Questions 169

ATI RN

ATI RN Test Bank

RN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is receiving mechanical ventilation and has a tracheostomy. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Securing the tracheostomy tube prevents accidental dislodgement and ensures airway patency.

Question 2 of 5

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

Correct Answer: B

Rationale: Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure.

Question 3 of 5

A nurse is assessing a client who has a suspected spinal cord injury. Which of the following findings should the nurse report immediately?

Correct Answer: B

Rationale: Hypotension is a sign of neurogenic shock in spinal cord injury, requiring immediate intervention.

Question 4 of 5

A nurse is teaching dietary guidelines to a client who has celiac disease. Which of the following food choices is appropriate for this client?

Correct Answer: C

Rationale: Potato pancakes are a gluten-free option and appropriate for a client with celiac disease, as they do not contain wheat, barley, or rye.

Question 5 of 5

A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the following laboratory values should the nurse monitor?

Correct Answer: B

Rationale: Heparin's anticoagulant effect is monitored by aPTT to ensure therapeutic levels.

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