ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions?
Correct Answer: C
Rationale: Good cleaning practices prevent infection spread in AIDS patients.
Question 2 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?
Correct Answer: A
Rationale: Restlessness is an early sign of increased ICP due to brain pressure.
Question 3 of 5
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?
Correct Answer: B
Rationale: Impaired tissue perfusion is the priority due to poor blood flow causing ulcerations and edema.
Question 4 of 5
A nurse is caring for a client who is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: MRI scans are noisy, and earplugs are offered to reduce discomfort.
Question 5 of 5
A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Checking for kinks is a simple, non-invasive first step to restore drainage.