ATI Application Exercises Flashcards
A nurse is examining a pt’s breast.
What is the anatomical name for each of the landmarks provided.
A.) Over the center of the Sternum.
B.) Extends down from the anterior axillary fold.
C.) Runs down from the apex of the axillary.
D.) Is along the center of the spine.
A = The Midsternal Line
B = The Anterior Axillary Line
C = The Midaxillary Line
D = The Vertebral Line
A nurse is auscultating a pt’s lungs.
Which of the following findings are expected?
(Select all that apply)
A.) High Pitched Musical Sounds.
B.) Expiration is longer than inspiration over the trachea upon auscultation.
C.) Soft, Breezy, Low-Pitched Sounds.
D.) Medium Pitched Blowing Sounds
B, C, D
A nurse is preparing to auscultate the Erb’s Point. Where would this be at?
Third Intercostal Space (Directly Below the Pulmonic Landmark)
A nurse in a provider’s office is preparing to auscultate & percuss a pt’s abdomen as part of a comprehensive physical examination.
Which of the following findings should the nurse expect?
(Select all that apply)
A.) Tympany
B.) High-Pitched Clicks
C.) Borborygmi
D.) Friction Rubs
E.) Bruits
A, B
A nurse in a provider’s office is preparing to auscultate and percuss a pt’s Thorax as part of a comprehensive physical examination.
Which of the following should the nurse expect?
(Select all that apply)
A.) Rhonchi
B.) Crackles
C.) Resonance
D.) Tactile Fermitus
E.) Bronchovesicular Sounds
C, E
A nurse in a provider’s office is preparing to give a breast examination to an older pt who is postmenopausal.
Which of the following are expected findings?
(Select all that apply)
A.) Smaller Nipples
B.) Less Adipose Tissue
C.) Nipple Discharge
D.) More Pendulous
E.) Nipple Inversion
A, D, E
During a Cardiovascular Examination, a nurse in a provider’s office places the diaphragm of the stethoscope at the 5th intercostal space. The patient is 20 years old. Which of the following data is the nurse trying to auscultate?
(Select all that apply)
A.) Ventricular Gallop
B.) Closure of the Mitral Valve
C.) Closure of the Apical Valve
D.) Apical Heart Rate
E.) Murmur
B, C, D.
An S3 can be an expected finding for a 20 year old, but to assess for an S3, you have to use the bell of your stethoscope.
A nurse is providing discharge teaching to a pt who’s got a prescription for two pain meds.
Sort the following adverse effects into those that can occur with Ibuprofen or with Oxycodone:
A.) Tinnitus
B.) Respiratory Depression
C.) GI Bleeding
D.) Orthostatic Hypotension
Ibuprofen = A, C
Oxycodone = B, D
A nurse is caring for a pt who’s got a new prescription for Gabapentin for Neuropathic Pain.
The nurse should monitor the pt for which of the following adverse effects?
A.) Constipation
B.) Urinary Retention
C.) Insomnia
D.) Dizziness
D
You give a pt a continuous infusion of Fentanyl and Bupivicaine.
What things should you educate the pt to do?
Educate the pt to notify the provider if they start experiencing any manifestations of infection (Fever, Edema, Redness).
Educate the pt to notify the provider if they start experiencing any severe headaches, increases of pain, sudden weakness of the lower extremities, and decreases in bowel or bladder control.
Educate the pt to notify the provider if they start experiencing any manifestations of Systemic Infusion (Respiratory Depression, Hypotension, Sedation)
A nurse is caring for a pt with cancer and they have a prescription for Transcutaneous Electrical Nerve Stimulation (TENS) for pain management.
Which of the following actions should the nurse take?
(Select all that apply)
A.) Remove hair before applying electrodes on the pt’s skin.
B.) Apply electrodes on the pt to areas of intact skin.
C.) Place electrodes over the pt’s chest.
D.) Avoid giving additional pain meds to the pt when using the TENS unit.
E.) Inspect the pt’s skin under the electrodes for any burns.
A, B, E
The nurse is discussing alternative approaches to relieving pain with the pt.
Name each of these methods of Alternative Therapy.
A.) Uses an alternative state of awareness to redirect the perception of pain.
B.) Small needles are inserted into the skin to stimulate and alter nerve pathways.
C.) Soft tissue is manipulated to increase surface circulation.
D.) Involves picturing a peaceful image.
A = Hypnosis
B = Acupuncture
C = Massage Therapy
D = Positive Imagery
A nurse is caring for a pt who is Pre-Operative for surgery.
What actions should the nurse take?
Ensure the pt has signed a consent form.
Have them urinate before giving any Pre-Op meds.
Ensure the bed is at its lowest position + the side rails are up.
Monitor pt’s airway, 02 sat, lab values (ABG’s, CBC, Electrolytes), and temp.
Monitor cardiac status (Rhythm, HR, BP).
A nurse is planning care for a pt that’s scheduled for a therapeutic procedure with the use of general anesthesia and has a family history of malignant hyperthermia.
Which of the following actions should the nurse plan to take?
(Select all that apply)
A.) Administer Oxygen.
B.) Administer Succinylcholine.
C.) Provide the pt with warm blankets.
D.) Insert an indwelling catheter into the pt.
E.) Administer IV Dantrolene.
A, D, E
A nurse is planning care for a pt who reports a headache following Spinal Anesthesia. Which of the following actions should the nurse take?
A.) Restrict the pt’s fluid access.
B.) Administer Flumazenil to the pt.
C.) Place the head of the pt’s head flat.
D.) Increase the lights in the pt’s room
C
