Practice Question
A nurse in a medical-surgical unit is caring for six clients. The nurse needs to assess the clients based on their conditions.
Answer Choices:
Correct Answer:
Client 4
Rationale:
🎯Client 4 has a new diagnosis of heart failure, which presents an immediate risk of decompensation affecting circulation and oxygenation.
🎯According to the ABC priority framework, addressing conditions that impair breathing and perfusion takes precedence.
🎯Early intervention in heart failure is critical to prevent pulmonary edema or cardiogenic shock.
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This question is from RN Fundamentals Online Practice 2023B which contains 58 questions.
More Questions from This Exam
A 60-year-old male client is admitted to the medical-surgical unit_ The client is experiencing a worsening of symptoms over the last 24 hours_ The client's initial presentation was similar to previous days, but his condition has deteriorated.
Answer Choices:
A. Implement airborne precautions.
B. Prepare for possible intubation and mechanical ventilation.
C. Monitor the client's blood glucose levels frequently.
D. Administer IV antibiotics as prescribed.
E. Ensure strict hand hygiene before and after client contact
F. Increase fluid intake to help with sputum production_
G. Prepare to assist with a chest tube insertion.
A 45-year-old female client is admitted to the emergency department with complaints of sudden shortness of breath and chest tightness_ She has a history of hypertension and diabetes.
Answer Choices:
A. Initiate a cardiac enzyme panel
B. Start intravenous fluid therapy
C. Provide pain relief medication
D. Obtain an electrocardiogram (ECG)
E. Perform a comprehensive physical assessment
A nurse is attending to a patient who is receiving a unit of packed RBCs. The patient's vital signs at 0800 and 0815 are given .Heart rate of 110 bpm. Complete the following sentence using the list of options. The patient exhibits symptoms of?
Answer Choices:
A. Hypertension
B. Hypotension
C. Tachycardia
D. Bradycardia
A nurse is instructing a patient on how to self-administer heparin. Which of the following instructions should the nurse include?
Answer Choices:
A. Insert the needle at a 15-degree angle.
B. Aspirate for blood return before administration.
C. Administer the medication into the abdomen_
D. Massage the site after the injection-
A nurse is administering an Otic medication to an older adult patient. Which of the following actions should the nurse take to ensure the medication reaches the inner ear?
Answer Choices:
A. Gently press on the tragus of the patient's ear.
B. Pack a small piece of cotton deep into the patient's ear canal.
C. Move the patient's auricle down and back towards their head.
D. Tilt the patient's head backward for 5 minutes.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 5