ATI LPN · Nursing Intervention PICO Question Examples
Question 1 of 69
You are assessing a critical patient and considering the possibility of a reversible cause of his symptomatic slow heart rate. Which of the possibilities is most likely to cause a patient to present with a slow heart rate and associated signs/symptoms of bradycardia?
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Question 2 of 69
With regards to the Women's Health and Safe Motherhood Project, the following strategies are included to prevent maternal mortality, except one:
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Question 3 of 69
The nurse determines that teaching about warfarin is successful when the client makes what statement?
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Question 4 of 69
You are about to provide health teachings about pulmonary tuberculosis in your area of assignment. What diagnostic procedure is usually done early in the morning to confirm PTB?
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Question 5 of 69
A client has had an exacerbation of hemorrhoidal irritation. What drug should the nurse suspect as most likely to contribute to this adverse effect?
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Question 6 of 69
This serves as a referral center for the primary health facilities?
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Question 7 of 69
Your adult patient sustained a right index finger amputation at work. On arrival, first responders have the bleeding controlled with sterile dressings, and the patient is conscious, alert, and oriented. What is the best way to manage the patient's amputated finger during transport to the hospital?
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Question 8 of 69
Your adult anaphylaxis patient is suffering from hypotension that is not responding to epinephrine. Which of the following medications is capable of combating hypotension associated with anaphylaxis when epinephrine fails to improve blood pressure?
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Question 9 of 69
The medical-surgical nurse performs a dressing change on a patient with a history of non-insulin-dependent diabetes. The patient questions why the wound is not healing. Recognizing a teaching opportunity, what response does the nurse offer the patient?
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Question 10 of 69
Your pediatric patient has been ill for several days leading you to suspect he may be dehydrated. Once on the electrocardiogram, it is evident the patient has an accelerated heart rate and abnormally flattened T waves. What is the most likely cause of this finding?
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Question 11 of 69
Exhibit question that shows the learner a patient's labs, medication, and diagnostic tests then asks the learner what nursing intervention should be completed first is an example of a question written at what level of Bloom's Taxonomy?
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Question 12 of 69
A client has been diagnosed with heparin-induced thrombocytopenia and been prescribed an intravenous infusion of argatroban 2 mcg/kg/min. The nurse has added 100 mg argatroban to a 100-mL minibag, and the client weighs 82 kg. At what rate should the nurse run the infusion in milliliter per hour? Provide your answer to one decimal place?
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Question 13 of 69
Statistics of disease and death is termed as:
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Question 14 of 69
The nurse is taking a health history on a 58-year-old client who is taking atorvastatin for high cholesterol. What assessment question should the nurse prioritize related to the safe use of this drug?
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Question 15 of 69
Micronutrient supplementation is included in what program of the DOH?
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Question 16 of 69
The elements of lifelong learning for the nurse educator vary according to all the following factors except:
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Question 17 of 69
The nurse is monitoring a patient taking furosemide for heart failure. Which electrolyte imbalance must the nurse be alert for?
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Question 18 of 69
Your suspected myocardial infarction patient has exhibited ST elevation in Leads II, III, aVF on the electrocardiogram. What area of the heart do you suspect is being damaged?
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Question 19 of 69
The medical-surgical nurse, who cares for a patient newly diagnosed with cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:
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Question 20 of 69
Which of the following is not a cause of shock?
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Question 21 of 69
James's illness can be classified as:
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Question 22 of 69
Dengue hemorrhagic fever can be fatal. The following manifestations are present in DHF, except for one.
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Question 23 of 69
The nurse is preparing a client for discharge who will receive a prescription for a hydroxymethylglutaryl-coenzyme A (HMG-CoA) inhibitor. What statement by the client demonstrates a clear understanding of the teaching provided by the nurse?
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Question 24 of 69
A patient has an order for metoprolol. Prior to medication administration, what does the nurse need to assess?
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Question 25 of 69
The World Health Organization defines health as a:
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Question 26 of 69
A patient in the clinic reports difficulty tolerating the current ACE inhibitor medication, and questions if another medication could be used. The nurse correctly suspects the prescriber will choose which medication, which affects the renin-angiotensin-aldosterone system?
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Question 27 of 69
The nurse develops a care plan for a client who has been prescribed a folic acid derivative that includes what priority nursing diagnosis?
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Question 28 of 69
You are on-scene at a local residence with an adult cardiac arrest victim. The family initiated CPR prior to your arrival and states the patient was fine until her home dialysis treatment earlier in the day. Once on the cardiac monitor, the patient is exhibiting a wide complex of irregularly irregular rhythm without a palpable carotid pulse. Along with the administration of epinephrine, which of the following pharmacological agents may be indicated in this case?
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Question 29 of 69
An 80-year-old patient is placed in isolation when infected with methicillin-resistant Staphylococcus aureus. The patient was alert and oriented on admission, but is now having visual hallucinations and can follow only simple directions. The medical-surgical nurse recognizes that the changes in the patient's mental status are related to:
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Question 30 of 69
You are working a respiratory arrest patient and have just successfully placed a combi-tube in your apneic patient. What should you do if the chest fails to rise appropriately and gastric sounds are present?
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Question 31 of 69
The following are four cornerstones or pillars in primary health care, except:
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Question 32 of 69
After assessing the client receiving erythropoietin drug therapy, the nurse suspects what finding is an adverse effect of erythropoietin drug therapy?
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Question 33 of 69
This involves voluntary fortification of processed foods:
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Question 34 of 69
Contaminated instruments used during delivery should be:
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Question 35 of 69
One characteristic of a community with community competencies is that which has the ability to:
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Question 36 of 69
Simply put, shock is a state of hypoperfusion due to several different causes. Which one of the following types of shock would be considered distributive shock?
