Questions 52

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ATI n300 Med Surg Exam Questions

Question 1 of 5

The nurse is caring for a client who has an abdominal aortic aneurysm. The physician explains to the client that the aneurysm is small and that the client will be managed medically. Based on this information, it is most important that the nurse reinforces discharge teaching about:

Correct Answer: C

Rationale: Hypertension increases pressure on the aneurysm, increasing the risk of expansion and rupture. Strict adherence to antihypertensive medications is essential for preventing complications.

Question 2 of 5

Which of the following would the nurse understand is correct when implementing a primary assessment for clients suffering major trauma? The primary assessment:

Correct Answer: D

Rationale: The primary assessment is focused on identifying life-threatening problems using the ABCDs (Airway, Breathing, Circulation, Disability).

Question 3 of 5

The nurse is caring for a client with a spinal cord injury at C3. The nurse notices on the cardiac monitor a heart rate of 30 beats per minute & upon assessment of the patient, a change in mental status. What medication does the nurse anticipate will be ordered by the physician STAT?

Correct Answer: A

Rationale: Atropine is the first-line treatment for symptomatic bradycardia caused by disrupted sympathetic control in a C3 spinal cord injury.

Question 4 of 5

The nurse is caring for a client with SOB, wheezes, urticaria, itching and angioedema after receiving vancomycin IV. What is the priority nursing intervention after stopping the medication? Administer:

Correct Answer: C

Rationale: Epinephrine is the first-line treatment for anaphylaxis, reversing airway swelling, hypotension, and bronchoconstriction.

Question 5 of 5

A client has sustained a crush injury to the abdomen as the result of an industrial accident. The initial assessment and interventions have been carried out. The vital signs are stable and the family is at the bedside. The client is complaining of bilateral flank pain. What is the priority nursing action for this client now?

Correct Answer: D

Rationale: Flank pain after a crush injury suggests possible rhabdomyolysis or kidney damage. Testing urine for myoglobinuria or hematuria is the priority.

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