ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
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Nurses’ Notes 1000: Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackies heard n left upper lobe and decraased braath sounds at bases bilaterally. 0 Heartate
s
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A nurse is caring for 3 clients who have COPD. Select the 3 findings that require follow-up. Nurses' Notes: Temperature 100°F, oxygen saturation 88%, blood pressure 130/80 mmHg. Client admitted with a productive cough with thick yellow sputum. Breath sounds with crackles heard in the left upper lobe and decreased breath sounds at bases bilaterally. Heart rate 98 beats/min.
Correct Answer: A, B, D
Rationale: The correct answers are A, B, and D. A temperature of 100°F indicates possible infection or inflammation, warranting follow-up. An oxygen saturation of 88% is below the normal range, indicating hypoxemia. A heart rate of 98 beats/min is elevated, suggesting increased work of breathing or stress on the cardiovascular system.
Choice C, blood pressure of 130/80 mmHg, falls within the normal range and does not require immediate follow-up.
Choices E, F, and G are not relevant findings in this scenario.
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