ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?
Correct Answer: A
Rationale: Low hemoglobin and hematocrit reduce oxygen delivery, causing cellular hypoxia.
Question 2 of 5
A nurse is caring for a client who has meningitis, a temperature of 39.7° C (103.5° F) and is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must carefully be observed for which of the following complications?
Correct Answer: B
Rationale: Shivering can counteract the cooling effect of the hypothermia blanket.
Question 3 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 4 of 5
A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzymes studies?
Correct Answer: D
Rationale: Cardiac enzymes indicate the extent of heart muscle damage in MI.
Question 5 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.