ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns on the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention.
Correct Answer: B
Rationale: Airway obstruction is the immediate life-threatening issue due to swelling from burns in the head, neck, and chest area.
Question 2 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia?
Correct Answer: D,E
Rationale: Moist, clammy skin is a symptom of hypoglycemia. Tachycardia, or a fast heartbeat, is a symptom of hypoglycemia.
Question 3 of 5
A nurse is assessing a client who is brought to the emergency room with burn injuries. Which of the following findings should the nurse identify as a deep partial-thickness burn?
Correct Answer: B
Rationale: A yellow color with severe edema is indicative of a deep partial-thickness burn. This type of burn involves the entire dermis and damage to nerve endings, blood vessels, and sweat glands.
Question 4 of 5
A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause?
Correct Answer: B
Rationale: Dryness with intercourse is a common symptom of menopause due to decreased estrogen levels.
Question 5 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,B,E
Rationale: Increased heart rate is a compensatory mechanism to maintain cardiac output in the presence of fluid overload. Increased respiratory rate may occur due to pulmonary congestion caused by fluid overload. Increased blood pressure can occur due to increased blood volume in fluid overload.