ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Respiratory rate 7/min. This is the priority finding because a respiratory rate of 7/min indicates severe respiratory depression, a potential side effect of morphine overdose. The nurse should immediately intervene to prevent respiratory failure.
Choice B, distended bladder, can be addressed after ensuring the client's respiratory status.
Choice C, last bowel movement 3 days ago, is concerning but not as urgent as respiratory distress.
Choice D, pain level of 8, is important but not the priority when the client's respiratory status is compromised.
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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