ATI nur330 Med Surg Exam | Nurselytic

Questions 35

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ATI nur330 Med Surg Exam Questions

Question 1 of 5

The nurse is providing care for a patient that is scheduled for a balloon valvuloplasty. The nurse recalls that balloon valvuloplasty is most commonly used for which valvular heart disease?

Correct Answer: B

Rationale: Balloon valvuloplasty is commonly used to relieve mitral valve stenosis by improving valve opening, often due to rheumatic heart disease. It is not effective for regurgitation disorders or mitral valve prolapse, which require surgical interventions.

Question 2 of 5

A client is recovering from an open reduction of the femur suddenly feels light headed, with increased anxiety and agitation. Which key vital sign differentiates early sepsis from a pulmonary embolism?

Correct Answer: D

Rationale: Fever is an early sign of sepsis, differentiating it from pulmonary embolism, which is associated with respiratory distress, tachycardia, and chest pain. Tachycardia, hypotension, and tachypnea are present in both.

Question 3 of 5

A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The SANE's priority is to ensure the client's safety and well-being. Legal testimony, police involvement, and evidence collection are secondary or not the nurse's role.

Question 4 of 5

A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?

Correct Answer: A

Rationale: An AAA is defined as a dilation of the aorta exceeding 30 mm. It results from weakened, not thickened, walls, occurs below the renal arteries, and high blood pressure increases rupture risk.

Question 5 of 5

A nurse is caring for a client who has a seizure disorder. Which of the following actions should the nurse take?

Correct Answer: A,C,E

Rationale: Supplemental oxygen addresses hypoxia, turning the client to the side prevents aspiration, and timing the seizure guides treatment. Inserting a tongue depressor can cause injury, and restraining may harm the client.

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