ATI RN Adult Medical Surgical 2023 | Nurselytic

Questions 97

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ATI RN Adult Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is receiving mechanical ventilation when the low-pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: A low-pressure alarm often indicates a cuff leak, requiring evaluation.

Question 2 of 5

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)

Correct Answer: B,C,E

Rationale: Monitoring glucose, verifying the solution, and weighing daily are appropriate TPN actions to ensure safety and efficacy.

Question 3 of 5

A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interacts with this medication?

Correct Answer: C

Rationale: Kale, high in vitamin K, can decrease warfarin's anticoagulant effect.

Extract:

History and Physical
History
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.


Question 4 of 5

A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Chest tightness radiating to the arm suggests an acute coronary event, requiring catheterization, heparin, metoprolol, and NPO status.

Extract:


Question 5 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: C

Rationale: An N95 respirator protects the immunocompromised client from airborne pathogens.

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