Download ATI Assessment Level 2 Study Cards Questions And Answers 2024 A+ and more Exams Nursing in PDF only on Docsity!
ATI Assessment Level 2 Study Cards Questions And Answers 2024 A+
right - ANS-✔✔Which side should you be on to ambulate a patient with right side hemiparesis?
albumin - ANS-✔✔Which lab value is important in diagnosing malnutrition
3.5-5 - ANS-✔✔The expected reference range for albumin is:
- g/dL
inflammation - ANS-✔✔A nurse will monitor C-reactive protein to monitor:
droplet - ANS-✔✔The nurse should initiate __________ precautions for an infant who has pertussis. Other actions the nurse should take include providing humidified oxygen and suctioning secretions to prevent choking.
hyponatremia - ANS-✔✔Manifestations of what electrolyte imbalance:
- Orthostatic hypotension
- Deep tendon reflexes
- Headache
- Confusion
- Lethargy
Celecoxib - ANS-✔✔(Celebrex) Medication that is a COX-2 Inhibitor that treats osteoarthritis pain, when NSAIDs are no longer effective in relieving pain
Cyclobenzaprine - ANS-✔✔The nurse should identify ___________________ as a muscle relaxant medication that relieves muscle spasms in the back that can occur with osteoarthritis of the vertebral column.
Glucosamine - ANS-✔✔Medication of a substance produced naturally in the body; often used as a supplement to maintain cartilage in the joints in a patient with osteoarthritis
intraocular - ANS-✔✔The nurse should instruct the client to avoid using the vacuum cleaner for several weeks following cataract surgery. The forward flexion and rapid, jerking movements that occur while vacuuming can increase _____________ pressure
4-6 - ANS-✔✔Improvement in vision after cataract surgery should occur in - weeks
acidosis - ANS-✔✔The client who has respiratory ______________ can display mental cloudiness or confusion due to elevated carbon dioxide (CO2) retention as a result of hypoventilation.
Cholecystitis - ANS-✔✔inflammation of the gallbladder; usually associated with gallstones
eructation - ANS-✔✔manifestations of Cholecystitis include:
- Fever
- Dyspepsia
- _____________ (belching)
ezetimibe - ANS-✔✔Cholesterol absorption inhibitor for Hyperlipidemia. Have cholesterol checked 2- weeks after starting therapy
compartment syndrome - ANS-✔✔Swelling in a confined space that produces dangerous pressure; may cut off blood flow or damage sensitive tissue.
- numbness and tingling to the extremity
- Pallor
Chin lift maneuver - ANS-✔✔A nurse is caring for a client who has respiratory acidosis due to opioid oversedation. Which actions should the nurse take first?
cellulitis - ANS-✔✔When caring for a client with ___________
- elevate the extremity 3-6" above the heart
- apply moist packs every 2-4 hours until inflammation subsides
- then warm packs to increase comfort and decrease swelling
peak expiratory flow rate - ANS-✔✔provides a means of evaluating the maximum flow of air the client expels during forceful exhalation. It provides information on how well asthma is being controlled as a part of daily monitoring and can be used when a client is having an asthma attack. The flow meter testing helps to gauge the peak-expiratory zone the client is experiencing and determines if the client should use immediate-acting bronchial dilator inhalers or seek emergency help.
escitalopram - ANS-✔✔(Lexapro) is a selective serotonin reuptake inhibitor (SSRI) that decreases anxiety and panic attack.
15-36 - ANS-✔✔Expected range of prealbumin ___-____ mg/dL
less than 15 indicates malnutrition
globus - ANS-✔✔sensation of a lump in the throat
a manifestation of GERD
hypernatremia - ANS-✔✔Manifestations of what electrolyte imbalance:
- Dehydration
- Hyperactive BS
- Thirst
- Restlessness
- Dyspnea
- Muscle weakness
Cardiopulmonary bypass - ANS-✔✔Extracorporeal rewarming, such as _________________ __________ or hemodialysis, is the rewarming method of choice for core warming when a client has severe hypothermia. This rewarming method requires a specialized team.
