ATI Childcare Predictor Exam With Answers (113 Solved Questions)

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C. Provide the client with a cold drink prior to defecation.D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.A nurse is caring for a client who is in active labor and requests pain management. Which of the followingactions should the nurse take?A. Administer ondansetron.B. Place the client in a warm shower.C. Apply fundal pressure during contractions.D. Assist the client to a supine position.7. a nurse in an emergency department is performing triage for multiple clients following adisaster in thecommunity. To which of the following types of injuries should the nurse assign the highest priority?A. Below-the knee amputationB. Fractured tibiaC. 95% full-thickness body burnD. 10cm (4in) laceration to the forearm8. a nurse manageris updating protocols for the use of belt restraints. Which of the following guidelinesshould the nurse include?A. Remove the client's restraint every 4hrB. Document the client's condition every 15 minC. Attach the restrain to the bed's side railsD.Request a PRN restrain prescription for clients who are aggressive9. A nurse is teaching an in-service about nursing leadership. Which of the following information shouldthe nurse include about an effective leader?A. Acts as an advocate for the nursingunit.B. (Unable to read) for the unitC. Priorities staff request over client needs.D. Provides routine client care and documentation.10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that shehas been following her (unable to read) care. The nurse should identify which of the following findingsindicates a need to revise the client's plan of care.A. Serum sodium 144 mEq/B. (Unable to read)C. Hba1c 10 %D. Random serum glucose 190 mg/dl.11. A nurse ina provider's office is reviewing the laboratory results of a group of clients. The nurse shouldidentify that which of the following sexually transmitted infections is a nationally notifiable infectiousdisease that should be reported to the state health department?A. ChlamydiaB. Human papillomavirusC. CandidiasisD. Herps simplex virus12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a groupon a mental health unit. Which of the following group facilitationtechniques should the nurse include in

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the teaching?A. Share personal opinions to help influence the group's valuesB. Measure the accomplishments of the group against a previous groupC. Yield in situations of conflicts to maintain group harmonyD. Usemodeling to help the clients improve their interpersonal skillsD13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that (Unableto read) Passover holiday. Which of the following action should the nurse includein the plan of care?A. Provide chicken with cream sauce.B. Avoid serving fish with fins and scales.C. Provide unleavened bread.D. Avoid serving foods containing lamb.14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify theeffectiveness of the treatmentA. A chest x-ray reveals increased density in all fields.B. The client reports feeling less anxious.C. Diminished breath sounds are auscultated bilaterallyD. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47mm Hg.15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets(Unable to read) a respiratory rate of 10/min. After securing the client's airway and initiating an IV, whichof the following actions shouldthe nurse do next.A. Monitor the client's IV site for thrombophlebitis.B. Administer flumazenil to the client.C. Evaluate the client for further suicidal behavior.D. Initiate seizure precautions for the client.16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which ofthe following findings should the nurse expect?A. HypotensionB. Memory lossC. Slurred speechD. Elevated temperature17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the followingmanifestations should the nurse expect?A. Loose stoolsB. JitterinessC. HypertoniaD. Abdominal distentionB18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of thefollowing findings should the nurse report to the provider?A. Hgb 12.5 g/dlB. Platelets 250,000/mm3C. Hct 40%D. WBC 14,000/mm3The normal number of WBCs in the blood is4,500 to 11,000 WBCs per microliter

