Questions 53

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ATI RN Custom Nursing 221 Exam 4 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 is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make?

Correct Answer: C

Rationale: MRI scans are noisy, and earplugs are offered to reduce discomfort.

Question 3 of 5

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?

Correct Answer: D

Rationale: Scatter rugs in the kitchen can cause falls, posing a safety risk.

Question 4 of 5

A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?

Correct Answer: C

Rationale: Holding the wrist at a 90-degree flexion (Phalen's test) is a diagnostic test for carpal tunnel syndrome.

Question 5 of 5

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Diabetes insipidus causes excessive dilute urine output, leading to dehydration.

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