AM
ATI COMPREHENSIVE REMEDIATION EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (100)
C. Hematocrit
A nurse is caring for a patient who has
chronic renal disease and is receiving Rationale: antianemic med that's indicated in patients who have anemia, due to
therapy with epoetin alfa. Which lab reduced production of endogenous erythropoietin, which occurs in patients with
indicates a therapeutic response to ESRD or myelosuppression from chemo. The therapeutic response is enhanced RBC
medication? production, reflective in an increased RBC, Hgb, and Hct.
A. Leukocyte count (A): epoetin alfa doesn't affect the leukocyte/WBC count.
B. Platelet count
C. Hematocrit (B): an increase in platelets is not the desired outcome.
D. ESR
(D): med doesn't affect the ESR, which is a measurement of inflammation.
A nurse is providing teaching to a patient D. Cheddar cheese
who has a history of pancreatitis. Which
of the food choices should the patient
Rationale: patients who have pancreatitis should avoid foods high in fat. And
AVOID?
cheddar cheese is high in fat so the patient should avoid this food choice.
A. Noodles
(A-C): these foods are low in fat, therefore these foods are appropriate.
B.Vegetable soup
C. Baked fish
D.Cheddar cheese
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C. Initiate droplet precautions.
A nurse is participating in a biological
Rationale: use droplet precautions because pneumonic plague is transmitted by
disaster simulation where citizens are
large respiratory droplets.
exposed to a pneumonic plague. Which
interventions should the nurse plan to use?
(A): airborne precautions are for bacteria transmitted by smaller droplet nuclei.
A. Initiate airborne precautions.
(B): the nurse caring for patients exposed to botulism should anticipate administering
B. Administer an antitoxin.
an antitoxin to minimize the nerve damage associated with this infection.
C. Initiate droplet precautions.
D.Destroy the linens after use.
(D): use standard precautions when handling soiled linens and place them in a
laundry bag for standard cleaning and disinfection.
A. Anorexia
A nurse is assessing an older adult patient
Rationale: anorexia, vomiting, confusion, headache, and vision changes are
who is receiving digoxin. The nurse should
manifestations of digoxin therapy.
recognize that which finding is a
manifestation of digoxin toxicity?
(B) : ataxia, which is a lack of muscle coordination, is. a manifestation
of benzodiazepine toxicity.
A. Anorexia
B. Ataxia
(C) : digoxin toxicity causes halos around lights. Photosensitivity, which is heightened
C. Photosensitivity skin sensitivity when skin is exposed to UV light, is a manifestation of NSAID toxicity.
D. Jaundice
(D) : jaundice is a manifestation of sulfonylurea (diabetic med, glimepiride) toxicity.
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A. T 97F
NGN: Which of the following findings
require follow-up by the nurse caring for a C. RR 78
newborn? D. Yellow discoloration noted of clear and oral mucosa.
F. Nasal flaring present.
Assessment: H. Breastfed x1 in the past 6hrs for 10min.
8hrs of age: alert and active. Oral
mucosa pink. Respirations easy and
Rationale:
unlabored.
A: in response to a low body temp, the newborn will attempt to warm themselves by
Extremities flexed. Good muscle tone.
increasing their basal metabolic rate. This can result in depletion of glucose
Breastfed vigorously x2 for 30-40min.
stores and hypoglycemia. Temp instability, either below or above the expected
Fontanel level and soft. Large ecchymotic
reference range* (97.7F-99.5F) , can be a manifestation of sepsis or infection.
caput succedaneum noted on posterior
scalp. No stool/void since birth. Vitals: T
C: this RR is above the expected reference range* (30-60). Tachypnea is associated
98.8F, HR 132, RR 52.
with respiratory distress sepsis, cold stress and hypoglycemia.
36hrs of age: sleeping in parent's arms.
D: yellow sclera and oral mucosa are associated with hyperbilirubinemia and sepsis.
Awakens with stimulation. Yellow
The liver of the newborn has reduced ability to metabolize and excrete bilirubin,
discoloration noted of sclera and oral
which is a by-product of the breakdown of RBC. The excess circulating bilirubin can
mucosa. Lung sounds clear bilat. Nasal
accumulate in the skin, sclera, and mucus membranes, leading to yellow
flaring present. Fontanel level and soft
discoloration. A change in the color of the newborn can be a manifestation of sepsis.
with large ecchymotic caput
This includes jaundice, cyanosis, or pallor.
succedaneum noted. Blood-tinged
mucus noted at the vaginal opening.
Has voided and stooled one time since F: nasal flaring is an indication of respiratory distress. Additional manifestations of
birth. Uric acid crystals observed in urine. respiratory distress can include tachypnea, retractions, and grunting with
Breastfed x1 in the past 6hrs for 10min. respirations.
Vitals: T 97F, HR 160, RR 78.
H: this feeding pattern is below the expected frequency for feeding* (q2-4hrs for 15-
A. T 97F 20min each). Regular frequent feeding can prevent the development of
hypoglycemia. During the first few days of life, newborns need to be awakened
B.HR 160
to feed.
C. RR 78
D.Yellow discoloration noted of clear
(B): within the expected reference range* (110-160) (E):
and oral mucosa.
expected finding.
E. Lung sounds clear bilat.
(G): expected findings in newborns. Blood-tinged mucus is expected due to the
F.Nasal flaring present.
decrease in the transfer of maternal pregnancy hormones following birth. A newborn
G. Fontanel level and soft with a large is expected to void x2-6 in the first 1-2 days of life and stool at least once within the
ecchymotic caput succedaneum noted. first 48hrs. Uric acid crystals in urine appear as rust-colored urine and form within
Blood-tinged mucus noted at the
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