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ATI RN Med Surg Custom Exam 2 Questions

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Question 1 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.

Question 2 of 5

While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen, and painful and that the surrounding tissues are hard. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The nurse should first discontinue the existing IV line. This is because the symptoms indicate that the client might have developed phlebitis, an inflammation of the vein, which requires immediate discontinuation of the IV line.

Question 3 of 5

A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8° C (98.2° F). Which of the following actions should the nurse perform?

Correct Answer: A

Rationale: Completing a neurological check is the correct action. The client's sudden confusion and drowsiness could indicate a neurological issue, such as a stroke.

Question 4 of 5

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?

Correct Answer: D

Rationale: Finasteride is a medication that is used to treat BPH. It works by decreasing the size of the prostate gland.

Question 5 of 5

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client's provider?

Correct Answer: C

Rationale: Severe pain is not a normal postoperative symptom and should be reported to the provider.

Similar Questions

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
A nurse prepares to replace the nearly empty container of total parenteral nutrition (TPN) for a client when she finds that there has been a delay in receiving the new container of solution from the pharmacy. Which of the following solutions should the nurse infuse until the next container of TPN solution becomes available?

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