ATI RN
ATI RN Predictor Assessment Exit Questions
Extract:
Question 1 of 5
A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the client's right leg should be of the most concern to the nurse?
Correct Answer: B
Rationale: The correct answer is B: The client's pedal pulse in the right foot is not palpable. This finding indicates inadequate blood flow to the foot, which could be a sign of a possible occlusion or complication in the graft. It is essential for the nurse to address this issue promptly as it may lead to ischemia and tissue damage.
A: The client's foot feeling cooler could be due to poor circulation but is less concerning than the absence of a palpable pulse.
C: A capillary refill time of 5 seconds in the toes is slightly delayed, indicating possible circulation issues, but it is not as urgent as a non-palpable pulse.
D: Pain level of 8 is subjective and may not necessarily indicate a critical issue related to the graft.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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