ATI RN
ATI RN Med Surg Custom Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new diagnosis of venous insufficiency. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Using elastic stockings can help improve venous return and reduce symptoms of venous insufficiency.
Question 2 of 5
A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The IV tubing for TPN should be changed every 24 hours to prevent infection.
Question 3 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,B,E
Rationale: Increased heart rate is a compensatory mechanism to maintain cardiac output in the presence of fluid overload. Increased respiratory rate may occur due to pulmonary congestion caused by fluid overload. Increased blood pressure can occur due to increased blood volume in fluid overload.
Question 4 of 5
A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8° C (98.2° F). Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: Completing a neurological check is the correct action. The client's sudden confusion and drowsiness could indicate a neurological issue, such as a stroke.
Question 5 of 5
A nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
Correct Answer: A
Rationale: Providing warm slipper-socks can help increase the client's comfort by keeping their feet warm.