Questions 168

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ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

A client presents to the Emergency Department (ED) complaining of a 'racing' heart and nervousness. The client also admits to a history of cocaine abuse. The cardiac monitor displays the rhythm below. Which nursing intervention should the nurse perform?

Correct Answer: D

Rationale: Initial assessment of vital signs and stability is critical before interventions, especially with cocaine-related tachycardia.

Question 2 of 5

The nurse is admitting a client who reports symptoms of dyspnea. The nurse notes edema of the upper arms, face, and neck. What is the nurse's priority assessment?

Correct Answer: C

Rationale: Blood pressure and heart rate are critical to assess in dyspnea and edema, as they may indicate respiratory distress or cardiac issues requiring immediate intervention.

Question 3 of 5

The nurse is giving discharge instructions to a client newly diagnosed with lung cancer. The nurse understands the client requires additional discharge teaching when the client states:

Correct Answer: C

Rationale: Allowing smoking in the house exposes the client to secondhand smoke, which can worsen lung cancer and hinder recovery.

Question 4 of 5

A nurse is assessing a client diagnosed with renal cancer. The client is complaining of flank pain. Which additional assessment finding should the nurse expect?

Correct Answer: A

Rationale: Renal cancer often presents with a flank mass and hematuria due to tumor growth and bleeding.

Question 5 of 5

The rehabilitation nurse determines that the client who has had a hemorrhagic stroke is successfully adapting to functional changes if they:

Correct Answer: A

Rationale: Using adaptive equipment indicates successful adaptation by promoting independence despite stroke-related limitations.

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