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ATI RN Adult Medical-Surgical Nursing / RN Adult Medical Surgical Nursing Real Exam Questions with Verified Answers and Rationales | Graded A+ – Maximize Your Grades Today. $17.99
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ATI RN Adult Medical-Surgical Nursing / RN Adult Medical Surgical Nursing Real Exam Questions with Verified Answers and Rationales | Graded A+ – Maximize Your Grades Today.

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ATI RN Adult Medical-Surgical Nursing / RN Adult Medical Surgical Nursing Real Exam Questions with Verified Answers and Rationales | Graded A+ – Maximize Your Grades Today.

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  • January 16, 2025
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ati rn adult medical surgical nursing rn adult m

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  • Nursing
  • Nursing

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1. A nurse is caring for a client who has a history of heart failure. Which
of the
following actions is the priority to prevent exacerbation of the
condition?
A. Monitor for weight gain of more than 2 pounds per day.
B. Encourage the client to avoid salty foods.
C. Ensure the client maintains adequate fluid intake.
D. Encourage the client to limit physical activity.
Answer: a) Monitor for weight gain of more than 2 pounds per day.
Rationale: Sudden weight gain can indicate fluid retention, which is a
sign of worsening heart
failure. Monitoring for this is crucial to prevent complications.


2. A nurse is caring for a client who has just undergone a mastectomy.
Which of
the following is the priority nursing action during the immediate post-
operative
period?
A. Encourage the client to perform deep breathing exercises.
B. Provide the client with an ice pack for pain relief.
C. Elevate the affected arm to prevent lymphedema.
D. Teach the client how to monitor for signs of infection.
Answer: c) Elevate the affected arm to prevent lymphedema.

,Rationale: Elevating the affected arm post-operatively helps prevent
lymphedema, a common
complication after mastectomy due to removal of lymph nodes.


3. A nurse is caring for a client with chronic obstructive pulmonary
disease
(COPD). The client is using a home oxygen therapy system at 2 L/min.
Which of
the following should the nurse include in the teaching?
A. "You should limit your fluid intake to reduce secretions."
B. "You can increase the oxygen flow rate during physical activity."
C. "You should wear a mask when using your oxygen therapy system."
D. "You should avoid smoking while using oxygen therapy."
Answer: d) "You should avoid smoking while using oxygen therapy."
Rationale: Smoking while using oxygen therapy increases the risk of fire
and injury due to the
flammable nature of oxygen.


4. A nurse is caring for a client who has chronic obstructive pulmonary
disease
(COPD) and is receiving oxygen via nasal cannula at 2 L/min. The
client’s SpO2
is 90%. Which of the following is the priority action?
A. Increase the oxygen flow rate to 4 L/min.
B. Administer a bronchodilator as prescribed.

, C. Notify the provider of the SpO2 level.
D. Reposition the client to improve ventilation.
Answer: d) Reposition the client to improve ventilation.
Rationale: The first priority should be to reposition the client to enhance
ventilation and
improve oxygenation before increasing the oxygen flow rate or notifying
the provider.


5. A nurse is caring for a client with a history of chronic alcohol use.
Which of
the following laboratory findings is most indicative of liver dysfunction?
A. Decreased albumin levels
B. Increased white blood cell count
C. Elevated hemoglobin levels
D. Increased blood urea nitrogen (BUN)
Answer: a) Decreased albumin levels
Rationale: Decreased albumin levels are commonly seen in liver
dysfunction, as the liver is
responsible for producing albumin.


6. A nurse is caring for a client who is receiving warfarin therapy.
Which of the
following laboratory results should the nurse monitor regularly?
A. Platelet count
B. International normalized ratio (INR)

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