Questions 43

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ATI RN Test Bank

ATI RN Adult Med-Surg 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation and asks about the purpose of maintaining an elastic bandage around the residual limb of the extremity. Which of the following is an appropriate response by the nurse?

Correct Answer: B

Rationale: An elastic bandage reduces edema and shapes the residual limb for prosthetic fitting.

Question 2 of 5

A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Dyspnea and fluid imbalance suggest fluid overload; slowing the infusion and notifying the provider are appropriate.

Question 3 of 5

A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?

Correct Answer: C

Rationale: Foot circumduction promotes venous return, reducing thromboembolism risk.

Question 4 of 5

A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?

Correct Answer: D

Rationale: Post-sedation, assessing the gag reflex is critical to ensure airway protection before oral intake.

Question 5 of 5

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

Correct Answer: D

Rationale: Pillows between the knees prevent adduction and pressure sores in hemiplegia.

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