has laryngotracheobronchitis and is having difficulty
breathing. Which of the following should be the first action of the nurse?
Administer nebulized epinephrine
Ensure adequate hydration
Obtain an oxygen saturation level
Encourage parents to comfort the client - ANS-Obtain an oxygen saturation level
ASSESSMENT FIRST
