ATI Knowledge and Clinical Judgement
Questins And Answers
Avnursevisvprovidingveducationvaboutvavnewvprescriptionvforvnitroglycerinvforvavclientvwhovisvdiagnose
dvwithvangina.vWhichvofvthevfollowingvstatementsvbyvthevclientvindicatevavfurthervneedvforvteaching?v
"I'llvmakevsurevthatvthevmedicationvcontainervisvkeptvtightlyvsealed."
"I'mvluckyvIvhavevavprescriptionvplanvthatvallowsvmevtovbuyvpillsvinvbulkvquantities."
"I'llvkeepvmyvpillsvinvthevmedicinevcabinetvwhenvI'mvhome."
"I'llvgovtovthevemergencyvroomvifvmyvchestvpainvdoesn'tvgovaway."v-vAnswerv-
v"I'mvluckyvIvhavevavprescriptionvplanvthatvallowsvmevtovbuyvpillsvinvbulkvquantities."
Invthisvitem,vyouvneedvnursingvknowledgevrelatedvtovthevpropervadministrationvandvstoragevofvnitrogl
ycerin.vBasedvonvanvunderstandingvofvthisvinformation,vyouvcanvidentifyvwhichvoptionvdescribesvavstat
ementvbyvthevpatientvthatvdoesvnotvreflectvaccuratevunderstandingvofvthevmedication.vThisvisvavnegati
velyvwordedvitemvthatvasksvyouvtovselectvthevoptionvthatvindicatesvthevpatientvneedsvfurthervteaching
.vYouvwillvlearnvmorevaboutvnegativelyvwordedvitemsvinvModulev4.vThisvitemvrequiresvfoundationalvthi
nkingvbecausevyouvhavevtovrecallvknowledgevrelatedvtovthevadministrationvandvstoragevofvnitroglyceri
n.vThisvstatementvbyvthevclientvindicatesvavneedvforvfurthervteaching.vBuyingvnitroglycerinvinvbulkvqua
ntitiesvisvnotvavsafevpractice.vThevchemicalvinstabilityvofvthevmedicationvallowsvitvtovloseveffectiveness
vovervtime.vWhilevsomevnitroglycerinvtabletsvhavevavshelfvlifevofv24vmonths,vNitroQuickvretainsvitsveff
ectivenessvforvonlyv8vtov10vmonths.vBecausevofvthevshortenedvshelfvlife,vthevclientvshouldvnotvbuyvth
evmedicationvinvbulkvquantities,vandvthevclientvshouldvbevinstructedvtovdatevthevbottlevwhenvitvisvfirst
vopened.
Avnursevisvcaringvforvavclientvwhovisvdiagnosedvwithvanemia.vWhichvofvthevfollowingvskinvcolorvvariati
onsvisvcausedvbyvthevreducedvamountvofvoxyhemoglobin?
Cyanosis
Jaundice
Erythema
Pallorv-vAnswerv-vPallor
, Invthisvitem,vyouvneedvnursingvknowledgevrelatedvtovoxyhemoglobinvandvitsveffectvonvskinvcolor.vBase
dvonvanvunderstandingvofvthesevtwovconcepts,vyouvcanvidentifyvindicatorsvofvdecreasedvoxyhemoglobi
n.vThisvitemvrequiresvcriticalvthinkingvbecausevyouvhavevtovanalyzevthevfindingsvinvrelationvtovthevexp
ectedvcolorvofvthevskinvwhenvtherevisvavdecreasedvlevelvofvoxyhemoglobinvinvthevblood.vOxyhemoglob
invisvthevcombinedvstatevofvoxygenvthatvisvtovbevdeliveredvtovperipheralvtissuesvwithvthevhemoglobinv
moleculevthatvwillvcarryvit.vInvclientsvwhovhavevanemia,vthevRBCsvarevreduced,vbyvfunctionvorvinvnum
ber,vtovthevpointvthatvperipheralvtissuesvarevnotvreceivingvadequatevoxygenvbecausevofvavdecreasedva
mountvofvcirculatingvoxyhemoglobin.vThevreducedvoxygenvsupplyvtovthevtissuesvcausesvchangesvtovthe
vclient'svskinvcolor.vPallorvisvcausedvbyvavreducedvamountvofvoxyhemoglobin.vPallorvisvavdecreasevinvth
evcoloringvofvthevperipheralvtissuesvthatvisvcausedvbyvanvoverallvreductionvinvthevbloodvflowvorvbyvavd
ecreasevinvthevnumbervofvRBCsvthatvcontainvoxyhemoglobin,vwhichvreducesvthevvisibilityvofvoxyhemog
lobin.
