Ati practice Questions With Complete Solutions
A nurse in an emergency department is assessing a client who
has a bradydysrhythmia. Which of the following findings should
the nurse monitor for? Correct Answers confusion
A nurse in an emergency department is caring for a client who
had an anterior myocardial infarction. The client's history
reveals that they are 1 week postoperative following an open
cholecystectomy. The nurse should identify that which of the
following interventions in contraindicated? Correct Answers
assisting with thrombolytic therapy
A nurse is admitting a client who has a leg ulcer and a history of
diabetes mellitus. Which of the following focused assessments
should the nurse use to help differentiate between an arterial
ulcer and a venous stasis ulcer? Correct Answers inquire about
the presence of absence of claudication
A nurse is an emergency department is caring for a client who
has a BP of 254/139 mm Hg. The nurse recognizes that the
client is in a hypertensive crisis. Which of the following actions
should the nurse take first? Correct Answers elevate the head of
the clients bed
A nurse is assessing a client who has a history of DVT and is
receiving warfarin. Which of the following findings should
indicate to the nurse that the medication is effective? Correct
Answers inr 2
, A nurse is assessing a client who has dilated cardiomyopathy.
Which of the following findings should the nurse expect?
Correct Answers dyspnea on exertion
A nurse is assessing a client who has left-sided heart failure with
decreased cardiac output. Which of the following manifestations
should the nurse expect? Correct Answers nocturia at night
A nurse is assessing a client who has left-sided heart failure.
Which of the following manifestations should the nurse expect
to find? Correct Answers weak peripheral pulses
A nurse is assessing a client who has pulmonary edema related
to heart failure. Which of the following findings indicates
effective treatment of the client's condition? Correct Answers
absence of adventitious breath sounds
A nurse is assessing a client who is restricted to bedrest for
manifestations of right-sided heart failure. Which of the
following findings should the nurse expect? Correct Answers
sacrum edema
A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a
potential complication of the insertion procedure? Correct
Answers "I can't get rid of these hiccups"
hiccups can indicate that the pacemaker is stimulating the chest
wall or diaphragm, which can occur as a result of a lead wire
perforation
A nurse in an emergency department is assessing a client who
has a bradydysrhythmia. Which of the following findings should
the nurse monitor for? Correct Answers confusion
A nurse in an emergency department is caring for a client who
had an anterior myocardial infarction. The client's history
reveals that they are 1 week postoperative following an open
cholecystectomy. The nurse should identify that which of the
following interventions in contraindicated? Correct Answers
assisting with thrombolytic therapy
A nurse is admitting a client who has a leg ulcer and a history of
diabetes mellitus. Which of the following focused assessments
should the nurse use to help differentiate between an arterial
ulcer and a venous stasis ulcer? Correct Answers inquire about
the presence of absence of claudication
A nurse is an emergency department is caring for a client who
has a BP of 254/139 mm Hg. The nurse recognizes that the
client is in a hypertensive crisis. Which of the following actions
should the nurse take first? Correct Answers elevate the head of
the clients bed
A nurse is assessing a client who has a history of DVT and is
receiving warfarin. Which of the following findings should
indicate to the nurse that the medication is effective? Correct
Answers inr 2
, A nurse is assessing a client who has dilated cardiomyopathy.
Which of the following findings should the nurse expect?
Correct Answers dyspnea on exertion
A nurse is assessing a client who has left-sided heart failure with
decreased cardiac output. Which of the following manifestations
should the nurse expect? Correct Answers nocturia at night
A nurse is assessing a client who has left-sided heart failure.
Which of the following manifestations should the nurse expect
to find? Correct Answers weak peripheral pulses
A nurse is assessing a client who has pulmonary edema related
to heart failure. Which of the following findings indicates
effective treatment of the client's condition? Correct Answers
absence of adventitious breath sounds
A nurse is assessing a client who is restricted to bedrest for
manifestations of right-sided heart failure. Which of the
following findings should the nurse expect? Correct Answers
sacrum edema
A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a
potential complication of the insertion procedure? Correct
Answers "I can't get rid of these hiccups"
hiccups can indicate that the pacemaker is stimulating the chest
wall or diaphragm, which can occur as a result of a lead wire
perforation
