ATI/NCLEX RNSG 1341 Exam#1 and #2
Practice Questions well answered to
pass 2025 updated
A nurse is assessing a client who has right-sided heart failure. Which of the
following findings should the nurse expect? - correct answer ✔✔Dependent
edema
Blood return from the venous system to the right atrium is impaired by a
weakened right heart. The subsequent systemic venous backup leads to
development of dependent edema.
A nurse is caring for a client who has acute lymphocytic leukemia and reports a
fever, chills, fatigue, and pallor over the past week. When checking the client's
laboratory results, which of the following values should the nurse identify as
contributing to the client's fatigue and pallor? - correct answer ✔✔Hgb 6.5 f/dL
A nurse is caring for a client who is having a possible myocardial infarction (MI).
Which of the following findings should the nurse identify as an associated
manifestation of an MI? - correct answer ✔✔Nausea
Nausea is an associated manifestation of MI. Manifestations of MI include chest
pain and pain in the jaw, shoulder, or abdomen.
A nurse is reviewing the progress notes for a client who has heart failure. The
provider noted some improvement in the client's cardiac output. The nurse should
,understand that cardiac output reflects which of the following physiologic
parameters? - correct answer ✔✔Heart rate times stroke volume
A nurse is showing a client who has right-sided heart failure an illustration of the
heart. Which of the following blood vessels carry deoxygenated blood to the right
atrium? - correct answer ✔✔Superior vena cava
A nurse is planning care for a client who has acute myelogenous leukemia and a
platelet count of 48,000/mm^3. Which of the following interventions should the
nurse include? - correct answer ✔✔Avoid IM injections
A nurse in the PACU is assessing a newly admitted client and observes intercostal
retractions and a high-pitched inspiratory sound. The nurse should identify these
findings as manifestations of which of the following complications? - correct
answer ✔✔Respiratory obstruction
Intercostal retractions and a high-pitched inspiratory noise (i.e. stridor) are
manifestations of an airway obstruction caused by laryngospasm and edema. The
nurse should notify the rapid response team and plan to administer racemic
epinephrine.
A nurse is caring for a client who is extremely anxious and is hyperventilating. The
client's ABG results are pH 7.50, PaCO2 27 mmg, and HCO3- 25 mEq/L. The nurse
should identify that the client has which of the following acid-base imbalances? -
correct answer ✔✔Respiratory alkalosis
A nurse in a clinic is assessing the lower extremities and ankles of a client who has
a history of peripheral arterial disease. Which of the following findings should the
nurse expect? - correct answer ✔✔Dry, pale skin with minimal body hair
,A client who has peripheral arterial disease can display dry, scaly, pale, or mottled
skin with minimal body hair because of narrowing of the arteries in the legs and
feet. This causes a decrease in blood flow to the distal extremities, which can lead
to tissue damage. Common manifestations are intermittent claudication (leg pain
with exercise), cold or numb feet at rest, loss of hair on the lower legs, and
weakened pulses.
A nurse is preparing a client for discharge following a bronchoscopy. Which of the
following assessments is the nurse's monitoring priority? - correct answer
✔✔Confirming the gag reflex
The greatest risk to the client's safety is aspiration resulting from a depressed gag
reflex. The nurse's priority is to make sure the client's gag reflex has returned
before discharge so that the client can maintain hydration and nutrition without
risk.
A nurse is caring for a client who had a left lower lobectomy to treat lung cancer.
Which of the following factors will have a significant impact on the plan of care for
this client? - correct answer ✔✔Lung cancer usually has metastasized before the
client presents with symptoms.
A client who has thrombocytopenia asks the nurse why platelets are so important.
Which of the following responses should the nurse make? - correct answer
✔✔"Platelets plug breaks in blood vessels."
A nurse is planning care for a client who has chronic obstructive pulmonary
disease (COPD) and is malnourished. Which of the following recommendations to
promote nutritional intake should the nurse include in the plan? - correct answer
✔✔Eat high-calorie foods first.
, A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers
on the toes. Which of the following findings of PVD is a risk factor for ulceration of
the extremities? - correct answer ✔✔Impaired circulation
A nurse on a medical unit is caring for a client who aspirated gastric contents prior
to admission. The nurse administers 100% oxygen by nonrebreather mask after
the client reports severe dyspnea. Which of the following findings is a clinical
manifestation of acute respiratory distress syndrome (ARDS)? - correct answer
✔✔PaO2 50 mmHg
A nurse is examining the ECG of a client who is having an acute myocardial
infarction. The nurse should identify that the elevated ST segments on the ECG
indicate which of the following alterations? - correct answer ✔✔Necrosis
ST-segment elevation during an acute myocardial infarction indicates necrosis.
This ECG change reflects a clot at the site of injury. Therefore, the client requires
immediate revascularization of the artery.
A nurse is providing teaching for a client who has a prescription for a low-sodium
diet to manage hypertension. Which of the following statements by the client
indicates an understanding of the teaching? - correct answer ✔✔"I can snack on
fresh fruit."
