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ATI NCLEX Challenge 5 Questions & answers latest update 2024/2025 with complete solution
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ATI NCLEX Challenge 5 Questions & answers latest update 2024/2025 with complete solution
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STUVIA 2024/2025ATI NCLEX Challenge 5
"I feel nauseated and have no appetite" - ✔✔A nurse is caring for a client who has heart failure and
a prescription for digoxin. Which of the following statements by the client indicates an adverse effect
of the medication?
"Increasing my intake of foods containing trans-fatty acids can lower my risk." - ✔✔A nurse is
providing teaching to a client about interventions to reduce the risk of developing cardiovascular
disease. Which of the following statements by the client should indicate to the nurse the need for
further teaching?
5th intercostal space and to the left of the sternum. - ✔✔A nurse is performing a cardiac
assessment. Identify where the nurse should place the stethoscope to auscultate the client's apical
pulse.
Hair loss: arterial ulcers
1+ posterior tibial pulse: arterial ulcers
Pain at ulcer site: arterial and venous ulcers
History of hypertension: arterial, venous, and diabetic ulcers
Pale wound bed: arterial and diabetic ulcers
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Defined edges: arterial and diabetic ulcers
Skin cool to touch of the affected extremity: arterial and diabetic ulcers - ✔✔For each assessment
finding, click to specify if the assessment finding is consistent with an arterial ulcer, a venous ulcer, or
a diabetic ulcer. Each finding may support more than one disease process.
Left pedal pulse- Left foot - ✔✔A nurse is assessing a client who had a left femoral cardiac
angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected
side.
"I plan to slow down if I am tired the day after exercising" - ✔✔A nurse is providing discharge
instructions for a client who has congestive heart failure. Which of the following client statements
indicates to the nurse that the teaching was effective?
Fatigue - ✔✔A home health nurse is making a home visit to a client who takes a daily diuretic for
heart failure. Which of the following manifestations should the nurse identify as indicating the client is
hypokalemic?
Radial pulse in the left arm - ✔✔A nurse is evaluating a client who had a cardiac catheterization with
a left antecubital insertion site. Which of the following pulses should the nurse palpate?
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Vertigo - ✔✔A nurse is caring for a client who has a new diagnosis of essential hypertension. The
nurse should monitor the client for which of the following findings that is consistent with this
diagnosis?
Cardiac dysrhythmias - ✔✔A nurse in a provider's office is reviewing the laboratory results of a client
who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3
mEq/L. The nurse should monitor the client for which of the following complications?
"You seem upset about taking your blood pressure medication" - ✔✔A nurse is caring for a client
who has hypertension and is afraid to take his blood pressure medication. Which of the following
nursing statements is an example of therapeutic communication response of reflection?
Potassium - ✔✔A nurse is planning to administer digoxin to a client who has heart failure. Which of
the following laboratory results is the priority for the nurse to review prior to administering the
medication?
Potential condition: Heart failure
Actions to take: Encourage intake of low-sodium diet, Elevate the head of the bed.
Parameters to monitor: Urinary output, blood pressure. - ✔✔A nurse is preparing to care for an
84-year-old male client who is being admitted to a medical unit from a provider's office. The nurse
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reviews the client's medical records to prepare the client's plan of care.
Hypercholesterolemia, Hypertension, Obesity, Smoking - ✔✔A nurse is giving a presentation to a
community group about preventing atherosclerosis. Which of the following should the nurse include
as a modifiable risk factor for this disorder? (Select all that apply).
Monitor for tinnitus. - ✔✔A nurse is teaching a client who has a new prescription for aspirin to
prevent cardiovascular disease. Which of the following instructions should the nurse include in the
teaching?
Dyspnea - ✔✔A nurse is caring for a client who has infective endocarditis. Which of the following
manifestations is the priority for the nurse to monitor for?
A slice of cheese - ✔✔A nurse is teaching a client about snacks that are appropriate on a low-fat,
low-sodium, and low-cholesterol diet. Which of the following food choices by the client indicates the
need for further teaching?
Frothy sputum - ✔✔A nurse is caring for an older adult client who has left-sided heart failure. Which
of the following assessment findings should the nurse expect?
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