ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency?
Correct Answer: A
Rationale: Cold and numb sensation distal to the fistula site indicates venous insufficiency due to reduced venous return.
Question 2 of 5
A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Increasing IV fluid rate restores intravascular volume, preventing shock and reducing bleeding viscosity.
Question 3 of 5
A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Providing frequent oral and nares care prevents infection and irritation from the tube.
Question 4 of 5
A nurse is reviewing a client's laboratory values. Which of the following values should the nurse report to the provider?
Correct Answer: C
Rationale: WBC 1,700/mm³ indicates leukopenia, increasing infection risk, and should be reported.
Question 5 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: C
Rationale: 0.9% normal saline at 50 mL/hr may cause fluid overload in heart failure, requiring clarification.