Questions 44

ATI RN

ATI RN Test Bank

ATI Med Surg Quiz 1 Questions

Extract:

Admission Assessment
Vital Signs
Laboratory results
1800:
A 24-year-old female client reports throbbing pain. swelling discoloration, and warmth in right calf for three days. Client also reports sudden shortness of breath. Denies anything makes it better or worse and denies any other symptoms. Client reports pain as 7 on numeric scale of O to 10.
Client reports only medication she takes is a combined hormonal oral contraceptive every day, started four months ago.
A nurse is assessing a 24-year-old female client.


Question 1 of 5

The client is exhibiting clinical manifestations of [Dropdown Group 1] and a [Dropdown Group 2].

Correct Answer: A,B

Rationale: The client's calf pain, swelling, warmth, and discoloration, along with oral contraceptive use, indicate deep venous thrombosis (DVT). Sudden shortness of breath, tachycardia, tachypnea, and elevated D-dimer suggest pulmonary embolism (PE).

Extract:


Question 2 of 5

A nurse in the emergency department is caring for a client who has an elevated temperature and reports fatigue and muscle aches. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: C,D,E

Rationale: C: Chest x-ray and sputum culture are key diagnostics for respiratory infections. D: Airborne isolation is a precaution for suspected tuberculosis. E: Supplemental oxygen addresses potential hypoxemia. A is premature without TB confirmation, B is not indicated without severe distress, and F is irrelevant for this scenario.

Question 3 of 5

A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Chronic venous insufficiency causes venous stasis, leading to iron deposits and bronze/brown skin discoloration. Cool skin, decreased pulses, and claudication are indicative of arterial insufficiency, not venous.

Question 4 of 5

A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

Correct Answer: B

Rationale: Obstructive sleep apnea contributes to hypertension by causing repeated episodes of hypoxia, sympathetic nervous system activation, and increased vascular resistance. High potassium intake helps lower blood pressure, HDL of 70 mg/dL is protective, and benazepril treats hypertension, not causes it.

Question 5 of 5

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 30. Which of the following goals should the nurse include?

Correct Answer: B

Rationale: Regular exercise, such as walking 30 minutes 5 days a week, improves cardiovascular health, aids weight management, and lowers blood pressure. Calcium avoidance is unnecessary, increased calories are counterproductive, and smokeless tobacco still poses risks.

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