hemoptysis - ANS-✔✔term for coughing up blood
Airborne - ANS-✔✔he greatest risk is that the client can transmit tuberculosis to other individuals; therefore, the first action the nurse should take is to initiate _____________ precautions for this client. The nurse should place the client in a private room with negative air pressure and at least six air exchanges per hour and use an N95 mask while caring for the client.
hyperemesis gravidum - ANS-✔✔term for excessive and severe vomiting during pregnancy
to prevent:
- drink fluids between meals rather than with meals
preschool - ANS-✔✔The nurse should identify that ______________s tend to have difficulty understanding the reality of death and often believe that it is reversible. Because of magical thinking, they might think that his thoughts or behavior might have caused the person to die.
otitis media - ANS-✔✔The nurse should expect an infant who has _______ ________ to have enlarged postauricular and cervical lymph nodes, fever, pain, rhinorrhea, vomiting, and diarrhea. The fever might be as high as 40° C (104° F).
panic attack - ANS-✔✔he nurse should stay with the client during a _________ __________ until manifestations subside and the client is reoriented to reality. This ensures the client's safety and conveys concern to the client.
short - ANS-✔✔The nurse should withdraw the _______ acting insulin before the long acting insulin
nph insulin - ANS-✔✔Intermediate-acting insulin
Onset: 2-4hr, peak: 6-12 hr, 16-20 hr
acrophobia - ANS-✔✔fear of heights
semi fowler - ANS-✔✔for a client with appendicitis, the nurse should place the client in _______ ____________ position to contain abdominal drainage in the lower abdomen and prevent it from seeping into the peritoneum.
hepatotoxicity - ANS-✔✔An aspartate aminotransferase (AST) more than 35 units/L indicates:
Tall T waves - ANS-✔✔An ECG reading of a patient with hyperkalemia would show:
hypotension - ANS-✔✔The client who is in a hyperglycemic-hyperosmolar state develops _____________________ as a result of highly elevated glucose levels, inability of the kidneys to regulate blood osmolarity, and increased diuresis.
also the patient could have a serum blood glucose level over 600 mg/dL
Graves disease - ANS-✔✔an autoimmune disorder that is caused by hyperthyroidism and is characterized by goiter and/or exophthalmos
duloxetine - ANS-✔✔(Cymbalta)
Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor
May take several weeks to notice an improvement in symptoms
12 - ANS-✔✔For lindane lotion, used for conditions like scabies, the lotion will be washed off ___ hours after applying it
peritonitis - ANS-✔✔For a patient with appendicitis, report a board like abdomen immediately as it indicates ______________
3 - ANS-✔✔for a patient with diverticulitis, advise patient to not eat anything ___ hours before bed to prevent reflux
Leukocyte esterase - ANS-✔✔an enzyme found in some white blood cells, the presence of which in urine is a sign of infection
heat exhaustion - ANS-✔✔The nurse should identify that _______ ____________ is usually the result of excess sweating, leading to dehydration. Manifestations include nausea, vomiting, headache, dizziness, fainting, and a temperature typically between 38.3º C and 38.9º C (101º F and 102º F).
Collard Greens - ANS-✔✔Good non-dairy source of calcium
heat stroke - ANS-✔✔he nurse should recognize that treatment for ________ ___________ involves cooling the client's core body temperature quickly. The nurse should apply ice to the client's axillae, neck, groin, and chest while also spraying the client's body with tepid water.
lactic acidosis - ANS-✔✔Metformin, a biguanide, can cause _______ _________, which is a life- threatening complication manifesting as muscle aches, sleepiness, malaise, and hyperventilation. If
gastric reflux - ANS-✔✔For the parent of a child with GERD, they should add 1 teaspoon to 1 tablespoon of rice cereal in order to thicken the formula. This will decrease the incidence of
alkalosis - ANS-✔✔Common causes of metabolic _____________ include overuse of antacids, prolonged vomiting, NG suctioning, total parenteral nutrition, and thiazide diuretic use.
lipase - ANS-✔✔The nurse should recognize that an elevated __________ is an indication of pancreatitis, which can indicate the client is experiencing an adverse effect to exenatide. Physical manifestations of pancreatitis include ongoing, severe abdominal pain and vomiting.
malnutrition - ANS-✔✔The nurse should expect a client who is experiencing _______________ to have dry, brittle hair, muscle wasting, a depressed mood, and poor wound healing.
off - ANS-✔✔The client should turn down the volume of the hearing aid and turn it _____ before inserting it in the ear. This ensures that the client is not exposed to any uncomfortably loud noise when it is inserted. Once it is in place, the client should turn the hearing aid on and adjust the volume to a comfortable level.
