Questions 63

ATI RN

ATI RN Test Bank

ATI Med Surg Npro 2000 Exam Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who had a traumatic brain injury and is emerging restlessly from a coma. Which of the following interventions should the nurse include in the plan?

Correct Answer: A

Rationale: Reducing stimuli prevents overstimulation in TBI recovery, minimizing agitation and aiding neurological stabilization.

Question 2 of 5

A client has been diagnosed with heart failure. One of the main overall objectives of the management of heart failure is which of the following?

Correct Answer: B

Rationale: Reducing the heart's workload improves efficiency and reduces symptoms in heart failure management.

Question 3 of 5

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer: C

Rationale: Heparin prevents new clot formation and extension but does not dissolve existing clots, which the body's fibrinolytic system handles.

Question 4 of 5

A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Using a microwave to warm dialysis solution can cause uneven heating and damage the solution, requiring further teaching. A specialized warming device should be used.

Question 5 of 5

A nurse is caring for a client who has reported experiencing abuse at home. Which of the following actions should be a priority for the nurse?

Correct Answer: A

Rationale: Assessing immediate harm risk is the priority to ensure the client's safety before planning further interventions.

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