Questions 43

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ATI RN Adult Med-Surg 2023 Questions

Extract:

A nurse is caring for a client.
Medical History
Nurses' Notes
Vital Signs
Cerebrovascular accident 2 years ago

Coronary artery disease

Hypertension

Hyperlipidemia


Question 1 of 5

A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Potential PrescriptionAnticipatedNonessentialContraindicated
Encourage the client to cough.
Keep the client's head in a midline position.
Elevate the head of the bed.
Assist the client to the bathroom.
Initiate seizure precautions.
Decrease oxygen to 1.5 L/min via nasal cannula.

Correct Answer:

Rationale: Specific answers not provided; anticipated actions likely include B and C due to history of cerebrovascular accident.

Extract:


Question 2 of 5

A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?

Correct Answer: D

Rationale: Pillows between the knees prevent adduction and pressure sores in hemiplegia.

Question 3 of 5

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)

Correct Answer: B,C,D

Rationale: Daily weight, glucose monitoring, and verification ensure safe TPN administration.

Question 4 of 5

A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?

Correct Answer: B

Rationale: A catheter bag next to the client increases infection risk due to potential urine backflow and contamination.

Question 5 of 5

A nurse working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?

Correct Answer: D

Rationale: Painless vaginal bleeding is a common early sign of cervical cancer.

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