AvnursevisvcaringvforvavclientvwhovisvdiagnosedvwithvavUTIvandvisvprescribedvciprofloxacinv(Cipro)v250
mgvPOvtwovtimesvdail.vThevamountvavailablevisv100mg/tablet.vHowvmanyvtabletsvshouldvthevnursevad
ministerveachvdose>v-vAnswerv-v2.5vTablets
Avnursevisvcollectingvnutritionalvdatavonvanvoldervadultvclient.vWhichvofvthevfollowingvfindingvisvsugge
stivevofvavhealthyvnutritionalvstatus?
Spongyvgumsvthatvarevreceding
Fissuresvatveyelidvcorners
Easilyvpluckedvhair
Deepvreddish-coloredvtonguev-vAnswerv-vDeepvreddish-coloredvtongue
Avnur
Invthisvitem,vyouvneedvnursingvknowledgevofvclinicalvfindingsvthatvarevassociatedvwithvhealthyvnutritio
n.vBasedvonvanvunderstandingvofvthisvinformation,vyouvcanvidentifyvwhichvoptionvdescribesvanvexpect
edvfindingvinvclientsvwhovarevproperlyvnourished.vThisvitemvrequiresvfoundationalvthinkingvbecausevyo
uvonlyvneedvtovrecallvknowledgevrelatedvtovexpectedvclinicalvfindings.vDeepvreddish-
coloredvtonguevisvsuggestivevofvavhealthyvnutritionalvstatus.vThevtonguevshouldvbevavhealthyvpinkvtova
vdeep,vreddishvcolorvwithvsurfacevpapillaevpresent,vwithoutvswellingvorvlesions.
Avnursevisvcaringvforvavclientvwhovisvreceivingvintermittentventeralvtubevfeedingsvandvhavingvdiarrheav
afterveachvfeeding.vWhichvofvthevfollowingvactionsvshouldvthevnursevtakevinvanvattemptvtovpreventvdi
arrheavaftervsubsequentvfeedings?
Questins And Answers
Avnursevisvprovidingveducationvaboutvavnewvprescriptionvforvnitroglycerinvforvavclientvwhovisvdiagnose
dvwithvangina.vWhichvofvthevfollowingvstatementsvbyvthevclientvindicatevavfurthervneedvforvteaching?v
"I'llvmakevsurevthatvthevmedicationvcontainervisvkeptvtightlyvsealed."
"I'mvluckyvIvhavevavprescriptionvplanvthatvallowsvmevtovbuyvpillsvinvbulkvquantities."
"I'llvkeepvmyvpillsvinvthevmedicinevcabinetvwhenvI'mvhome."
"I'llvgovtovthevemergencyvroomvifvmyvchestvpainvdoesn'tvgovaway."v-vAnswerv-
v"I'mvluckyvIvhavevavprescriptionvplanvthatvallowsvmevtovbuyvpillsvinvbulkvquantities."
Invthisvitem,vyouvneedvnursingvknowledgevrelatedvtovthevpropervadministrationvandvstoragevofvnitrogl
ycerin.vBasedvonvanvunderstandingvofvthisvinformation,vyouvcanvidentifyvwhichvoptionvdescribesvavstat
ementvbyvthevpatientvthatvdoesvnotvreflectvaccuratevunderstandingvofvthevmedication.vThisvisvavnegati
velyvwordedvitemvthatvasksvyouvtovselectvthevoptionvthatvindicatesvthevpatientvneedsvfurthervteaching
.vYouvwillvlearnvmorevaboutvnegativelyvwordedvitemsvinvModulev4.vThisvitemvrequiresvfoundationalvthi
nkingvbecausevyouvhavevtovrecallvknowledgevrelatedvtovthevadministrationvandvstoragevofvnitroglyceri
n.vThisvstatementvbyvthevclientvindicatesvavneedvforvfurthervteaching.vBuyingvnitroglycerinvinvbulkvqua
ntitiesvisvnotvavsafevpractice.vThevchemicalvinstabilityvofvthevmedicationvallowsvitvtovloseveffectiveness
vovervtime.vWhilevsomevnitroglycerinvtabletsvhavevavshelfvlifevofv24vmonths,vNitroQuickvretainsvitsveff
ectivenessvforvonlyv8vtov10vmonths.vBecausevofvthevshortenedvshelfvlife,vthevclientvshouldvnotvbuyvth
evmedicationvinvbulkvquantities,vandvthevclientvshouldvbevinstructedvtovdatevthevbottlevwhenvitvisvfirst
vopened.
