Questions 53

ATI RN

ATI RN Test Bank

ATI RN Custom Nursing 221 Exam 4 Questions

Extract:


Question 1 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 2 of 5

A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?

Correct Answer: C

Rationale: Candidiasis is common in AIDS due to a weakened immune system.

Question 3 of 5

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer: A

Rationale: Dysmenorrhea unresponsive to NSAIDs is a hallmark of endometriosis.

Question 4 of 5

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?

Correct Answer: A

Rationale: Sudden headache, vomiting, and high blood pressure suggest hemorrhagic stroke.

Question 5 of 5

A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?

Correct Answer: A

Rationale: Increasing fluid intake replaces cerebrospinal fluid, alleviating headache.

Access More Questions!

ATI RN Basic


$89/ 30 days

 

ATI RN Premium


$150/ 90 days

 

Similar Questions