ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
Correct Answer: A
Rationale: Inspecting the mouth for signs of inhalation injuries is the priority action as inhalation injuries can lead to airway obstruction and respiratory failure.
Question 2 of 5
A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F) and is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?
Correct Answer: B
Rationale: Shivering can counteract the cooling effect of the hypothermia blanket.
Question 3 of 5
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Diabetes insipidus causes excessive dilute urine output, leading to dehydration.
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 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.