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Question 37 of 69
The nurse is caring for a client who is going home on warfarin. What lab test(s) will the client require to evaluate therapeutic effects of the drug?
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Question 38 of 69
What diagnostic procedure will confirm that the client is having DHF?
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Question 39 of 69
You are working an adult cardiac arrest patient who is not responding to electrical therapy. According to ACLS guidelines, what is the appropriate concentration and dosage of epinephrine in a cardiac arrest patient?
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Question 40 of 69
For the evaluation feedback process to be effective, the medical-surgical nurse who is a manager:
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Question 41 of 69
Statistics of illnesses termed as:
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Question 42 of 69
As a community health nurse engaged in the process of community empowerment, it is essential that you:
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Question 43 of 69
Pericardial tamponade and hemorrhagic shock present very similarly in the pre-hospital environment. What is the best way, of those listed, to distinguish between the two diagnoses?
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Question 44 of 69
A nurse is preparing to discharge a client who has been prescribed warfarin. While assessing the client's knowledge of the drug, what statement should the nurse address?
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Question 45 of 69
Your adult female postpartum patient delivered her newborn with the assistance of her husband five minutes prior to your arrival on the scene. The infant's Apgar score is 10, and the baby seems to be fine. However, the mother continues to bleed heavily after an adequate fundal massage and encouraging the infant to breastfeed. Her current heart rate is 125 bpm; her blood pressure is 108/60, and she is breathing 22 times a minute with an SpO2 of 97. After ensuring a second infant is not present, which of the following interventions would medical command most likely recommend?
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Question 46 of 69
The nurse instructs a client taking oral iron preparations about strategies for addressing which potential adverse effect?
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Question 47 of 69
Which of the following respiratory patterns is most likely to be present with an adult patient suffering the adverse effects of diabetic ketoacidosis?
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Question 48 of 69
Mentoring can be described as all of the following except:
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Question 49 of 69
Legal basis for traditional, non-traditional, alternative, or complementary health care strategies in community health nursing may be derived from:
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Question 50 of 69
Your 23-year-old diabetic patient was found unresponsive with increased respirations, hypotension, and bradycardia. Family members state he recently had a tooth pulled and was prescribed Vicodin. Which of the following is most likely to cause the patient's presentation?
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Question 51 of 69
It is hospital policy to assess and record a patient's heart rate before administering digoxin (Lanoxin). By auditing the nursing records to determine the frequency of compliance with this policy, the quality assessment and improvement committee is conducting:
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Question 52 of 69
What can be an equally effective, non-costly medicinal alternative to a muscle pain-relieving drug for far-flung communities?
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Question 53 of 69
This refers to trained community health workers or health auxiliary volunteer:
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Question 54 of 69
You are on-scene assisting another crew with a childbirth call that quickly turned into a neonatal resuscitation. The newborn does not have a palpable brachial pulse, but muffled heart tones and the monitor confirm a sluggish heart rate of 55 beats per minute. After reassessing him after a few minutes of high-quality chest compressions and effective ventilations with $100 \%$ oxygen concentration, the patient's heart rate fails to respond. Which of the following would be considered a class lla intervention for this patient?
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Question 55 of 69
What is the primary advantage of having a target client list?
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Question 56 of 69
It refers to the description of disease occurrence which is constantly present in a given area.
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Question 57 of 69
An adult trauma patient suffered a fall from greater than 15 feet. When predicting the injuries associated with this type injury, the paramedic should evaluate the distance fallen, the position of the body on impact, and which of the following?
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Question 58 of 69
What anemia does the nurse classify as a type of hemolytic anemia?
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Question 59 of 69
A program of nursing has implemented a standardized examination to be administered at the completion of mid-curriculum. What is the best reason to implement this curriculum change?
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Question 60 of 69
You suspect your adult trauma patient has a potential complete spinal cord transection. If so, which of the following would you expect to find?
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Question 61 of 69
The nurse is assessing a client who is being started on anticoagulant therapy. What health history would cause the nurse the greatest concern?
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Question 62 of 69
If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:
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Question 63 of 69
While en route back to your station from a call, you discover that you forgot to include important patient information on your patient care report. Which of the following would be most appropriate at this point?
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Question 64 of 69
Enteric coated acetylsalicylic acid has been prescribed for a patient to treat chronic arthritis. The patient calls the clinic nurse because of gagging and difficulty swallowing the tablets. What response would the nurse give to the patient?
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Question 65 of 69
You are on-scene with an adult patient exhibiting unusual activity and appears to be intoxicated. He is anxious and hyperactive. His heart rate and respirations are fast, but his blood pressure remains within normal range for his age. The patient denies alcohol or drug consumption but reports he has diabetes. His blood glucose level is found to be 54 milligrams per deciliter. How would hypoglycemia cause the patient to present with the above findings?
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Question 66 of 69
You are performing orotracheal intubation on an average-sized, apneic adult. At what depth marking should the airway be properly positioned 2 to 3 cm above the carina?
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Question 67 of 69
After 3 days, James has chest indrawing and stridor. His mother returned him to the health center. The nurse should:
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Question 68 of 69
Which of the following medication types are used to decrease the workload of the heart by blocking sympathetic stimulation of receptors that work on the SA node and myocardial cells, thus decreasing the force of myocardial contraction and directly reducing a patient's heart rate?
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Question 69 of 69
What is the fundamental block or foundation of the Field Health Service Information System?
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