ATI RN ADULT MED SURG 2019
ALL VERSIONS WITH NGN
(A+ RATED SOLUTIONS)
A nurse is assessing a client who has acute
cholecystitis. Which of the
... [Show More] following findings is
the nurse's priority?
Tachycardia
A nurse in an acute care facility is caring for
a client who is at risk for seizures. Which of
the following precautions should the nurse
implement?
Ensure the client has a patent IV.
A nurse is ass4ess9ing a client who has had a
plaster cast applied to their left leg 2 hr ago.
Which of the following actions should the nurse
take?
Check that one finger fits between the cast and
the leg.
A nurse is caring for a client 1 hr following a
cardiac catheterization. The nurse notes the
formation of a hematoma at the insertion site
and a decreased pulse rate in the affected
extremity. Which of the following interventions
is the nurse's priority?
Apply firm pressure to the insertion site
A nurse is assessing a male client for an
inguinal hernia. Which of the following areas
should the nurse palpate to verify that the client
has an inguinal hernia?
Upper groin
A nurse is caring for a client who has anorexia,
low-grade fever, night sweats, and a productive
cough. Which of the following actions should
the nurse take first?
Initiate airborne precautions.
A nurse is caring for a client who has a stage
111 pressure injury. Which of the following
findings contributes to delayed wound healing?
Urine output 25 mL/hr
A nurse is caring for a client who has
emphysema and is receiving mechanical
ventilation. The client appears anxious and
restless, and the high-pressure alarm is
sounding. Which of the following actions should
the nurse take first?
Instruct the client to allow the machine to
breathe for them.
A nurse is caring for a client who has hepatic
encephalopathy that is being treated withy
lactulose. The client is experiencing excessive
stools. Which of the following findings is an
adverse effect of this medication?
Hypokalemia
A nurse in an emergency department is caring
for a client who reports vomiting and diarrhea
for the past 3 days. Which of the following
findings should indicate to the nurse that the
client is experiencing fluid volume deficit?
Heart rate 110/min
A nurse is caring for a client who has
pancreatitis. The nurse should expect which
of the following laboratory results to be
below the expected reference range?
Calcium
A nurse is assessing a client who has
Graces' disease. Which of the following
images should indicate to the nurse that the
client has exophthalmos?
Eyes bulging out of head. [Show Less]