A nurse on a medical-surgical unit is assessing a client who recently transferred
from the ICU following endotracheal extubation. Which of the following findings
should the nurse identify as a possible manifestation of tracheal stenosis and
report to the provider? - correct answer ✔✔Increased coughing
Practice Questions well answered to
pass 2025 updated
A nurse is assessing a client who has right-sided heart failure. Which of the
following findings should the nurse expect? - correct answer ✔✔Dependent
edema
Blood return from the venous system to the right atrium is impaired by a
weakened right heart. The subsequent systemic venous backup leads to
development of dependent edema.
A nurse is caring for a client who has acute lymphocytic leukemia and reports a
fever, chills, fatigue, and pallor over the past week. When checking the client's
laboratory results, which of the following values should the nurse identify as
contributing to the client's fatigue and pallor? - correct answer ✔✔Hgb 6.5 f/dL
A nurse is caring for a client who is having a possible myocardial infarction (MI).
Which of the following findings should the nurse identify as an associated
manifestation of an MI? - correct answer ✔✔Nausea
Nausea is an associated manifestation of MI. Manifestations of MI include chest
pain and pain in the jaw, shoulder, or abdomen.
A nurse is reviewing the progress notes for a client who has heart failure. The
provider noted some improvement in the client's cardiac output. The nurse should
,understand that cardiac output reflects which of the following physiologic
parameters? - correct answer ✔✔Heart rate times stroke volume
A nurse is showing a client who has right-sided heart failure an illustration of the
heart. Which of the following blood vessels carry deoxygenated blood to the right
atrium? - correct answer ✔✔Superior vena cava
A nurse is planning care for a client who has acute myelogenous leukemia and a
platelet count of 48,000/mm^3. Which of the following interventions should the
nurse include? - correct answer ✔✔Avoid IM injections
A nurse in the PACU is assessing a newly admitted client and observes intercostal
retractions and a high-pitched inspiratory sound. The nurse should identify these
findings as manifestations of which of the following complications? - correct
answer ✔✔Respiratory obstruction
Intercostal retractions and a high-pitched inspiratory noise (i.e. stridor) are
manifestations of an airway obstruction caused by laryngospasm and edema. The
nurse should notify the rapid response team and plan to administer racemic
epinephrine.
A nurse is caring for a client who is extremely anxious and is hyperventilating. The
client's ABG results are pH 7.50, PaCO2 27 mmg, and HCO3- 25 mEq/L. The nurse
should identify that the client has which of the following acid-base imbalances? -
correct answer ✔✔Respiratory alkalosis
A nurse in a clinic is assessing the lower extremities and ankles of a client who has
a history of peripheral arterial disease. Which of the following findings should the
nurse expect? - correct answer ✔✔Dry, pale skin with minimal body hair
,A client who has peripheral arterial disease can display dry, scaly, pale, or mottled
skin with minimal body hair because of narrowing of the arteries in the legs and
feet. This causes a decrease in blood flow to the distal extremities, which can lead
to tissue damage. Common manifestations are intermittent claudication (leg pain
with exercise), cold or numb feet at rest, loss of hair on the lower legs, and
weakened pulses.
A nurse is preparing a client for discharge following a bronchoscopy. Which of the
following assessments is the nurse's monitoring priority? - correct answer
✔✔Confirming the gag reflex
The greatest risk to the client's safety is aspiration resulting from a depressed gag
reflex. The nurse's priority is to make sure the client's gag reflex has returned
before discharge so that the client can maintain hydration and nutrition without
risk.
A nurse is caring for a client who had a left lower lobectomy to treat lung cancer.
Which of the following factors will have a significant impact on the plan of care for
this client? - correct answer ✔✔Lung cancer usually has metastasized before the
client presents with symptoms.
A client who has thrombocytopenia asks the nurse why platelets are so important.
Which of the following responses should the nurse make? - correct answer
✔✔"Platelets plug breaks in blood vessels."
A nurse is planning care for a client who has chronic obstructive pulmonary
disease (COPD) and is malnourished. Which of the following recommendations to
promote nutritional intake should the nurse include in the plan? - correct answer
✔✔Eat high-calorie foods first.
, A nurse is caring for a client who has peripheral vascular disease (PVD) and ulcers
on the toes. Which of the following findings of PVD is a risk factor for ulceration of
the extremities? - correct answer ✔✔Impaired circulation
A nurse on a medical unit is caring for a client who aspirated gastric contents prior
to admission. The nurse administers 100% oxygen by nonrebreather mask after
the client reports severe dyspnea. Which of the following findings is a clinical
manifestation of acute respiratory distress syndrome (ARDS)? - correct answer
✔✔PaO2 50 mmHg
A nurse is examining the ECG of a client who is having an acute myocardial
infarction. The nurse should identify that the elevated ST segments on the ECG
indicate which of the following alterations? - correct answer ✔✔Necrosis
ST-segment elevation during an acute myocardial infarction indicates necrosis.
This ECG change reflects a clot at the site of injury. Therefore, the client requires
immediate revascularization of the artery.
A nurse is providing teaching for a client who has a prescription for a low-sodium
diet to manage hypertension. Which of the following statements by the client
indicates an understanding of the teaching? - correct answer ✔✔"I can snack on
fresh fruit."
A nurse on a medical-surgical unit is assessing a client who recently transferred
from the ICU following endotracheal extubation. Which of the following findings
should the nurse identify as a possible manifestation of tracheal stenosis and
report to the provider? - correct answer ✔✔Increased coughing
