ATI RN Custom Exams Set 4

ATI RN Custom Exams Set 4 Related

Review ATI RN Custom Exams Set 4 related questions and content

The client is four hours post-operative abdominal aortic aneurysm repair. Which nursing intervention should be implemented for this client?

  • A. Assist the client in ambulating
  • B. Assess the client's bilateral pedal pulses
  • C. Maintain a continuous IV heparin drip
  • D. Provide clear liquids to the client
Correct Answer: B

Rationale: Assessing the client's bilateral pedal pulses is essential in this situation as it helps in evaluating the peripheral perfusion and circulation in the lower extremities. This assessment is crucial to detect any signs of decreased blood flow or complications, such as arterial occlusion or thrombosis. Ambulating the client may be important in the postoperative period, but assessing pedal pulses takes priority to ensure adequate perfusion. Maintaining continuous IV heparin drip is not typically indicated immediately post-operatively for an abdominal aortic aneurysm repair, as the risk of bleeding complications may outweigh the benefits. Providing a clear liquid diet is not a priority nursing intervention at this stage, as the focus should be on vascular assessment and postoperative monitoring.

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What is a good source of potassium and can be related to increased excretion?

  • A. Potassium
  • B. Increased excretion
  • C. Broccoli
  • D. None of the above
Correct Answer: C

Rationale: Broccoli is a good source of potassium and can contribute to increased excretion. While potassium itself is a mineral and increased excretion can be related to dietary intake, the specific relationship mentioned in the text is about broccoli being a good source of potassium and having a potential impact on excretion.

A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?

  • A. Eating meals
  • B. Writing letters
  • C. Combing the hair
  • D. Dressing every morning
Correct Answer: B

Rationale: The correct answer is B: Writing letters. Writing requires fine motor skills, which are often impaired in a right-handed person with a right-sided CVA. Eating meals (choice A), combing the hair (choice C), and dressing every morning (choice D) involve gross motor skills and may not be as challenging for a right-handed individual with a right-sided CVA compared to the fine motor skill required for writing.

The nurse cares for a client receiving furosemide (Lasix). The nurse determines that teaching is effective if the client selects which of the following foods?

  • A. One medium baked potato
  • B. One slice of white bread
  • C. One medium apple
  • D. One scrambled egg
Correct Answer: A

Rationale: The correct answer is A: One medium baked potato. Potatoes are high in potassium, which is crucial for clients on furosemide (Lasix) to prevent hypokalemia, as furosemide can cause potassium loss. White bread (choice B) and scrambled egg (choice D) are not high-potassium foods and do not address the specific need related to furosemide therapy. While apples (choice C) contain some potassium, they are not as rich in potassium as a baked potato, making them a less optimal choice for a client on furosemide.

The nurse is caring for a client who goes into ventricular tachycardia. Which intervention should the nurse implement first?

  • A. Call a code immediately
  • B. Assess the client for a pulse
  • C. Begin chest compressions
  • D. Continue to monitor the client
Correct Answer: B

Rationale: The correct answer is to assess the client for a pulse. In ventricular tachycardia, the priority is to determine if the client has a pulse. If there is no pulse, immediate initiation of CPR with chest compressions is required. Calling a code or continuing to monitor the client can delay life-saving interventions. Therefore, assessing for a pulse is the most crucial step in managing ventricular tachycardia.

Which of the following is a common side effect of the drug metformin?

  • A. Weight loss
  • B. Weight gain
  • C. Drowsiness
  • D. Hypertension
Correct Answer: A

Rationale: The correct answer is A, weight loss. Metformin is commonly associated with weight loss as a side effect rather than weight gain. Metformin works by decreasing glucose production in the liver and improving insulin sensitivity, which can lead to weight loss. Choices B, C, and D are incorrect because weight gain, drowsiness, and hypertension are not typically common side effects of metformin.

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