Acetylcysteine - ANS-✔✔he client who has COPD can experience manifestations of thick, tenacious secretions. White or clear mucus is an expected finding, which indicates the client is free of respiratory infection. _________________ is a mucolytic used to thin secretions and enable the client to expectorate them more easily.
strabismus - ANS-✔✔crossed eyes
amblyopia - ANS-✔✔a dimness of vision or the partial loss of sight, especially in one eye, without detectable disease of the eye
droplet precautions - ANS-✔✔What precautions should be instituted for pertussis
primary open angle - ANS-✔✔The nurse should expect a client who has _______________ ___________ ___________ glaucoma (PAOG) to report a progressive loss of peripheral vision. The nurse should perform visual field testing to determine the severity of the peripheral vision loss. The nurse should also expect diagnostic assessment to indicate increased intraocular pressure.
left - ANS-✔✔_____ sided heart failure manifestations
- nocturia (at night)
- oliguria (during day)
- Dyspnea, crackles and wheezes
- Hacking cough
right shoulder - ANS-✔✔The nurse should expect a client who has cholecystitis to have abdominal pain that is episodic, typically occurring after fatty or large meals, and can radiate from the client's right upper quadrant to the ________ ____________ or scapula.
reframing - ANS-✔✔Clients who have generalized anxiety disorder tend to worry excessively about the impact of various situations and events. _____________ them positively offers the client a fresh perspective and helps adjust his thought distortions.
cefazolin - ANS-✔✔The nurse should administer ________________ intermittent IV bolus antibiotic to treat the infection associated with cellulitis.
osteoarthritis - ANS-✔✔Early in the course of ___________________, joint pain begins with exercise and then quickly improves when the client rests the joint. As the disease progresses, the pain can occur with limited exercise or even at rest.
Diaphragmatic - ANS-✔✔_______________ breathing decreases shortness of breath by moving the diaphragm upward to promote removal of trapped air during exhalation.
Crepitus - ANS-✔✔term for Crackling sensation palpated on the skin surface of the client's chest, also called subcutaneous emphysema.
Indicates an air leak into the subcutaneous tissue, a clinical manifestation of pneumothorax
Tactile Fremitus - ANS-✔✔___________ _____________ is a vibration of the chest wall that the nurse can feel when palpating the client's chest as the client repeats a syllable such as 'nine-nine'. A clinical manifestation of pneumonia.
6 - ANS-✔✔For a client with atherosclerosis
The nurse should instruct the client to limit calories from saturated fat to no more than __% of daily intake. The nurse should instruct the client to consume low-fat and nonfat foods.
30 - ANS-✔✔The nurse should instruct the client to increase daily fiber intake to at least ___ g. Fiber assists in the elimination of lipids and minimizes the development of atherosclerosis.
discoloration - ANS-✔✔The nurse should identify that manifestations of peripheral venous disease include _________________ and edema of the ankle, resulting from venous hypertension.
yellow - ANS-✔✔A peak flow rate in the __________ zone reading is an indication that asthma symptoms have increased and the client is performing at 50% to 80% of his personal best. relief medications should be administered
epoetin - ANS-✔✔The nurse should monitor the client's blood pressure while receiving __________ to identify and treat hypertension. Hypertension and cardiovascular events, such as myocardial infarction and stroke, are adverse effects
cataract - ANS-✔✔The nurse should expect a client who has _____________ to have opacity of the lens. Other manifestations include blurred vision and impaired perception of color.
