Questions 168

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ATI Med Surg Nursing 300 Day Exam Questions

Question 1 of 5

While performing a neurologic assessment of the older adult patient, the nurse needs to consider which age-related changes?

Correct Answer: A

Rationale: Slower reaction time is a normal age-related change due to decreased neuronal processing speed.

Question 2 of 5

Which physical assessment findings would the nurse anticipate for a client with rapid atrial flutter?

Correct Answer: C

Rationale: Atrial flutter causes rapid atrial rates, leading to palpitations and shortness of breath due to inefficient cardiac output.

Question 3 of 5

The nurse is planning care for client who is recovering from a total abdominal hysterectomy for uterine cancer. The nurse would include which intervention to decrease the risk of an embolic event?

Correct Answer: D

Rationale: Early ambulation promotes venous return and reduces the risk of deep vein thrombosis and pulmonary embolism, key measures to prevent embolic events post-surgery.

Question 4 of 5

The nurse is providing discharge instructions for the client diagnosed with heart failure. Which information should the nurse provide to assist the client to limit complications and prevent future hospitalizations? (SELECT ALL THAT APPLY).

Correct Answer: B,C,D

Rationale: B: Low sodium reduces fluid retention. C: Weight gain indicates fluid overload. D: Shortness of breath suggests worsening heart failure. A and E are incorrect due to fluid restriction needs and the necessity of medical guidance for diuretics.

Question 5 of 5

The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)?

Correct Answer: A,D,E

Rationale: Incentive spirometry, aseptic dressing changes, and TEDS/SCDs reduce infection risk by preventing pneumonia, protecting the surgical site, and improving circulation.

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