ATI RN
ATI RN Custom Nursing 221 Exam 4 Questions
Extract:
Question 1 of 5
A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: D
Rationale: Adequate hydration flushes bacteria, reducing UTI risk.
Question 2 of 5
A nurse on a medical-surgical unit is caring for four clients who are 24 to 36 hr postoperative. Which of the following surgical procedures places the client at risk for deep-vein thrombosis?
Correct Answer: D
Rationale: Hip arthroplasty increases DVT risk due to prolonged immobility.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: A
Rationale: Family history is a well-known risk factor for urolithiasis due to genetic predispositions.
Question 4 of 5
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
Correct Answer: A
Rationale: Inspecting the mouth for signs of inhalation injuries is the priority action as inhalation injuries can lead to airway obstruction and respiratory failure.
Question 5 of 5
A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?
Correct Answer: A
Rationale: Sudden headache, vomiting, and high blood pressure suggest hemorrhagic stroke.