Questions 52

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ATI RN Test Bank

ATI RN Custom Nursing 221 Exam 3 Questions

Extract:


Question 1 of 5

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

Correct Answer: C

Rationale: Genetics is a nonmodifiable risk factor for stroke.

Question 2 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.

Question 3 of 5

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?

Correct Answer: D

Rationale: Left hemispheric CVA often impairs language, making communication a key goal.

Question 4 of 5

While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?

Correct Answer: B

Rationale: Impaired tissue perfusion is the priority due to poor blood flow causing ulcerations and edema.

Question 5 of 5

A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?

Correct Answer: A

Rationale: Inspecting the mouth for signs of inhalation injuries is the priority action as inhalation injuries can lead to airway obstruction and respiratory failure.

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