Comprehensive 2025 ATI RN Medical-Surgical NGN Exam Review Featuring 254 A+ Verified Questions and Detailed Answers for Confident Success Preparation A nurse is caring for a client who is intubated and receiving mechanical ventilation for heroin toxicity. Which of the following assessments is the nurse's priority? A. WBC count B. =ntake and output C. ABGs D. Blood glucose level - ,,,correct answer is,,,--C. ABGs When using the airway, breathing, and circulation (ABC) approach to client care, the nurse's priority assessment is to monitor the client's ABGs, including respiratory status. A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings should the nurse identify as a manifestation of cardiac tamponade? A. Fever B. Atrial fibrillation C. Paradoxical pulseD. Pericardial friction rub - ,,,correct answer is,,,--C. Paradoxical pulse Cardiac tamponade results from an excess of fluid in the pericardial cavity and causes a sudden drop in cardiac output. Paradoxical pulse is a systolic blood pressure of 10 mm :g or more on expiration and is a manifestation of cardiac tamponade. The nurse should report manifestations of cardiac tamponade to the provider immediately. A nurse is assessing a client who is undergoing radiation therapy for