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ATI RN · Nursing Process · Nursing Process Questions and Answers PDF

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

When you report on duty, your team leader tells you that Mr. MartineHi accidentally received 1000 ml of fluids in 2 hours and that you are to be alert for signs of circulatory overload. Which of the following signs would not be likely to occur?

A. moist gurgling respirations

B. Distended neck veins

C. Weak, slow pulse

D. Dyspnea and coughing

Expert Explanatory Rationale

Correct Answer: Weak, slow pulse

Question 2 of 5

A 58-year-old man is diagnosed with cancer of the larynx. Which of the ff. are early symptoms of this cancer?

A. Anemia and fatigue

B. A noticeable lump in the neck

C. Crackles and stridor

D. Dysphagia or hoarseness

Expert Explanatory Rationale

Correct Answer: Dysphagia or hoarseness

Question 3 of 5

Mrs. Go is suspected of experiencing respiratory distress from a left-sided pneumothorax. She should be positioned:

A. in a semi-fowler's position

B. trendelenburg position

C. prone position

D. on the right side

Expert Explanatory Rationale

Correct Answer: in a semi-fowler's position

Question 4 of 5

A client with human immunodeficiency virus (HIV) undergoes intradermal anergy testing using Candida and mumps antigen. During the 3 days following the tests, there is no induration or evidence of reaction at the intradermal injection sites. The most accurate conclusion the nurse can make is:

A. The client has no previous exposure to the antigens injected

B. The results demonstrate the client has antibodies to the antigens

C. The client is immunodeficient and won't have a skin response

D. The client isn't allergic to the antigens and therefore doesn't react

Expert Explanatory Rationale

Correct Answer: The client is immunodeficient and won't have a skin response

Question 5 of 5

A client who suffered a vehicular accident a few days ago is in skeletal traction. Which nursing action would BESt promote INDEPENDENCE for this patient?

A. tell the client to call for an analgesic before the pain felt becomes severe

B. encourage the patient to do leg exercises within the limits of his traction

C. provide an overhead trapeze for client use on the Balkan frame

D. provide skin care to prevent skin breakdown

Expert Explanatory Rationale

Correct Answer: encourage the patient to do leg exercises within the limits of his traction

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