ATI RN ADULT MEDICAL SURGICAL EXAM Questions With Correct Answers.
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Course
ATI RN ADULT MEDICAL SURGICAL
Institution
ATI RN ADULT MEDICAL SURGICAL
ATI RN ADULT MEDICAL SURGICAL
EXAM Questions With Correct Answers.
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which
of the following instructions should the nurse include? - answerFlex the foot every hour when
awake.
Rationale: The nurse should ...
ATI RN ADULT MEDICAL SURGICAL
EXAM Questions With Correct Answers.
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which
of the following instructions should the nurse include? - answer✔Flex the foot every hour when
awake.
Rationale: The nurse should instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return.
A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system.
Which of the following findings is an indication of lung re-expansion? - answer✔Bubbling in
the water seal chamber has ceased.
Rationale: Bubbling in the water seal chamber ceases when the lung re-expands.
A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial
fibrillation. Which of the following values should the nurse identify as a desired outcome for this
therapy? - answer✔INR 2.5
Rationale: Clients receive warfarin therapy to decrease the risk of stroke, myocardial infarction
(MI), or pulmonary emboli (PE) from blood clots. Since warfarin is an anticoagulant, the
medication must be monitored to ensure the anticoagulation is within the therapeutic range and
prevent hemorrhage (high levels of anticoagulation) or stroke, MI, or PE (low levels of
anticoagulation). An INR of 2.5 is within the targeted therapeutic range of 2 to 3 for a client who
has atrial fibrillation.
A home health nurse is providing teaching to a client who has a stage 1 pressure injury on the
greater trochanter of his left hip. Which of the following instructions should the nurse include in
the teaching? - answer✔Change position every hour
Rationale: Changing position every 1 to 2 hr decreases pressure on bony prominences. The nurse
should also instruct the client to limit the angle of the hips when in a lateral position to no more
than 30°. This positioning prevents direct pressure on the trochanter.
A nurse is assessing a client following the completion of hemodialysis. Which of the following
findings is the nurse's priority to report to the provider? - answer✔Restlessness
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