A nurse is caring for a client on the medical surgical unit.

Practice Question

Answer Choices:

A. Body System findings General Diaphoretic, agitated Cardiovascular S1, S2 no murmur, gallop or rub. Respiratory Faint wheezing bilaterally, bilateral crackles, Equal chest expansion, barrel chest Extremities R leg immobilized, 1+ edema bilaterally. Abduction device straps loose. Vital Signs BP 162/89 mm Hg Heart rate 111/min Respiratory rate 24/min Oxygen saturation 85% on room air Temperature 37° C (98.6° F)

Rationale:

🔴 Diaphoresis and agitation are signs of acute distress or hypoxia, potentially due to COPD exacerbation or PE.

🔴 Crackles may indicate fluid overload or early pneumonia, especially after surgery and limited mobility.

🔴 Tachycardia and increased respiratory rate suggest the client is compensating for poor oxygenation.

🔴 An SpO₂ of 85% on room air is critically low and indicates the need for immediate intervention.

Want to practice more questions like this?

This question is from RN Capstone - Study Sprint which contains 10 questions.

View Exam Details

More Questions from This Exam

A nurse in a mental health clinic is reviewing the history and physical of an adolescent who has a new diagnosis of social phobia. Which of the following is an expected finding?

Answer Choices:

A. The adolescent reports fatigue related to sleep disturbances.

B. The adolescent reports having nightmares that their caregivers will be taken from them.

C. The adolescent is unable to answer questions when called on in class.

D. The adolescent experiences intense fear about being left home alone

View Full Question

A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

Answer Choices:

A. "I will floss between my teeth every time I brush."

B. "I will remove my shoes when I'm inside my house."

C. "I will use an enema to manage my constipation."

D. "I will wipe my nose instead of blowing it."

View Full Question

A nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?

Answer Choices:

A. 7.5%

B. 15%

C. 8.1%

D. 13.3%

View Full Question

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

Answer Choices:

A. Infiltration

B. Phlebitis

C. Circulatory overload

D. Extravasation

View Full Question

A nurse is caring for a postpartum client in an outpatient setting.

View Full Question

View All 10 Questions

From Exam

RN Capstone - Study Sprint

10 Questions

View Full Exam

Question Details

Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI CAPSTONE
Answer Choices: 1

NursingSprint

Practice Question

A nurse is caring for a client on the medical surgical unit.

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A nurse in a mental health clinic is reviewing the history and physical of an adolescent who has a new diagnosis of social phobia. Which of the following is an expected finding?

A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

A nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

A nurse is caring for a postpartum client in an outpatient setting.

From Exam

RN Capstone - Study Sprint

Question Details

Was this question helpful?

Share your thoughts

Comments (0)

Search Resources, Exams, Questions, Notes & Flashcards

Access Restricted:

Practice Question

A nurse is caring for a client on the medical surgical unit.

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A nurse in a mental health clinic is reviewing the history and physical of an adolescent who has a new diagnosis of social phobia. Which of the following is an expected finding?

A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

A nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

A nurse is caring for a postpartum client in an outpatient setting.

From Exam

RN Capstone - Study Sprint

Question Details

Was this question helpful?

Share your thoughts

Comments (0)