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ATI Med Surg Woolery Final Exam Questions

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Question 1 of 5

A client is in the oliguric phase of acute kidney injury (AKI) which was caused by massive tissue trauma. The nurse notes peaked T-waves and a widened QRS complex on the cardiac monitor. What is the first action the nurse should take?

Correct Answer: A

Rationale: Peaked T-waves and widened QRS complex suggest hyperkalemia, which should be confirmed by checking potassium levels.

Question 2 of 5

Which of the following clients is at risk for sensorineural hearing loss?

Correct Answer: C

Rationale: Prolonged noise exposure can damage the cochlea or auditory nerve, causing sensorineural hearing loss.

Question 3 of 5

The patient is admitted with upper GI bleeding following an episode of forceful vomiting due to excessive alcohol intake. The nurse suspects a Mallory-Weiss tear. Which of the following is true of a Mallory-Weiss tear?

Correct Answer: D

Rationale: A Mallory-Weiss tear is a laceration in the mucosal lining at the gastroesophageal junction, typically caused by severe vomiting or retching.

Question 4 of 5

Which information will the nurse include when teaching a patient who is scheduled for a radiofrequency catheter ablation for treatment of atrial flutter?

Correct Answer: A

Rationale: Radiofrequency catheter ablation uses electrical energy to ablate areas causing abnormal electrical signals.

Question 5 of 5

A client with type 1 diabetes mellitus is admitted to the hospital with diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect?

Correct Answer: D

Rationale: Positive urine ketones are expected in DKA due to fat breakdown and ketone production.

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