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19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy insituations that require a durable power of attorney for heal care (DPSHC). Which of the followinginformation should the charge nurse include?A. "The proxy should make health care decisions for the clientregardless of the client's ability to do so."B. "The proxy can make financial decisions if the need arises."C. The proxy can make treatment decisions if the client is underanesthesia."D. "The proxy should manage legal issues for the client."20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should thenurse take first?A. Turn the client on their side.B. Administer an analgesicC. Administer antiemeticD. Monitor the client's vital signs.21A nurse is caring for a client who has a history of depression and is experiencing a situational crisis.Which of the following actions should the nurse take first?A. Confirm the client's perception of the eventB. Notify the client's support systemC. Help the clientidentify personal strengthsD. Teach the client relaxation techniques22. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurseobtained a verbal prescription for restraints. Which of the following should theactions should the nursetake?A. Request a renewal of the prescription every 8 hr.B. Check the client's peripheral pulse rate every 30 minC. Obtain a prescription for restraint within 4 hr.D. Document the client's condition every 15 minutes.23. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN)who has been sent from the OR unit due to a staffing shortage. Which of the following client should thenurse delegate to the LPN?A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.B. A client who sustained a concussion and has unequal pupils.C. A client who is postoperative following a bowel resection with an NG tube set to continuous suction.D. A client who fractured his femur yesterdayand is experiencing shortness of breath.24. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The clienthas an area of nonblanchable erythema over his ischium. Which of the following interventions should thenurse include in the care plan?A. Place the client upright on a donut-shaped cushionB. Teach the client to shift his weight every 15 min while sittingC. Turn and reposition the client every 3 hr while in bedD. Assess pressure points every 24 hr

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25. Anurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management (Unable to read) a safe option for the client?A. Naloxone hydrochloride.B. Spinal anesthesia.C. Pudendal block.D. Butorphanol tartrate.27. A nurse is assessing a client who has major depressive disorder. Which of the following findings shouldthe nurse identify as the (Unable to read) (Most important?)A. The client changes the subject when future plans are mentioned.B. The client talks about being in pain constantly.C. The client sleeping over 12 hr. each day.D. The client reports giving away personal items.28. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should informthe client that she can receivewhich of the following immunizations during pregnancy? (Select all thatapply)A. Varicella vaccine.B. Inactivated polio vaccine.C. Tetanus diphtheria and acellular pertussis vaccineD. Rubella vaccine.E. Inactivated influenza vaccine.29. A nurse is caring for a client who has end-stage kidney disease. The client's adult child asks the nurseabout becoming a living kidney donor for her father. Which of the following condition in the child's medicalhistory should the nurse identify as a contraindication to the procedure?A. AmputationB. OsteoarthritisC. HypertensionD. Primary glaucoma30. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referralto a dietitianA. A client who has a prescription for warfarinand states "I will need to limit how much spinach I eat".B. A client who has gout and states, "I can continue to eat anchovies on my pizza."C. A client who has a prescription for spironolactone and states "I will reduce my intake of foods thatcontain potassium".D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate with a full glass ofwater".What are the 10 foods that trigger gout?Food and drinks that can cause a flare-up of gout includealcohol,beef, pork, chickenliver, wild game,sardines, anchovies, yeast, and beverages with high-fructose corn syrup, such as soda31. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleepingvery little during the past week due to caring for his mother. Which of the following responses should thenurse make?A. "I can give you information about respite care if you are interested."

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B. "You should consider taking a sleeping pill before bed each night"C. "It must be difficult taking care of someone who is terminally ill"D. "You are doing a great job taking care of your mother"32. A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increasein the child's glucose. The nurse should identify this finding as an adverse effect of which of the followingmedicationsA. Methylprednisolone.B. Ondansetron. (zofran)C. Guaifenesin (mucinex)D. Amoxicillin.33. The nurse is providing teaching about folic acid to a client who is prima gravida. Which of the followinginformation should the nurse include in the teaching?A. "You should take folic acid to decrease the risk of transmitting infections to your baby"B. "You should consume a maximum of 300 micrograms of folic acid every day".C. "You can increase your dietary intake of folic acid by eating cereals and citrus fruits".D. "You can expect your urine to appear red-tingled while taking folic acid supplements".34. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the followingshould the nurse report to the provider?Exhibit 1Blood pressure: 102/56 mm Hg. Heart rate: 95/min Respiratory rate: 18/min Temperature: 37.4C(99.3F)Exhibit 2Medication Administration RecordClozapine 150 mg PO twice dailyBenztropine 0.5 mg PO twicedaily as needed for tremors.Exhibit 3Nurse's notes:Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month.Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfastand reportsslightly nauseous.A. Dietary intakeB. Heart rate.C. Sore throat.D. Blood pressure.The antipsychotic clozapine (Clozaril®, Clopine®) can cause potentially fatal neutropenia andagranulocytosis (number needed to harm = 59).Patients on clozapine who present with evidence ofinfection such as flu-like symptoms, sore throat or fever should be investigated for a blood dyscrasia.36. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnelA. "The nurse is legally responsible for the actions of the AP".B. "An AP can perform tasks outside of his range if he has been trained".

