ATI PN Adult Medical Surgical 2020 with NGN | Nurselytic

Questions 80

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ATI PN Adult Medical Surgical 2020 with NGN Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching with a client about strategies to prevent hypertension. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Consuming no more than 2,000 mg of sodium per day aligns with guidelines to reduce blood pressure, indicating understanding of hypertension prevention.

Question 2 of 5

A nurse is collecting data from a client who had a left hemispheric stroke. Which of the following findings should the nurse report to the provider immediately?

Correct Answer: D

Rationale: A change in pupil size may indicate increased intracranial pressure, a life-threatening stroke complication requiring immediate reporting.

Question 3 of 5

A nurse is assisting with the care of a client who is receiving IV fluid therapy. Which of the following findings should the nurse identify as an indication of fluid overload?

Correct Answer: A

Rationale: Distended neck veins indicate fluid overload, as excess volume increases venous pressure, a hallmark of hypervolemia.

Question 4 of 5

A nurse is collecting data for an older adult client who has cystitis. Which of the following findings should the nurse expect?

Correct Answer: C,D,E

Rationale: Hematuria, confusion, and dysuria are expected in cystitis, reflecting bladder inflammation and infection, especially in older adults.

Question 5 of 5

A nurse is collecting data from a client who reports abdominal pain and has a history of appendicitis. Which of the following findings should the nurse report to the provider as a priority?

Correct Answer: D

Rationale: A rigid, board-like abdomen indicates peritonitis, a life-threatening complication of appendicitis requiring immediate surgical intervention.

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