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ATI Med Surg Nursing 300 Final Exam Questions

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Question 1 of 5

A client diagnosed with a stroke complains of a severe headache. Which intervention would be the nursing priority?

Correct Answer: A

Rationale: A severe headache post-stroke may indicate hemorrhage or increased ICP, requiring a STAT CT scan to guide treatment.

Question 2 of 5

The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?

Correct Answer: B

Rationale: Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.

Question 3 of 5

The nurse knows which of the following types of angina is most closely related with an impending myocardial infarction (MI)?

Correct Answer: A

Rationale: Unstable angina, with unpredictable or worsening chest pain, often precedes MI due to partial coronary occlusion.

Question 4 of 5

The nurse is teaching a client with type 2 diabetes mellitus about self-monitoring of blood glucose. Which statement by the client indicates understanding?

Correct Answer: B

Rationale: Using the sides of fingers for blood glucose sampling reduces pain and nerve damage, indicating correct technique.

Question 5 of 5

A 45-year-old patient presents to the trauma unit after a gunshot wound (GSW) to the abdomen. The patient has a temperature of 92 degrees Fahrenheit, is restless and confused, and has large amount of blood noted from the nasogastric (NG) tube as well as from the indwelling urinary catheter. Which additional assessment finding likely causes death within the first 24 hours following this injury?

Correct Answer: B

Rationale: A pH of 7.21 indicates severe acidosis, likely from hypoperfusion and shock due to massive blood loss, a leading cause of death in abdominal trauma. Tachycardia is compensatory, hyperkalemia is concerning but less immediate, and platelets are normal.

Similar Questions

The nurse is preparing to administer a unit of packed red blood cells (PRBC's) to a patient whose blood type is A- (negative). The nurse knows that this patient can receive transfusions from which blood types? (SELECT ALL THAT APPLY).
The Emergency Department (ED) nurse is assessing an 80-year-old patient who has superficial, partial thickness and deep partial thickness scald burns on bilateral anterior and posterior hands and forearms. The nurse estimates that the total body surface Tire CTBSA) burned is 27%. What should the nurse include in the emergent plan of care?
The nurse is caring for a client with a history of seizures who is prescribed phenytoin. Which laboratory value should the nurse monitor?
A patient is to receive a bolus of Heparin 20 units/kg. The patient weighs 132 lbs. The medication is supplied as 25,000 units/250 mL. How many mL will the nurse give? (round to the nearest whole number)
After sustaining a serious brain injury, the patient has recovered enough to be transferred to a rehabilitation unit for continued care. Which statement by the patient indicates that they understand realistic goal setting?

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