ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
Correct Answer: B
Rationale: Massaging legs can dislodge a clot, increasing VTE risk.
Question 2 of 5
A nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Which of the following assessment findings by the nurse supports this suspicion?
Correct Answer: D
Rationale: Restlessness can indicate increased ICP due to changes in mental status.
Question 3 of 5
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
Correct Answer: A
Rationale: Inspecting the mouth for signs of inhalation injuries is the priority action as inhalation injuries can lead to airway obstruction and respiratory failure.
Question 4 of 5
A nurse is reviewing the laboratory results of an adolescent female client and notes a WBC count of 16,000/mm² with increased immature neutrophils (bands) and normal monocytes. Which of the following is the appropriate analysis of the results?
Correct Answer: A
Rationale: An increased WBC count with increased bands (immature neutrophils) indicates an acute infectious process.
Question 5 of 5
A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
Correct Answer: B
Rationale: Right hemisphere strokes often cause aphasia.