Questions 63

ATI RN

ATI RN Test Bank

ATI Med Surg Npro 2000 Exam Questions

Extract:


Question 1 of 5

A nurse is assessing a client who has myxedema coma. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Facial edema is characteristic of myxedema coma due to mucopolysaccharide deposition from severe hypothyroidism.

Question 2 of 5

A nurse is planning care for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse plan to take?

Correct Answer: B

Rationale: Investigating anxiety triggers aligns with cognitive-behavioral therapy, aiding in developing coping strategies for OCD.

Question 3 of 5

A nurse identifies that the environment is important when caring for a client with hypomanic episodes. What should the nurse do when caring for clients with this disorder?

Correct Answer: B

Rationale: Providing a calm atmosphere by placing the client in a private room reduces overstimulation, which is critical for managing hypomanic episodes. Shared spaces or bright environments may exacerbate symptoms like irritability and impulsivity.

Question 4 of 5

A nurse is caring for a client who frequently attempts to remove his IV catheter. A family member requests that the nurse apply restraints. Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Covering the catheter is a non-restrictive intervention to prevent removal, addressing the issue without restraints.

Question 5 of 5

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer: C

Rationale: Heparin prevents new clot formation and extension but does not dissolve existing clots, which the body's fibrinolytic system handles.

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