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 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 2 of 5

A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?

Correct Answer: B

Rationale: Positive-pressure airflow prevents airborne pathogens from entering the room.

Question 3 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 4 of 5

A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Brachytherapy involves internal radiation; keeping visitors 6 feet away minimizes exposure.

Question 5 of 5

A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?

Correct Answer: C

Rationale: Syphilis requires follow-up blood tests to monitor treatment efficacy over time.

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