ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
Question 2 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,B,E
Rationale: Increased heart rate is a compensatory mechanism to maintain cardiac output in the presence of fluid overload. Increased respiratory rate may occur due to pulmonary congestion caused by fluid overload. Increased blood pressure can occur due to increased blood volume in fluid overload.
Question 3 of 5
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect?
Correct Answer: A,C,D,E
Rationale: A distended bladder is a common sign of urinary retention, which can occur with prostatic hypertrophy. Feeling pressure is a common symptom of urinary retention. Voiding small amounts frequently can be a sign of urinary retention. Tenderness over the symphysis pubis can be a sign of a distended bladder.
Question 4 of 5
A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Encouraging the client to take small bites can help prevent choking and aspiration, making it a safe feeding practice for clients with dysphagia.
Question 5 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: A
Rationale: These values indicate metabolic acidosis, which is common in clients with chronic kidney disease. The kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate, leading to a low pH and low bicarbonate levels.