Questions 49

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ATI nur 211 Med Surg Final Assessment 2025 Questions

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Question 1 of 5

A nurse is assessing a client who has a possible abdominal aortic aneurysm (AAA). Which of the following is an early manifestation of an AAA?

Correct Answer: A

Rationale: Lower back or groin pain is an early sign of AAA due to pressure on surrounding structures.

Question 2 of 5

A nurse is monitoring a client following a thoracentesis. The nurse should identify which of the following manifestations as a complication and contact the provider immediately?

Correct Answer: A

Rationale: Tachycardia may indicate serious complications like pneumothorax or hemorrhage, requiring immediate provider notification.

Question 3 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: D

Rationale: Aspirin's antiplatelet action reduces clot formation, preventing recurrent MI.

Question 4 of 5

A nurse is caring for a client who has brain cancer and is undergoing radiation therapy. Which of the following manifestations should the nurse report immediately?

Correct Answer: C

Rationale: Seizures are a critical emergency in brain cancer patients due to tumor-related irritation or radiation-induced swelling, requiring immediate intervention.

Question 5 of 5

A nurse is providing care for a postoperative client. Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?

Correct Answer: C

Rationale: Hypotension and confusion are hallmark signs of postoperative shock, indicating inadequate circulation due to blood loss, fluid shifts, or sepsis. Hypertension, bradycardia, bradypnea, and metabolic alkalosis are not typical features of shock.

Similar Questions

A nurse is caring for a child who has a tracheostomy. After suctioning the tracheostomy, the nurse should use which of the following findings to determine that the procedure was effective?
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?
A nurse is caring for a client on the medicalsurgical unit. The client has been taking warfarin at home and her laboratory values reveal her INR is 3.5. The client states she is checking herself out of the hospital and refuses to wait until her provider can discuss the situation with her. Which of the following actions should the nurse take?

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