ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?
Correct Answer: C
Rationale: Candidiasis is common in AIDS due to a weakened immune system.
Question 2 of 5
A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?
Correct Answer: B
Rationale: An escharotomy involves incisions in the eschar to relieve pressure and improve circulation.
Question 3 of 5
A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?
Correct Answer: C
Rationale: Making a list of favorite beverages shows the client understands the need to prioritize fluid intake within restrictions.
Question 4 of 5
A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?
Correct Answer: A
Rationale: Low hemoglobin and hematocrit reduce oxygen delivery, causing cellular hypoxia.
Question 5 of 5
A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?
Correct Answer: A
Rationale: Sudden headache, vomiting, and high blood pressure suggest hemorrhagic stroke.