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C. "An experienced AP can delegate to another AP".D. "An RN evaluates the client needs to determine tasks to delegate"37. Anurse is assessing a client who is in active labor. Which of the following findings should the nursereport to the provider?A. Contractions lasting 80 secondsB. FHR baseline 170/minC. Early decelerations in the FHRD. Temperature 37.4C (99.3)38. A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sidedhemiplegia the following actions is the nurse's priority?A. Consult with a case manager about insurance coverage.B. Counsel caregivers about respite care options.C. Ensure that the client has a referral for physical therapy.D. Refer the client to a local stroke support group.A nurse in a mental health unit is planning room assignments for four clients. Which of the following clientshould be closest to the nurse's station?A. A client who has an anxiety disorder and is experiencing moderate anxiety.B. A client who has somatic symptom disorder and reports chronic pain.C. A client who has depressive disorder and reports feeling hopeless.D. A client who has bipolar disorder and impaired social interactions.CA nurse is preparing to measure a temperature of an infant. Which of the following action should the nursetake?A. Place the tip of the thermometer under the center of the infant's axilla.B.Pull the pinna of the infant's ear forward before inserting the probe.C. Insert the probe 3.8 cm (1.5in) into the infant's rectum.D. Insert the thermometer in front of the infant's tongue.A

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A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of thefollowing interventions should the nurse include in the plan?A. Encourage the client to spend time in the day roomB. Withdraw the client's TV privileges is the does not attend grouptherapyC. Encourage the client to take frequent rest periodsD. Place the cline in seclusion when he exhibits signs of anxietyCA nurse is admitting medications to a group of clients. Which of the following occurrences requires thecompletion of an incident report?A. A client receives his antibiotics 2hr lateB. A client vomits within 20min of taking his morning medicationsC. A client requests his statin to be administered at 2100D. A client asks for pain medication 1hr earlyAA nurse is caring for a client who is 24 hr. postpartum and is breast feeding her newborns. The client asksthe nurse to warm up seaweed soup that the client's partner brought for her. Which of the followingresponses should the nurse make?A. "Does the doctor know you are eating that?"B. "Why are you eating seaweed soup?"C. "Of course I will heat that up for you"D. "The hospital good is more nutritious"C.a nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of thefollowing examples should the nurse include in the teaching?A. Leaving a nasogastric tube clamped after administering oral medicationB. Documenting communication with a provider in the progress notes of the client's medical recordsC. Administering potassium via IV bolusD. Placing a yellow bracelet on a client who is at risk for falls

