Questions 93

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ATI PN adult Medical Surgical 2020 with NGN Exam 3 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a peripheral IV infusion and notes that the client's arm is edematous, cool, and tender at the catheter insertion site. Which of the following complications of IV therapy should the nurse suspect?

Correct Answer: C

Rationale: Infiltration causes edema and coolness due to IV fluid leaking into surrounding tissue.

Question 2 of 5

A nurse is providing care to a client who has sustained deep partial thickness burns to the back of both legs. Which of the following actions should the nurse anticipate taking?

Correct Answer: B

Rationale: Changing gloves between wound care on different areas prevents cross-contamination, a critical infection control measure.

Question 3 of 5

A nurse is reviewing a client's medical history to identify risk factors for osteoporosis. The nurse should identify that which of the following findings is a risk factor for developing osteoporosis?

Correct Answer: A

Rationale: Smoking cigarettes decreases bone density, a known risk factor for osteoporosis.

Question 4 of 5

A nurse administered a dose of penicillin to a client 30 minutes ago. The client reports that she has hives and is itching. Which of the following statements by the nurse is the highest priority?

Correct Answer: B

Rationale: Difficulty breathing may indicate anaphylaxis, a medical emergency requiring immediate assessment.

Question 5 of 5

A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?

Correct Answer: A

Rationale: Elevated BNP (275 pg/mL) indicates heart failure, reflecting ventricular overload.

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