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Practice Question

The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?

Answer Choices:

Correct Answer:

A patient with a new-onset of confusion and restlessness.

Rationale:
Sudden confusion and restlessness suggest hypoxia, stroke, or worsening cardiac function. This change in mental status is a critical finding requiring immediate assessment. Delayed intervention may result in severe neurological or systemic complications.
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This question is from RN Medsurg II Nur201 FA2 Exam which contains 66 questions.

More Questions from This Exam
The charge nurse observes a nurse performing interventions for a client who has just arrived in the post-anesthesia care unit following right cataract removal and intraocular lens implantation. Which intervention would require the charge nurse to intervene?

Answer Choices:

A. The nurse waits 5 minutes between administering prescribed eye drops.
B. The nurse leaves the eye shield in place while the client sleeps.
C. The nurse is instructing the client not to drive at night.
D. The nurse encourages the client to exercise with 20 lb weights 1 day post-operatively.
A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Answer Choices:

A. Hyperkalemia.
B. Increased glomerular filtration rate (GFR).
C. Decreased creatinine level.
D. Hypovolemia.
From Exam
RN Medsurg II Nur201 FA2 Exam

66 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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