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C45. a nurse is providing teaching to family members of a client who has dementia. Which of the followinginstructions should the nurse include in the teaching?A. Establish a toileting schedule for the clientB.Use clothing with buttons and sippersC. Discourage physical activity during the dayD. Engage the client in activities that increase sensory stimulationA46. The nurse is reviewing the medical record of a client who is requesting combination oralcontraceptives. Which of the following conditions in the client's history is a contradiction to the use of oralcontraceptives?A. Hyperthyroidism.B. Thrombophlebitis.C. Diverticulosis.D. Hypocalcemia.B47. A nurse is admitting a client who has schizophreniaand experiences auditory hallucinations. The clientstates, "It's hard not to listen to the voices." Which of the following questions should the nurse ask theclient?A. "Do you understand that the voices are not real?"B. "Why do you think the voices aretalking to you?"C. "Have you tried going to a private place when this occurs?"D. "What helps you ignore what you are hearing?"D48. A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Whichof the followingshould the nurse include in the teaching?A. Placing a belt restraint on a school-age child who has seizures.B. Securing wrist restraints to the bed rails for an adolescent.C. Applying elbow immobilizers of an infant receiving cleft lip injuryD. Keepingthe side rails of a toddler's crib elevated.C50. A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the followingA. Inject air into the NPH insulin vial.B. (Unable to read)C. Withdraw the prescribed dose of regular insulinD. Withdraw the prescribed dose of NPH insulinA51. a Nurse is working with a client who has an anxiety disorder and is in the orientation phase of thetherapeutic relationship. Which of the following statements should the nurse make during this phase?A. "Let's talk about how you can change your response to stress."B. "We should establish our roles in the initial session."

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C. "Let me show you simple relaxation exercises to manage stress."D. "We should discuss resources to implement in your daily life."B51. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of thefollowing information should the nurse include?A. Children who have varicella are contagious until vesicles are crusted.B. Children who havevaricella should receive the herpes zostervaccination.C. Children who have varicella should be placed in droplet precaution.D. Children who have varicella are contagious 4 days before the firstvesicle eruption.A52. A staff nurse is observing a newlylicensed nurse suction a client's tracheostomy. Which of thefollowing requires intervention by the staff nurse?A. Waits 2 minutes between suctions.B. Encourages the client to cough during suctioning.C. Apply suctioning for 15 seconds.D. Inserts the catheter without applying suction.A53. A nurse is teaching at a community health fair about electrical fire prevention. Which of the followinginformation should the nurse include in the teaching?A. Use three pronged grounded plugs.B. Cover extension cords with a rug.C. Check the tingling sensations around the cord to ensure the electricity is working.D. Remove the plug from the socket by pulling the cord.A54. A nurse is providing care for a group of clients. Which of the following client's should the nurse identifyas having the highest risk for developing a pressure injury?A. A client who has a T-tube following an open cholecystectomy.B. A client who had a knee 2 days ago following a sports injury.C. A client who has dementia and is incontinent of urine and fecesD. A client who has a myocardial infarction and is receiving thrombolytic therapy.C55. A nurse is teaching a client who has glaucoma and a new prescription for timolol eyedrops. Which ofthe following statements indicates an understanding of the teaching?A. "I will place the eye drops in the center of my eye"B. "I will place pressure on the corner of my eye after using he eye drops"C. "I should expect my tears to turn a red color after using the eye drops."D. "I should expect the eyedrops to appear cloudy."B

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56. A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to theprovider. Which of the following findings should the nurse include in the teaching?A. Bleeding gumsB. Faintness upon risingC. Swelling of the faceD. Urinary frequencyC57. A nurse is caring for a client who has a diagnosis of stage IV metastatic cancer. Which of the followingresponses should the nurse make?A. "I would recommend sharing your feelings with a psychologist".B. "I can give you information about making end of life decisions".C. "You should discuss your end life decisions with your family"D. "Everyone feels this way at first. You will start feeling better soon".B58. A nurse is caring for a client wo hassevere hypertension and is to receive nitroprusside via continuousIV infusion. Which of the following actions should the nurse plan to take?A. Keep client's calcium gluconate at the client's bedsideB. Monitor blood pressure every 2 hr.C. (Limit or remove?) IV bag from exposure to light.D. Attach tan inline filter to the IV tubing.C59. A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings shouldthe nurse expect?A. Feelings of dreadB. Heightened perceptualfieldC. Rapid speechD. Purposeless activityB60. A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for thepast 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from theprovider should the nurse expect?A. Withhold the next dose.B. Increase the dosage.C. Discontinue the medication.D. Administer the medication.D61. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep.Which ofthe following instructions should the nurse include?A. Stay in bed at least 1hr if unable to fall asleepB. Take 1 hr nap during the dayC. Perform exercise prior to bedD. Eat a light snack before bedtime

