Questions 94

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ATI RN Fundamentals 2023 Exam 3 Questions

Extract:

Nurses' Notes Day 1:
1000:
• A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.
1200:
• Parenteral nutrition started through PICC line infusing at 75 mL/hr. Day 3:
0800:
• Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout
Diagnostic Results
Day 1:
1100:
• Chest x-ray: PICC line in superior vena cava Day 3:
0800:
• Hct 38% (37% to 47% )
• Hgb 13 g/dL (12 g/dL to 16 g/dL)
• WBC count 11,500/mm3 (5,000 to 10,000/mm3)
• Casual glucose 300 mg/dL (less than 200 mg/dL)
• Urine specific gravity 1.010 (1.005 to 1.030)


Question 1 of 5

A nurse is reviewing the medical record of a client who has a paralytic ileus.Exhibits :Select words from the choices below to fill in each blank in the following sentence The findings in the client's medical record indicate ___ and ___.

Correct Answer: A,B

Rationale: Thirst, frequent urination, and glucose 300 mg/dL indicate hyperglycemia (
A). Elevated WBC (11,500/mm³) suggests infection (
B). No pneumothorax or dehydration signs noted.

Extract:


Question 2 of 5

During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Obtaining the type and cross-match (
A) first ensures blood availability for surgery, prioritizing patient safety. Informing (
B), documenting (
C), and reporting (
D) follow.

Question 3 of 5

A nurse is assessing a client who recently started taking an antibiotic. The nurse should identify that which of the following findings is an indication of a mild allergic reaction?

Correct Answer: D

Rationale: Urticaria (D, hives) is a common mild allergic reaction to antibiotics. Sore throat (
A), urinary frequency (
B), and tinnitus (
C) aren’t typical allergy signs.

Question 4 of 5

A charge nurse has four new clients arriving on the unit for admission. Which of the following clients should the nurse place in airborne precautions?

Correct Answer: A

Rationale: Tuberculosis (
A) spreads via airborne droplets, requiring precautions. Pneumonia (
B) and strep throat (
D) are droplet-based, and shigella (
C) is fecal-oral.

Question 5 of 5

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

Correct Answer: D

Rationale: The three-point gait (
D) advances crutches and the affected leg together, then the unaffected leg, ideal for one-leg weight-bearing. Two-point (
A) and four-point (
C) require bilateral weight, and swing-through (
B) is for non-weight-bearing.

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