Avnursevisvcaringvforvavclientvwhovisvdiagnosedvwithvanemia.vWhichvofvthevfollowingvskinvcolorvvariati
onsvisvcausedvbyvthevreducedvamountvofvoxyhemoglobin?
Cyanosis
Jaundice
Erythema
Pallorv-vAnswerv-vPallor
, Invthisvitem,vyouvneedvnursingvknowledgevrelatedvtovoxyhemoglobinvandvitsveffectvonvskinvcolor.vBase
dvonvanvunderstandingvofvthesevtwovconcepts,vyouvcanvidentifyvindicatorsvofvdecreasedvoxyhemoglobi
n.vThisvitemvrequiresvcriticalvthinkingvbecausevyouvhavevtovanalyzevthevfindingsvinvrelationvtovthevexp
ectedvcolorvofvthevskinvwhenvtherevisvavdecreasedvlevelvofvoxyhemoglobinvinvthevblood.vOxyhemoglob
invisvthevcombinedvstatevofvoxygenvthatvisvtovbevdeliveredvtovperipheralvtissuesvwithvthevhemoglobinv
moleculevthatvwillvcarryvit.vInvclientsvwhovhavevanemia,vthevRBCsvarevreduced,vbyvfunctionvorvinvnum
ber,vtovthevpointvthatvperipheralvtissuesvarevnotvreceivingvadequatevoxygenvbecausevofvavdecreasedva
mountvofvcirculatingvoxyhemoglobin.vThevreducedvoxygenvsupplyvtovthevtissuesvcausesvchangesvtovthe
vclient'svskinvcolor.vPallorvisvcausedvbyvavreducedvamountvofvoxyhemoglobin.vPallorvisvavdecreasevinvth
evcoloringvofvthevperipheralvtissuesvthatvisvcausedvbyvanvoverallvreductionvinvthevbloodvflowvorvbyvavd
ecreasevinvthevnumbervofvRBCsvthatvcontainvoxyhemoglobin,vwhichvreducesvthevvisibilityvofvoxyhemog
lobin.
AvnursevisvcaringvforvavclientvwhovisvdiagnosedvwithvavUTIvandvisvprescribedvciprofloxacinv(Cipro)v250
mgvPOvtwovtimesvdail.vThevamountvavailablevisv100mg/tablet.vHowvmanyvtabletsvshouldvthevnursevad
ministerveachvdose>v-vAnswerv-v2.5vTablets
Avnursevisvcollectingvnutritionalvdatavonvanvoldervadultvclient.vWhichvofvthevfollowingvfindingvisvsugge
stivevofvavhealthyvnutritionalvstatus?
Spongyvgumsvthatvarevreceding
Fissuresvatveyelidvcorners
Easilyvpluckedvhair
Deepvreddish-coloredvtonguev-vAnswerv-vDeepvreddish-coloredvtongue
Avnur
Invthisvitem,vyouvneedvnursingvknowledgevofvclinicalvfindingsvthatvarevassociatedvwithvhealthyvnutritio
n.vBasedvonvanvunderstandingvofvthisvinformation,vyouvcanvidentifyvwhichvoptionvdescribesvanvexpect
edvfindingvinvclientsvwhovarevproperlyvnourished.vThisvitemvrequiresvfoundationalvthinkingvbecausevyo
uvonlyvneedvtovrecallvknowledgevrelatedvtovexpectedvclinicalvfindings.vDeepvreddish-
coloredvtonguevisvsuggestivevofvavhealthyvnutritionalvstatus.vThevtonguevshouldvbevavhealthyvpinkvtova
vdeep,vreddishvcolorvwithvsurfacevpapillaevpresent,vwithoutvswellingvorvlesions.
Avnursevisvcaringvforvavclientvwhovisvreceivingvintermittentventeralvtubevfeedingsvandvhavingvdiarrheav
afterveachvfeeding.vWhichvofvthevfollowingvactionsvshouldvthevnursevtakevinvanvattemptvtovpreventvdi
arrheavaftervsubsequentvfeedings?
