1. A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
(Select all that apply.)
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory
...
1. A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
(Select all that apply.)
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature
2. A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter
(PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which
of the following actions should the nurse take first?
A. Measure the circumference of both upper arms.
B. Notify the provider who inserted the PICC line.
C. Remove the PICC line.
D. Apply a cold pack to the client's upper arm.
3. A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on
the client's EKG should the nurse interpret as a sign of hypokalemia?
A. Abnormally prominent U wave
B. Elevated ST segment
C. Wide QRS
D. Inverted P wave
4. A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The
client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses
should the nurse give?
A. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
B. "A pharmacist is the person to answer that question."
C. "Heparin does not dissolve clots. It stops new clots from forming."
Created on:07/13/2018 Page 1
Units 2 & 3 Practice-ATI
D. "The oral medication you will take after this IV will dissolve the clot."
5.A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5
days. The provider prescribes warfarin PO without discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the nurse make?
A. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic
level."
B. "I will call the provider to get a prescription for discontinuing the IV heparin today."
C. "Both heparin and warfarin work together to dissolve the clots."
D. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay."
6.A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which
of the following adverse effects should the nurse monitor when giving this medication?
A. Hyperthermia
B. Hypotension
C. Ototoxicity
D. Muscle pain
7.A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following
laboratory values should the nurse monitor for a therapeutic effect of warfarin?
A. Hemoglobin (Hgb)
B. Prothrombin time (PT)
C. Bleeding time
D. Activated partial thromboplastin time
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 Chamberlain College Of Nursing (100 Correct Q & A.png)
