Practice Question
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which key problem should the nurse identify as being the priority in the client's care?
Answer Choices:
Correct Answer:
Impaired tissue perfusion
Rationale:
🔷 Varicose veins with ulcerations and edema indicate chronic venous insufficiency, leading to poor tissue oxygenation
🔷 Impaired venous return causes pooling of blood, increased pressure, and reduced perfusion in lower extremities
🔷 The heaviness and ulceration are direct consequences of prolonged venous congestion
🔷 Without adequate perfusion, tissue healing is delayed, increasing the risk for infection and necrosis
🔷 Priority nursing care includes elevating legs, compression therapy, and promoting venous return
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This question is from ATI Custom NSGA 144 Fall1 2025 Exam 1 which contains 42 questions.
More Questions from This Exam
A nurse is explaining the concept of perfusion to a student nurse. The nurse knows the student understands the concept of perfusion when the student makes which statement?
Answer Choices:
A. "Perfusion is monitored by vital signs and capillary refill."
B. "Perfusion is monitored by the physician."
C. "Perfusion is a normal function of the body, and I don't have to be concerned about it."
D. "Perfusion remains constant regardless of age, so I would not expect significant changes in the body."
The nurse is caring for a client with a history of peripheral vascular disease. The client has been sitting in a chair for 4 hours watching television. Which assessment finding is most concerning for impaired tissue perfusion?
Answer Choices:
A. The left foot is cooler than right, with delayed capillary refill and dusky color.
B. The client reports mild numbness in toes when walking.
C. Bilateral foot temperature is warm to touch with brisk capillary refill.
D. The client has visible varicose veins on both legs.
A nurse is assessing a client who has been on bedrest for 3 days following hip surgery. The client has a history of hypertension and type 2 diabetes.
Answer Choices:
A. Increased heart rate
B. Elevated blood pressure
C. Type 2 diabetes
D. Prolonged immobility
A patient is complaining of a sharp pain in their leg. The nurse knows that nociceptive pain typically responds best to?
Answer Choices:
A. Physical Therapy
B. Adjuvant medications like antidepressants
C. Opioid and non-opioid analgesics
D. Heat Therapy
A nurse is teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?
Answer Choices:
A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4