Questions 85

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ATI Fundamental Exams Questions

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Question 1 of 5

A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Chronic stress suppresses the immune system, increasing susceptibility to viral infections. It impairs cognitive function, raises blood pressure, and causes fatigue, not increased awareness, hypotension, or energy.

Question 2 of 5

A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer: C,D,E

Rationale: Fluid overload increases blood volume, causing increased heart rate to maintain cardiac output, increased respiratory rate due to pulmonary congestion, and increased blood pressure from vessel pressure. Hematocrit decreases due to dilution, and temperature is not directly affected.

Question 3 of 5

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can’t seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?

Correct Answer: C

Rationale: Increased fluid intake thins bronchial secretions, aiding expectoration in COPD. Low-salt diets, oxygen, and semi-Fowler’s position don’t directly address secretion viscosity.

Question 4 of 5

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?

Correct Answer: A

Rationale: Cheyne-Stokes respirations involve alternating hyperventilation and apnea, common in neurological conditions or end-of-life. Kussmaul is rapid breathing, apneustic involves prolonged gasps, and stridor is noisy breathing from obstruction.

Question 5 of 5

A nurse is assessing a client who is experiencing chronic stress. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Chronic stress suppresses the immune system, increasing susceptibility to viral infections. It impairs cognitive function, raises blood pressure, and causes fatigue, not increased awareness, hypotension, or energy.

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