RN ATI
FUNDAMENTALS
OF NURSING
PROCTORED EXAM
2024 WITH NGN
COMPILATION
WITH RATIONALE
ANSWERS RATED
100%
A client is transferred to the postanesthesia
care unit after a colon resection for
adenocarcinoma. Which manifestation would
the nurse expect to see if the client were to
develop internal abdominal bleeding
postoperatively? - ANSWER-Tachycardia
RATIONAL-Because of the decreased circulating
blood volume due to internal bleeding, oxygencarrying capacity of the blood is reduced. The
body attempts to relieve the hypoxia by
increasing the heart rate and cardiac output
along with increasing the respiratory rate.
Following an emergency splenectomy, a 17-
year-old client is admitted to the nursing unit
from the postanesthesia care unit (PACU). The
client reports severe abdominal pain, and the
client's parents are asking to see their child.
The nurse's first action should be to - ANSWERcomplete a physical assessment including
postoperative vital signs.
RATIONALE-Any client recovering from surgery
may have altered vital signs, and the nurse's
first priority is a full physical assessment. In
addition, a client who has had an emergency
splenectomy is at risk for abdominal
hemorrhage and has an increased risk for
hypovolemia. Therefore, vital signs are a
priority. TEST-TAKING STRATEGY: With a
priority-setting question where all the options
appear correct, but various stages of the
nursing process (assessment, intervention,
evaluation) are reflected in the options, rely on
the nursing process to help set priorities.
Assessment comes first, followed by analysis,
planning, intervention, and evaluation.
A postoperative client's knee dressing becomes
completely saturated with blood 1 hr after
transfer to the clinical unit. Which of the
following is an appropriate nursing action? -
ANSWER-Apply direct pressure to the operative
site.
RATIONALE-Most bleeding can be stopped with
direct pressure, unless a major artery has been
severed. The surgeon must be notified because,
in some cases, the client must return to the
surgical suite for ligation of the bleeding
vessels.
A nurse is assessing a client who is
postoperative following thoracic surgery.
Which of the following manifestations should
alert the nurse to the possibility of early
hypovolemic shock? - ANSWER-Irritabilit
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