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D62. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of thefollowing medications should the nurse administer?A. PregabalinB. LorazepamC. ColchicineD. Codeine.APregabalin is usedto treat epilepsy and anxiety. It's also taken to treat nerve pain. Nerve paincan becaused by different conditions including diabetes and shingles, or an injury.63.A nurse is caring for a client following insertion of a chest tube 12 hr. ago. The (Unable to read)following actions should the nurse take?A. Assess the amount of drainage in the collection chamber.B. Clamp the chest tube during ambulation.C. Report continuous bubbling in the water seal chamber.D. Strip the chest tube every 4 hr. to maintain patency.C64. A nurse is caring for a client who is receiving morphine 4 mg via IV bolus every 4 hr. PRN. The nurseshould monitor for which of the following adverse effects?A. Productive cough.B. Urinary retention.C. RhinitisD. Fever.B65. A nurse is interviewing the partner of a client who was admitted in the manic phaseof bipolar disorder.The partner states "I don't know what to do. Everything has been happening so quickly." Which of thefollowing by the nurse is therapeutic?A. "Can you talk about what happens with your partner at home?"B. "Why do you think your partner's symptoms are progressing so quickly?"C. "You should make sure your partner takes the prescribed medication."D. "You did the right thing by bringing your partner in for treatment."A66. A nurse is providing dietary teaching to a guardian of a preschooler who has a new diagnosis of celiacdisease. Which of the following statements by the guardian indicates an understanding of the teaching?A. "I will put my child on a gluten-free diet".B. "I will administer digestive enzymes with meals and snacks".C. "Provide my child with some high fiber foods."D. "I will give my child whole wheat toast and milk for breakfast".A67. A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the followingactions should the nurse take?A. Prime IV tubing with 0.9% sodium chloride.

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B. Use a 24-gauge IV catheterC. Obtain filter less IV tubing.D. Place blood in the warmer for 1 hr.AA nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuousinfusions should the nurse initiate?A. 0.9% normal saline.B. NPH insulin.C. Glargine insulin.D. 0.45% saline.A69. A nurse is teaching who has chronic pain about avoiding constipation from opioid medications. Whichof the following should the nurse include in the teaching?A. Drink 1.5L fluids each day.B. Take mineral oil at bedtime.C. Increase exercise activityD. Decrease insoluble fiber.C70. A nurse is teaching about preventative measures to a female client who has chronic urinary tractinfections. Which of the following interventions should the nurse include in the teaching?A. "Drink 2 liters of warm water per day".B. "Empty your bladder every 6 weeks.".C. "Soak in a warm bath everyday".D. "Take an oral estrogen tablet".A71. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients shouldthe nurse plan to assess first?A. A client who has sinus arrhythmia and is receiving monitoringB. A client who has a hip fracture and a new onset of tachypneaC.A client who has epidural analgesia and weakness in the lower extremitiesD. A client who has diabetes and a hemoglobin A1C of 6.8%B72. A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome.Which of the following recommendations should the nurse include?A. Consume food high in bran fiberB. Increase intake of milk productsC. Sweeten foods with fructose corn syrupD. Increase foods high in glutenA

