ATI RN
ATI Fundamentals Quiz Questions
Extract:
Nurses' Notes
Day 1 0800:
Client is alert and oriented
Breath sounds are clear and present throughout.
Denies tobacco use.
Client lives in a 20-year-old, one-story house with their partner. Client reports they just returned from an 8-hr car trip. Client eats a high fiber diet and drinks 2,000 mL of fluid/day
Day 1,1000
2.5 cm x 2.5 cm (1 in x 1 in) reddened area noted on client's left calf.
Calf circumference:
Left: 40 cm (15.8 in)
Right: 38.1 cm (15 in)
Day 2 0800:
3.8 cm x 3.8 cm (1.5 in x 1.5 in) reddened area noted on client's left calf.
Calf circumference:
Left: 42 cm (16.5 in)
Right: 38.4 cm (15.1 in)
Vital Signs
Day 1 0800:
Temperature 38° C (100.4° F)
Blood pressure 106/55 mm Hg
Heart rate 76/min
Respiratory rate 18/min
Sa02 95% on room air
Question 1 of 5
A nurse is caring for a client. Exhibits: Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing-------------------due to-----------------------
Correct Answer: E,C
Rationale: Action to Take: Monitor client for signs and symptoms of pulmonary embolism and educate on preventive measures; Potential Condition: possible deep vein thrombosis; Parameter to Monitor: respiratory status, clotting factors.
Rationale: Pulmonary embolism is a potential complication of deep vein thrombosis, so monitoring for signs of embolism and educating on prevention are crucial. Deep vein thrombosis is a risk factor for pulmonary embolism. Monitoring respiratory status and clotting factors can help detect and prevent these conditions. Lead poisoning, pneumonia, and diet are not directly related to the given scenario.
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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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