ATI RN
ATI Nur258 Med Surg 2 Final Exam Questions
Extract:
Nurses' Notes
0800:
Lungs clear to auscultation in all lobes anterior and posterior. Intravenous (IV) 0.9% sodium chloride infusing into left forearm at 125 mL/hr. Bowel sounds hypoactive in all four quadrants. Abdomen soft and tender to palpation. Abdominal dressing dry and intact. Scant vaginal bleeding observed. Intermittent pneumatic compression devices observed on bilateral lower extremities. Foley catheter intact and patent draining to bedside bag. Instructed client to turn and cough every 2 hrs. while awake. Demonstrated splinting incision with pillow when coughing
1000:
Attempted to assist client with turning and coughing.
Vital Signs
1000:
Temperature 37.3° C (99.14° F)
Blood pressure 116/76 mm Hg
Heart rate 90/min
Respiratory rate 20/min
SpO2 93% on room air
Question 1 of 5
Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing....,.........and....
Correct Answer: A,B,C
Rationale: Postoperative clients are at risk for pneumonia due to reduced lung expansion, DVT due to immobility, and pressure injuries from prolonged bed rest.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: