Questions 96

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ATI RN Test Bank

ATI Adult Medical Surgical 2019 Questions

Extract:


Question 1 of 5

A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT). Which of the following findings should the nurse identify as a risk factor for developing DVTs?

Correct Answer: A

Rationale: Oral contraceptive use increases the risk of DVT due to its effect on clotting factors. Cirrhosis, hypertension, and NSAID use are not significant risk factors.

Question 2 of 5

A nurse finds a client in bed, unresponsive and breathing. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Palpating the carotid pulse assesses circulation in an unresponsive but breathing client, following the ABC (airway, breathing, circulation) priority. Monitoring, blood pressure, or IV access are secondary.

Question 3 of 5

A nurse in a provider's office is teaching a client about the self-management of GERD. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Elevating the head of the bed 6-8 inches during sleep reduces GERD symptoms by preventing acid reflux. Increasing calories, lying down after meals, or eating close to bedtime worsen symptoms.

Question 4 of 5

A nurse is monitoring a client who is receiving 2 units of packed RBCs. Which of the following manifestations indicates a hemolytic transfusion reaction?

Correct Answer: A

Rationale: Back pain is a specific early sign of a hemolytic transfusion reaction due to immune-mediated destruction of transfused RBCs. Bradycardia, hypertension, and chills are less specific.

Question 5 of 5

A nurse is caring for an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's abstract thinking?

Correct Answer: A

Rationale: Interpreting a saying assesses abstract thinking. Recalling birth state tests memory, counting backward tests concentration, and understanding condition tests insight.

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