Questions 78

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ATI Adult Med Surg Nurs 4292 Exam Questions

Extract:


Question 1 of 5

A nurse in the emergency department is caring for a client who took three nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now is experiencing a headache. Which of the following statements should the nurse make?

Correct Answer: B

Rationale: Headaches are a common side effect of nitroglycerin due to its vasodilating effects on cerebral arteries.

Question 2 of 5

A client is admitted to the medical unit with acute pancreatitis. While planning care for this client, the nurse will include which of the following interventions? (Select all that apply).

Correct Answer: A,B,C,D,F

Rationale: These interventions address pain management, pancreatic rest, glucose control, and hydration in acute pancreatitis.

Question 3 of 5

A client is receiving continuous enteral nutrition through a nasogastric small-bore silicone feeding tube. What should the nurse plan for when this client has a computed tomography (CT) scan ordered?

Correct Answer: C

Rationale: Stopping feeding 30-60 minutes before the scan reduces aspiration risk and prevents stomach contents from interfering with imaging.

Question 4 of 5

A nurse is teaching the partner of a client who had an acute myocardial infarction (MI) about the reason blood was drawn from the client. Which of the following statements should the nurse make regarding cardiac enzyme studies?

Correct Answer: D

Rationale: Cardiac enzymes (like troponin) indicate myocardial cell death and help quantify infarct size.

Question 5 of 5

The nurse is caring for a client with cirrhosis and portal hypertension. Which statement by the client is cause for the greatest concern?

Correct Answer: B

Rationale: This indicates new or worsening ascites, a serious complication of portal hypertension requiring evaluation.

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