Retinal detachment - ANS-✔✔The nurse should expect a client who has an onset of ________ ______________ to see floating dark spots. The client might also report that it is as if a curtain is suddenly drawn over the visual field of the affected eye.
macular degeneration - ANS-✔✔The nurse should expect a client who has __________ ________________ to have a decline in central vision. The loss is gradual and eventually all central vision is lost.
a temporary type of sleep - ANS-✔✔A preschooler believes that death is
thoughts - ANS-✔✔The nurse should expect a preschooler to believe that their _____________ can cause death to occur, which can lead to feelings of guilt and shame
school - ANS-✔✔The nurse should expect a ___________ age child to have a fear of transmitting their disease to others. and tend to personify it as a monster.
10 - ANS-✔✔While the client releases the medication from the inhaler, he should tilt his head slightly backward and hold his breath for approximately___ seconds to allow the medication to reach the smaller bronchioles.
phosphate - ANS-✔✔To help prevent osteoporosis, the client should reduce her _________________ intake because reduces the calcium needed for bone remodeling. Carbonated beverages are a common source of phosphate.
paroxetine - ANS-✔✔(Paxil) is a selective serotonin reuptake inhibitor that is used to treat social anxiety disorder.
alendronate - ANS-✔✔(Fosamax) used to treat osteoporosis and Paget's disease of the bone.
take on empty stomach
gout - ANS-✔✔The nurse should encourage the client to eat a purine-restricted diet to decrease elevated uric acid levels. The diet is used for clients who have _______, renal calculi, or both in conjunction with medication therapy. Whole grain breads and cereals, oatmeal, wheat germ, wheat bran, meat gravies, fresh and saltwater fish, beans, organ meats, mushrooms, green peas, spinach, asparagus, cauliflower, and baker's and brewer's yeast are all high in purine. Lentils, which are legumes, are a rich source of purines.
diabetes mellitus - ANS-✔✔The nurse should recommend that older adult clients have a_____________ _____________ screening performed every 3 years, unless the client is high risk, and then the nurse should recommend more frequent screenings.
50 - ANS-✔✔While an annual rectal exam, including a stool specimen for occult blood, is a current recommendation, the recommendation for a colonoscopy is every 5 to 10 years beginning at the age of __ years.
75 - ANS-✔✔The nurse should recommend cholesterol screening every 3 to 5 years until age ____ years.
SLE - ANS-✔✔With _____, the body's immune system becomes hyperactive, forming antibodies that attack tissues and organs, including the skin, joints, kidneys, brain, heart, lungs, and blood. SLE is characterized by periods of exacerbation and remissions. The nurse should teach the client to monitor body temperature and report any elevations promptly, as fever can suggest either an exacerbation or a potentially life-threatening infection.
toddlers - ANS-✔✔The nurse should identify that infants and young _____________ are unable to understand the concept of death. However, they tend to feel a sense of loss and might become increasingly irritable or withdrawn.
Spirometry - ANS-✔✔measures airway volume and provides data about airflow obstruction or restriction. It Is used to support the diagnosis of COPD and chronic restrictive pulmonary disease, such as asthma. Therefore, it does not provide information about the client's status during an asthma attack.
urinary retention - ANS-✔✔An adverse effect of oxybutynin (given for renal calculi for pain) could be?
- blurred vision
- hoarseness
- dry mouth
respiratory - ANS-✔✔The nurse should identify that a client who has abdominal ascites can experience a restriction of chest expansion, which impairs gas exchange and places the client at an increased risk for developing _______________ acidosis.
fever - ANS-✔✔fever and illness cause an accumulation of ________ acid and can lead to a state of metabolic acidosis
2 - ANS-✔✔(1,2,3,4) stage of the grieving process
Anger toward themselves, their partners, and other
cause - ANS-✔✔The nurse should expect a client who is experiencing a moderate level of anxiety to be focused on the _________ of the anxiety
3-7 - ANS-✔✔The nurse should instruct the client who just received cataract surgery to avoid getting water in the eye for ___-___days following surgery.
heart failure - ANS-✔✔Bumetanide is a loop diuretic used for the treatment of edema related to
Hepatotoxicity - ANS-✔✔An aspartate aminotransferase level of 35 units/L and above is indicative of
synovial - ANS-✔✔In a client with rheumatoid arthritis, arthrocentesis shows ____________ fluid that is cloudy, milky, or dark yellow and contains numerous inflammatory components, such as leukocytes and complement.
