ATI RN Adult Med-Surg 2023 | Nurselytic

Questions 43

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ATI RN Adult Med-Surg 2023 Questions

Extract:


Question 1 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 2 of 5

A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Electrical shock injuries can cause cardiac arrhythmias, making an ECG the priority to assess heart function.

Question 3 of 5

A nurse is planning to withdraw medication from an ampule to prepare for an injection. Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: The ampule top is sharp and must be disposed of in a sharps container to prevent injury.

Extract:

A nurse is caring for a client.
Medical History
Nurses' Notes
Vital Signs
Cerebrovascular accident 2 years ago

Coronary artery disease

Hypertension

Hyperlipidemia


Question 4 of 5

A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Potential PrescriptionAnticipatedNonessentialContraindicated
Encourage the client to cough.
Keep the client's head in a midline position.
Elevate the head of the bed.
Assist the client to the bathroom.
Initiate seizure precautions.
Decrease oxygen to 1.5 L/min via nasal cannula.

Correct Answer:

Rationale: Specific answers not provided; anticipated actions likely include B and C due to history of cerebrovascular accident.

Extract:


Question 5 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.

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