Questions 87

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ATI RN Adult Medical Surgical 2023 Questions

Extract:

History and Physical
1000:

Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.

History:

Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.


Question 1 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Select the findings below that would indicate that the client has a potential problem

Options Anticipated Nonessential Contraindicated
Client reports tightness in chest that radiates to left arm.
States pain as 7 on a scale of 0 to 10.
Started to feel nauseous after breakfast.
Client is diaphoretic and short of breath.
Heart rate is irregular and tachycardic.
Lungs clear to auscultation in all lobes.
Skin is cool to touch.

Correct Answer: A,B,C,D,E,G

Rationale: These findings suggest an acute cardiac event requiring immediate attention.

Extract:


Question 2 of 5

A nurse is caring for a client who is 3 hr postoperative. Which of the following findings should the nurse understand is a manifestation of bleeding?

Correct Answer: D

Rationale: Tachycardia is a compensatory response to bleeding and hypovolemia.

Question 3 of 5

A nurse is admitting a client who has neutropenia. Which of the following precautions should the nurse take?

Correct Answer: A

Rationale: Frequent vital sign monitoring helps detect early signs of infection in neutropenic clients.

Question 4 of 5

A nurse is planning care for a client who has a new diagnosis of acute pancreatitis. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: D

Rationale: Maintaining NPO status rests the pancreas and reduces stimulation in acute pancreatitis.

Question 5 of 5

A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?

Correct Answer: D

Rationale: Dyspnea indicates decreased cardiac output due to pulmonary congestion in left-sided heart failure.

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