Questions 108

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ATI Clinical Exam Questions

Extract:

Nurses’ Notes at 0700hrs
The client appears fatigued and reports a persistent headache. He has been experiencing muscle aches throughout his body. He also complains of a sore throat and has had a fever for the past two days. The client’s skin is warm to the touch and he appears slightly dehydrated.
Vital Signs at 0700hrs
• Temperature: 39.5°C (103.1°F)
• Blood pressure: 128/56 mm Hg
• Heart rate: 112/min
• Respiratory rate: 22/min
• SaO2: 96% on room air
Diagnostic Results at 0700hrs
• Complete blood count shows elevated white blood cells
• Throat culture has been sent to the lab for analysis
• Chest X-ray pending


Question 1 of 5

A nurse is caring for a 45-year-old male client in the emergency department. The client was admitted at 0700hrs with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue.The nurse is preparing to administer an antibiotic to the client. Which of the following actions should the nurse take? (Select all that apply)

Correct Answer: B,E,F,G

Rationale: Encouraging fluid intake addresses dehydration. Monitoring temperature tracks fever. Checking allergy history prevents reactions. Educating about antibiotics ensures efficacy and prevents resistance. Mask, private room, and contact precautions are not indicated without contagious disease evidence.

Extract:


Question 2 of 5

A nurse is reviewing the laboratory results of four children. Which value should the nurse report to the provider? Which lab value should the nurse report?

Correct Answer: A

Rationale: Iron 38 mcg/dL is low, indicating potential anemia. RBC and WBC are normal, and lead 2 mcg/dL is within safe limits.

Question 3 of 5

A nurse is caring for a patient who has a new prescription for sertraline. Which of the following instructions should the nurse include? What instructions should the nurse include for sertraline?

Correct Answer: A

Rationale: Taking sertraline at bedtime minimizes daytime drowsiness. Food, driving, or weight loss are not primary concerns.

Question 4 of 5

A nurse is caring for a client who has nausea and a prescription for metoclopramide intravenously every 8 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which explanation should the nurse provide?How does metoclopramide relieve nausea?

Correct Answer: A,D

Rationale: Metoclopramide promotes and enhances gastric emptying, speeding stomach emptying, not relaxing muscles or reducing acid.

Question 5 of 5

A nurse is educating a parent of a 6-month-old infant about car seat safety. Which statement from the parent indicates a correct understanding of the teaching?,Which statement indicates correct understanding of car seat safety?

Correct Answer: A

Rationale: An anchored infant model car seat (rear-facing) is correct. Front seat placement risks airbag injury, loose harness is unsafe, and front-facing is incorrect for 6 months.

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