ATI RN
ATI RN Fundamentals Exam 2 Questions
Extract:
Question 1 of 5
Which of the following assessment findings should the nurse report to the practitioner? (Select all that apply)
Correct Answer: A,B,C,D,E
Rationale: The correct answer is A, B, C, D, and E.
A: Use of accessory muscles indicates respiratory distress.
B: Nail bed greater than 160 degrees can be a sign of poor perfusion.
C: Circumoral cyanosis suggests inadequate oxygenation.
D: Pursed lip breathing is a compensatory mechanism in respiratory distress.
E: Anteroposterior-to-transverse diameter of 1:1 indicates barrel chest, a sign of chronic obstructive pulmonary disease.
These findings are all critical indicators of respiratory distress and compromise, necessitating immediate reporting to the healthcare practitioner for prompt intervention.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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