Questions 85

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ATI Fundamental Exams Questions

Extract:


Question 1 of 5

A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?

Correct Answer: B

Rationale: Decreased breath sounds in the lower lobes suggest atelectasis, a collapse of lung tissue common in immobile clients due to reduced lung expansion. Gastric emptying, infections, and pulmonary edema have different symptoms.

Extract:

Diagnostic Results
Preoperative:
WBC 7,500/mm3 (5,000 to 10,000/mm)
Potassium 3.5 mEq/L (3.5 to 5 mEq/L)
Prealbumin 16 mg/dL (15 to 36 mg/dL)
Platelets 200.000mm (150,000 to 400,000/mm
BUN 17 mg/dL (10 to 20 mg/d)

Postoperative
WBC 7,000/mm (5,000 to 10,000/mm)
Potassium 3.0 mEq/L (3.5 to 5 mEq/L)
Prealbumin 15 mg/dl (15 to 36 mg/dL)
Platelets 160.000/mm (150,000 to 400,000/mm)
BUN 19 mg/dL (10 to 20 mg/dL)


Question 2 of 5

A nurse is reviewing laboratory data on a client who is recovering from surgery.ExhibitsDrag 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: A,B

Rationale: The client’s postoperative potassium level of 3.0 mEq/L (below 3.5-5 mEq/L) indicates hypokalemia, which disrupts cardiac electrical conductivity, increasing arrhythmia risk. Potassium is vital for heart repolarization, and low levels can prolong the QT interval, leading to potential cardiac events.

Extract:


Question 3 of 5

A nurse is caring for a client who reports stress related to homelessness. The nurse should identify that the client is experiencing which of the following types of stressors?

Correct Answer: A

Rationale: Homelessness is a socioeconomic stressor, impacting health and well-being due to economic and social factors. Adventitious stressors are traumatic events, cultural stressors involve identity conflicts, and developmental stressors relate to life stages.

Question 4 of 5

A nurse is preparing to initiate a continuous enteral feeding through an open system to a client. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Unused formula should be discarded after 4 hours, not 8, to prevent bacterial contamination. Initial infusions start slowly, not at 200 mL, over 24 hours, not 15 minutes, and sterile water is used, not tap water.

Question 5 of 5

A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?

Correct Answer: A

Rationale: Cheyne-Stokes respirations involve alternating hyperventilation and apnea, common in neurological conditions or end-of-life. Kussmaul is rapid breathing, apneustic involves prolonged gasps, and stridor is noisy breathing from obstruction.

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