Questions 73

ATI RN

ATI RN Test Bank

ATI RN Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer: C

Rationale: Pursed-lip breathing with prolonged exhalation (not inhalation) improves gas exchange in emphysema by preventing airway collapse. Low-flow oxygen, incentive spirometry, and adequate fluids are also appropriate but less specific.

Question 2 of 5

A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Nitroglycerin relieves acute angina by dilating coronary arteries, improving blood flow, and is the first action to alleviate chest pain. Aspirin, IV access, and blood pressure follow for further management.

Question 3 of 5

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?

Correct Answer: A

Rationale: A low bed height reduces fall risk, critical for dementia clients with impaired judgment. Sedatives increase confusion, toileting every 2 hours prevents incontinence, and low lighting at night aids orientation.

Question 4 of 5

A nurse is assessing a client who is 4 hr postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?

Correct Answer: D

Rationale: Pallor suggests compromised blood flow post-revascularization, indicating possible graft occlusion, requiring immediate reporting. Mild fever, bruising, and adequate urine output are less urgent.

Question 5 of 5

A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?

Correct Answer: B

Rationale: Thyroid storm, a hyperthyroid crisis, causes fever (increased temperature) due to excessive thyroid hormone. Tachycardia, agitation, and hypertension are also typical, not decreased heart rate, lethargy, or hypotension.

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