Questions 43

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ATI RN Test Bank

ATI RN Adult Med-Surg 2023 Questions

Extract:


Question 1 of 5

A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Nephrotic syndrome causes proteinuria due to increased glomerular permeability.

Question 2 of 5

A nurse is assessing a client who is postoperative following a transurethral resection of the prostate and is receiving continuous bladder irrigation. The client reports bladder spasms, and the nurse notes a scant amount of fluid in the urinary drainage bag. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Bladder spasms and scant drainage suggest a blockage; irrigating with 0.9% sodium chloride clears the catheter.

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 3 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 4 of 5

A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A low pressure alarm often indicates a cuff leak, requiring assessment.

Question 5 of 5

A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?

Correct Answer: D

Rationale: Post-sedation, assessing the gag reflex is critical to ensure airway protection before oral intake.

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