Questions 87

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ATI RN Adult Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is assessing a client following extubation from a Ventilator. For which of the following findings should the nurse intervene immediately?

Correct Answer: C

Rationale: Stridor indicates airway obstruction post-extubation, requiring immediate intervention.

Question 2 of 5

A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?

Correct Answer: C

Rationale: Dimming lights reduces photophobia, a common symptom of bacterial meningitis.

Question 3 of 5

A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse, 'I am afraid to have this procedure.' Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Discussing concerns encourages open communication and addresses the client's fears.

Question 4 of 5

A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?

Correct Answer: C

Rationale: Morphine reduces anxiety and preload in acute heart failure, improving comfort and breathing.

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.

Similar Questions

Select the findings that indicate that the client's condition is improving.
A home health nurse is assessing a client who has pernicious anemia. Which of the following is an expected manifestation that poses a risk to the client's safety?
A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's?
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

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