ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale:
Correct Answer: A, B, D, E
Rationale:
A: Obtain a prescription for a diuretic - Lung crackles and distended neck veins indicate fluid overload, so a diuretic can help to reduce fluid volume.
B: Administer oxygen to the client - Hypoxia indicates inadequate oxygenation, so administering oxygen is crucial to improve oxygen levels.
D: Stop the transfusion - These signs suggest a transfusion reaction, so stopping the transfusion is essential to prevent further harm.
E: Place the client in high-Fowler's position - Elevating the client's head can help improve breathing and oxygenation by reducing pressure on the lungs.
Summary of Incorrect
Choices:
C: Administer epinephrine to the client - Epinephrine is not indicated for fluid overload or transfusion reaction symptoms.
F: No information provided.
G: No information provided.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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