Questions 78

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ATI Adult Med Surg Nurs 4292 Exam Questions

Extract:


Question 1 of 5

A client is being admitted to the emergency department with a possible dissecting abdominal aortic aneurysm. Which of the following clinical manifestations are not signs and symptoms of hypovolemic shock?

Correct Answer: C

Rationale: Hypertension is not typical in hypovolemic shock (hypotension is expected).

Question 2 of 5

A client who has a recent closed head injury reports a severe headache and is restless. Which of the following is an appropriate nursing intervention?

Correct Answer: B

Rationale: Elevating the HOB decreases intracranial pressure which may be causing the headache.

Question 3 of 5

A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of an acute kidney injury (AKI). Which of the following findings indicate an increased risk of acute kidney injury (AKI)?

Correct Answer: D

Rationale: Elevated creatinine indicates renal impairment and increased AKI risk post-MI.

Question 4 of 5

A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over a 24-hour period using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 35

Rationale: Calculation: 840 mL ÷ 24 hours = 35 mL/hr

Question 5 of 5

A nurse is reviewing the laboratory values of a client who had a myocardial infarction 3 hours ago. The nurse should expect which of the following laboratory values to be elevated?

Correct Answer: A

Rationale: Troponin rises within 3-12 hours post-MI and is the most specific marker for myocardial injury.

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