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73. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which ofthe following actions should the nurse take?A. the infant 30 ml (1 oz) glucose water every 2 hr.B. Keep the infants head covered with a cap.C. Ensure that the newborn wears a diaper.D. Apply lotion to the newborn every 4 hr.C74. a nurse is teaching a group of newly licensed nurses about client advocacy. Which of the followingstatements by a newly licensed nurse indicates an understanding of the teaching?A. "(Unable to read) I feel to be in his best health care decision"B. "I will intervene if there is conflict between a client and his provider"C. "I should not advocate for a client unless he is able to ask me himself"D. "I will inform a client that his family should help make his health care decisions."B75. A nurse is preparing to reposition a client who had a stroke. Which of the following actions should thenurse take?A. Raise the side rails on both sides of the client's bed during repositioning.B. Reposition the client without assistive devices.C. Discuss the client's preferences for determining a reposition schedule.D. Evaluate the client's ability to help with repositioning.DA nurse is caring for an infant who has coaction of the aorta. Which of the following should the nurseidentify as anexpected finding?A. Weak femoral pulsesB. Frequent nosebleedsC. Upper extremity hypotensionD. Increased intracranial pressureAA nurse is assisting with the development of an informed document for participation in a research study.Which of the following information should the nurse include?A. A statement that participants can leave the study at will.B. An assignment of the participant to either the experimental or control group.C. A list of the clients participating in the study.D. A descriptionof the framework the researchers will use to evaluate the data.A79. A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the followingadverse effects should the nurse include?A. Excessive sweating

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B. Increased urinary frequencyC. Dry coughD. Metallic taste in mouthA80. A nurse is caring for a client who has a new temporary synchronous pacemaker. Which of the followingshould the nurse report to the provider?A. The client's pulse oximetry level is 96%.B. (Unable to read)C. The client develops hiccups.D. The ECG shows pacing spikes after the QRS complex.C81. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of thefollowing resources should the nurse provide to the client?A. Personal blogs about managing the adverse effects of diabetes medicationsB. Food label recommendations from the Institute of MedicineC. Diabetes medication information from the Physicians' Desk ReferenceD. Food exchange list for meal planning from the American Diabetes Association.D82. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client. Which of thefollowing statements should the nurse include in the teaching?A. "The PCA will deliver a double dose of medication when you push the button twice."B. "You can adjust the amount of pain medication you receive by pushing on the keypad."C. "Continuous PCA infusion is designed to allow fluctuating plasma medication levels."D. You should push the button before physical activity to allow maximum pain control."D83. A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for bloodglucose management. The nurse should anticipate administering which of the following types of insulin?A. Glargine insulin.B. Regular insulin.C. NPH insulin.D. Insulin aspart.AInsulin glargineInsulin glargine, a long-acting insulin, does not have a peak effect time, but is fairly stable in effect aftermetabolizedNPHNPH insulin has a peak effectaround 6 to 14 hr following administration.Regular insulinRegular insulin has a peak effect around 1 to 5 hr following administrationInsulin lispro

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Insulin lispro has a peak effect around 30 min to 2.5 hr following administration84. A nurse is caringfor a toddler who has acute lymphocytic leukemia. In which of the following shouldthe toddler participate?A. Looking at alphabet flashcards.B. Playing with a large plastic truck.C. Use scissors cut out paper shapes.D. Watching a cartoon in the dayroom.B85. A nurse is caring for a client who is receiving intermittent feedings via a feeding via a feeding pump andis experiencing dumping syndrome. Which of the following actions should the nurse take?A. Administer a refrigerated feeding.B. Increased the amount of water use to flush the tubing.C. decrease rate of the client's feedings.D. Instruct the client to move onto their right side.C86. A nurse in an emergency department is caring for a client who received a dose of penicillin and is nowanxious, flushing, tachycardic and has difficulty swallowing. Which of the following actions is the nurse'spriority?A. Monitor the client's ECGB. Take the client's vital signs.C. Administer oxygenD. Insert an IV line.C87. A nurse is caring for a client who has Raynaud's disease. Which of the following actions should thenurse take?A. Provide information about stress management.B. Maintain a cool temperature in the client's room.C. Administer epinephrine for acute episodes.D. Give glucocorticoid steroidtwice per day.A88. A nurse is reviewing the medical history of a client who has angina. Which of the following findings inthe client's medical history should identify as a risk factor for angina?A. Hyperlipidemia.B. COPDC. Seizure disorderD. Hyponatremia.A89. A nurse is caring for a client who is 12 hr. postpartum and has a third-degree perineal laceration. Theclient reports not having a bowel movement for 4 days. Which of the following medications should thenurse administer?

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