ATI RN Adult Medical Surgical 2023 | Nurselytic

Questions 97

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ATI RN Adult Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid-base imbalances?

Correct Answer: C

Rationale: Excessive antacid ingestion can lead to metabolic alkalosis due to increased base intake.

Question 2 of 5

A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?

Correct Answer: B

Rationale: Foot circumduction promotes venous return, preventing thromboembolism.

Question 3 of 5

A nurse is admitting a client who has neutropenia. Which of the following precautions should the nurse take?

Correct Answer: A

Rationale: Frequent vital sign monitoring helps detect early signs of infection in neutropenic clients.

Question 4 of 5

A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Stopping the infusion is the first action to prevent further reaction in a suspected transfusion reaction.

Extract:

History and Physical
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.

History:

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.


Question 5 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem

Options Anticipated Nonessential Contraindicated
Client reports tightness in chest that radiates to left arm.
States pain as 7 on a scale of 0 to 10.
Started to feel nauseous after breakfast.
Client is diaphoretic and short of breath.
Heart rate is irregular and tachycardic.
Lungs clear to auscultation in all lobes.
Skin is cool to touch.

Correct Answer: A,B,C,D,E,G

Rationale: These findings suggest an acute cardiac event requiring immediate attention.

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