ATI Fundamentals Proctored Exam Quizlet

ATI Fundamentals Proctored Exam Quizlet Related

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In the emergency department, a nurse is assessing a client involved in a motor vehicle crash. Findings include absent breath sounds in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart rate 124/min, respirations 38/min, temperature 38.6 C (101.4 F), and SaO2 92% on room air. What action should the nurse take first?

  • A. Obtain a chest X-ray.
  • B. Prepare for chest tube insertion.
  • C. Administer oxygen via high-flow mask.
  • D. Initiate IV access.
Correct Answer: C

Rationale: In this scenario, the client is presenting with signs of respiratory distress, including absent breath sounds, dyspnea, and a low SaO2 level. The priority action should be to improve oxygenation by administering oxygen via a high-flow mask. This intervention aims to increase the oxygen supply to the client's lungs, helping to address the hypoxemia. Once oxygenation is optimized, further interventions, such as obtaining a chest X-ray, preparing for chest tube insertion, or initiating IV access, can be considered based on the client's condition and healthcare provider's orders.

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A client with tuberculosis is receiving a new prescription for isoniazid (INH). The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

  • A. You might notice yellowing of your skin.
  • B. You might experience pain in your joints.
  • C. You might notice tingling of your hands.
  • D. You might experience loss of appetite.
Correct Answer: C

Rationale: Tingling of the hands is a common adverse effect of isoniazid (INH) due to its potential to cause peripheral neuropathy. This sensation can be an early sign of nerve damage, and thus, the client should be instructed to report it promptly to the healthcare provider for further evaluation and management.

When educating a client who experienced a pneumothorax, which of the following statements should the nurse use?

  • A. Notify the provider if you experience weakness.
  • B. You should be able to return to work in 1 week.
  • C. You need to wear a mask when in crowded areas.
  • D. Notify your provider if you experience a productive cough.
Correct Answer: D

Rationale: After experiencing a pneumothorax, it is crucial for the client to be educated on potential complications. A productive cough can indicate infection or another issue, requiring prompt medical attention. Weakness, returning to work, and wearing a mask in crowded areas are important considerations but not as critical as monitoring for respiratory symptoms post-pneumothorax.

A healthcare professional is providing information about tuberculosis to a group of clients at a local community center. Which of the following manifestations should the professional NOT include in the teaching?

  • A. Persistent cough
  • B. Weight gain
  • C. Fatigue
  • D. Night sweats
Correct Answer: B

Rationale: Weight gain is not a typical manifestation of tuberculosis. The characteristic symptoms of tuberculosis include a persistent cough, fatigue, and night sweats. Weight loss, not weight gain, is a common symptom associated with tuberculosis due to the impact of the infection on the body's metabolism. Therefore, the healthcare professional should exclude weight gain from the teaching on tuberculosis manifestations.

A client with COPD expresses concerns about leaving the house due to continuous oxygen use. What is an appropriate response by the nurse?

  • A. There are portable oxygen delivery systems that you can take with you.
  • B. When you go out, you can remove the oxygen and then reapply it when you get home.
  • C. You probably will not be able to go out as much as you used to.
  • D. Home health services will come to see you so you will not need to get out.
Correct Answer: A

Rationale: For a client with COPD concerned about leaving the house while on continuous oxygen, the nurse should provide reassurance by mentioning the availability of portable oxygen delivery systems. These systems allow the client to maintain their oxygen therapy while being mobile, enabling them to go out and engage in activities outside the home. This response promotes independence and quality of life for the client, addressing their immediate concerns and offering a practical solution to their perceived limitation.

A client has a new prescription for heparin therapy. Which of the following statements by the client should indicate an immediate concern for the nurse?

  • A. ''I am allergic to morphine.''
  • B. ''I take antacids several times a day.''
  • C. ''I had a blood clot in my leg several years ago.''
  • D. ''It hurts to take a deep breath.''
Correct Answer: B

Rationale: The correct answer is the statement 'I take antacids several times a day.' Antacids can alter the absorption of heparin, potentially affecting its effectiveness and increasing the risk of clot formation. This is a significant concern as it can impact the therapeutic outcome of heparin therapy. The other statements are not directly related to potential complications or interactions with heparin therapy.

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