Questions 71

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ATI RN Test Bank

ATI Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is assisting with the care of a client who has cirrhosis of the liver with ascites. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Measuring abdominal girth monitors ascites and evaluates intervention effectiveness.

Question 2 of 5

A nurse is caring for a client after a radical neck dissection. To which of the following should the nurse give priority in the immediate postoperative period?

Correct Answer: A

Rationale: Ineffective airway clearance is the priority as it addresses the immediate threat to the client's respiratory status, which can lead to airway obstruction and respiratory distress.

Question 3 of 5

A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?

Correct Answer: D

Rationale: Absence of breath sounds indicates a pneumothorax, as air in the pleural space prevents lung expansion.

Question 4 of 5

A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?

Correct Answer: B

Rationale: Body weight changes directly reflect fluid losses during hemodialysis.

Question 5 of 5

A nurse is caring for an older adult client who has dysphagia and left-sided weakness following a stroke. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Thickened fluids are easier to control during swallowing, reducing the risk of aspiration in clients with dysphagia.

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