Questions 52

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ATI RN Custom Nursing 221 Exam 3 Questions

Extract:


Question 1 of 5

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?

Correct Answer: A

Rationale: Sudden headache, vomiting, and high blood pressure suggest hemorrhagic stroke.

Question 2 of 5

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

Correct Answer: B

Rationale: Right hemisphere strokes often cause aphasia.

Question 3 of 5

A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?

Correct Answer: A

Rationale: Increasing fluid intake replaces cerebrospinal fluid, alleviating headache.

Question 4 of 5

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Correct Answer: A

Rationale: Aspirin's antiplatelet action prevents clot formation in MI patients.

Question 5 of 5

A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions?

Correct Answer: C

Rationale: Candidiasis is common in AIDS due to a weakened immune system.

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