ATI medsurg practice test B exam 2023 with 100% correct answers

A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? - bounding pedal pulse - capillary refill less than 2 seconds - pain that increases with passive movement - areas of warmth on the cast Pain that increases with passive movement The nurse should identify that a client who has compartment syndrome experiences pain that increases with passive movement. Compartment syndrome results from a decrease in blood flow in the extremity caused by a decrease in the muscle compartment size due to a cast that is too tight. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? - "I will need to take antibiotics for 1 year" - "my partner will need to take an antiviral medication" - "my joints ache because I have Lyme disease" - "I bruise easily because I have Lyme disease" "My joints ache because I have Lyme disease" Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in three stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms continue throughout stage II and, by stage III, become chronic. Other chronic complications include memory problems and fatigue. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 24 mL 5 x 600 / 125 = 24 A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take? - flush the line before administering antibiotics - position the client in Trendelenburg to obtain measurements - have the client bear down when readings are obtained - place a pressure bag around the flush solution place a pressure bag around the flush solution The nurse should place a pressure bag around the flush solution of 0.9% sodium chloride because the pressure from an artery is greater than that of the line. A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse identify as the priority? - report of sore throat - report of memory loss - alopecia - mucositis Report of sore throat which could be a manifestation of an infection. The client is at risk for neutropenia due to myelosuppression; therefore, an infection could lead to sepsis. [the rest are expected findings from chemotherapy]