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NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
A PACU nurse is assessing a client who is postoperative following a
right nephrectomy. The client’s vital signs were HR 80/min, BP 130/70
mmHg, RR 16/min, and T 36 C (96.8 F). Which of the following vital
sign changes should alert the nurse that the client might be
hemorrhaging?
a. Heart rate 110/min
b. Blood pressure 160/70 mm Hg
c. Respiratory rate 14/min
NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
,NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
d. Temperature 38.4° C (101.1° F)
One of the first signs of hemorrhage is an increase in the heart
rate from the client's baseline, which occurs to compensate for
blood loss.
A nurse is caring for a client who has a positive culture for methicillin-
resistant Staphylococcus aureus (MRSA). Which of the following
actions should the nurse take?
a. Obtain a sputum specimen to determine if
there is colonization. b. Bathe the client using
chlorhexidine solution.
c. Place the client in droplet isolation.
d. Restrict visits from the client's friends and family.
The nurse should bathe the client using chlorhexidine solution
because it reduces the risk of transmission of MRSA to other areas
of the body.
A nurse is caring for a client who has increased intracranial pressure
(ICP) and is receiving mannitol via continuous IV infusion. Which of the
following findings should the nurse report to the provider as an
adverse effect of this medication?
a. Decreased heart rate
b. Crackles heard on auscultation
c. Increased urinary output
d. Decreased deep tendon reflexes
NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
,NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
Mannitol is an osmotic diuretic that prevents the reabsorption of
increasing urinary output. With the exception of the brain, mannitol can leave
the vascular
water in the kidneys, thus
system at the capillary site, which can result in edema. The nurse
should identify crackles as a manifestation of pulmonary edema
and notify the provider. Other manifestations include dyspnea
and decreased oxygen saturation.
A nurse is providing education to a client who has tuberculosis
(TB) and their family. Which of the following information should
the nurse include in the teaching?
a. After 1 week of medication, TB is no longer communicable.
b. Dispose of contaminated tissues in a paper bag.
c. Airborne precautions are necessary in the home.
d. Family members in the household should undergo TB testing.
Family members who live in the same household with the client
have been exposed to TB. Therefore, the nurse should recommend
TB screening to foster early detection and treatment of TB.
A nurse is assessing heart sounds of a client who reports substernal
precordial pain. Identify which of the following sounds the nurse
should document in the client’s medical record by listening to the
audio clip.
a. Murmur
b. S4
NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
, NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
c. Pericardial friction rub
d. Ventricular gallop
The nurse is hearing a pericardial friction rub, which is a
scratchy, high-pitched sound associated with infection,
inflammation, or infiltration and can be a manifestation of
pericarditis. A pericardial friction rub is best heard with the
diaphragm of the stethoscope.
A nurse is assessing for compartment syndrome in a client who has
a short leg cast. WHich of the following findings should the nurse
identify as a manifestation of this condition?
a. Bounding pedal pulse
b. Capillary refill less than 2 seconds
c. Pain that increases with passive movement
d. Areas of warmth on the cast
increases with passive movement. Compartment syndrome results from a
decrease in blood
The nurse should identify that a client who has compartment
syndrome experiences pain that
flow in the extremity caused by a decrease in the muscle
compartment size due to a cast that is too tight.
NURSING 402 ATI Test B EXAM QUESTIONS & ANSWERS
SATISFACTION GUARANTEED SUCCESS BEST EXAM
SOLUTION LATEST UPDTED 2021/2022 RATED A+
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