Questions 169

ATI RN

ATI RN Test Bank

RN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.

Correct Answer:

Rationale: Blood pressure: Preeclampsia - Hypertension. Urine protein: Preeclampsia - Kidney damage. Headache: Preeclampsia - CNS involvement. Edema: Preeclampsia - Fluid retention. Liver enzymes: HELLP - Elevated in syndrome. Platelet count: HELLP - Low in syndrome.

Question 2 of 5

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Deep, slow breaths help reduce hyperventilation and calm the client during a panic attack.

Extract:

Nurses' Notes
Vital Signs
Diagnostic Results
Day 1
1400:
Client has paraplegia and reports, "I have had a cough the last few days. I haven't had an appetite either." Denies nausea, vomiting, or diarrhea. Alert and oriented to person, place, and time. Skin is intact. Vital signs stable.
Day 2 1830:
Client is experiencing tachycardia, productive cough, and confusion


Question 3 of 5

Complete the following sentence by using the list of options. The client is at risk for ___ as evidenced by ___ .

hypostatic pneumonia
anemia
fluid volume overload
calorie deficiency
orthostatic hypotension
immobility

Correct Answer: A

Rationale: The client is at risk for hypostatic pneumonia as evidenced by immobility. Immobility increases the risk of lung fluid accumulation.

Extract:


Question 4 of 5

A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver states, 'Providing constant care is very stressful and is affecting all areas of my life.' Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Arranging a daycare program provides respite for the caregiver and promotes social interaction for the client.

Extract:

Nurses' Notes
Today 0800:
Client reports not feeling well with headache, body aches, and chills. Left breast red and tender with swollen, tender lymph nodes in the left axilla. Incision edges well-approximated without erythema or drainage. Small amount of lochia rubra noted.
0830:
Provider notified of findings. Prescriptions received.


Question 5 of 5

For each potential assessment finding, click to specify if the assessment finding is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.

OptionsMastitisEndometritis
Painful, tender breast
Foul-smelling lochia
Temperature
Chills

Correct Answer: A,B,C,D

Rationale: Painful breast: Mastitis - Typical symptom. Foul-smelling lochia: Endometritis - Indicates infection. Temperature: Both - Fever is common. Chills: Both - Common in both conditions.

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