ATI RN Adult Medical Surgical 2023 | Nurselytic

Questions 87

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ATI RN Adult Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a new onset of hyperglycemic hyperosmolar state (HHS). Which of the following interventions by the nurse is the highest priority?

Correct Answer: A

Rationale: IV fluid replacement is the highest priority in HHS to correct severe dehydration and restore hemodynamic stability.

Question 2 of 5

A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?

Correct Answer: B

Rationale: Decreasing protein intake reduces proteinuria in nephrotic syndrome.

Extract:

History and Physical
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.

History:

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.


Question 3 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem

Options Anticipated Nonessential Contraindicated
Client reports tightness in chest that radiates to left arm.
States pain as 7 on a scale of 0 to 10.
Started to feel nauseous after breakfast.
Client is diaphoretic and short of breath.
Heart rate is irregular and tachycardic.
Lungs clear to auscultation in all lobes.
Skin is cool to touch.

Correct Answer: A,B,C,D,E,G

Rationale: These findings suggest an acute cardiac event requiring immediate attention.

Extract:


Question 4 of 5

A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: B

Rationale: Padding side rails prevents injury during seizures.

Question 5 of 5

A nurse is assessing a client who is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessment should be the nurse's priority?

Correct Answer: A

Rationale: Neurovascular assessment is the priority to detect complications like compartment syndrome.

Similar Questions

The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
A nurse is assessing a female client who has pneumonia. The nurse should identify which of the following findings increases the client's risk of skin breakdown?
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
A nurse is preparing to receive a client from surgery following a transverse colon resection with colostomy placement. The nurse should expect to assess the stoma at which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

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