ATI PN medical surgical exam 2023 | Nurselytic

Questions 78

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ATI PN medical surgical exam 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has anorexia related to AIDS. Which of the following laboratory values should the nurse monitor to confirm the client's nutritional intake is adequate?

Correct Answer: A

Rationale: Albumin reflects protein status and nutritional adequacy, critical in AIDS-related anorexia.

Question 2 of 5

A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse observes the client is restless and hears crackles in the lungs. Which of the following interventions should the nurse take?

Correct Answer: C

Rationale: Suctioning clears secretions causing crackles and restlessness, improving airway patency.

Question 3 of 5

A nurse is checking the skin of a client who has chronic venous insufficiency. Which of the following findings should the nurse identify as a venous stasis ulcer?

Correct Answer: C

Rationale: Venous stasis ulcers typically show darkened pigmentation and drainage due to poor venous return.

Question 4 of 5

A nurse is preparing to discontinue a client's intravenous infusion. Identify the sequence the nurse should follow to remove the IV catheter.

Order the Items

Source Container

Remove the dressing and tape from the venipuncture site.
Withdraw the catheter from the client's vein.
Perform hand hygiene.
Apply pressure to the venipuncture site with sterile gauze.

Correct Answer: C,A,B,D

Rationale: The correct sequence is: hand hygiene (
C), remove dressing/tape (
A), withdraw catheter (
B), apply pressure (
D) to ensure safety and prevent bleeding.

Question 5 of 5

A nurse is reinforcing teaching about lowering fat and cholesterol in the diet with a client who has atherosclerosis. Which of the following responses by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Limiting meat to 3 oz portions reduces fat and cholesterol, supporting atherosclerosis management.

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