Questions 115

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ATI Nur 175 Med Surg Exam Questions

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Question 1 of 5

A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Assessing the lethality of the plan helps determine the immediate risk and guides intervention.

Question 2 of 5

A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which of the following neurotransmitters should the nurse identify as being responsible for the client's manifestations?

Correct Answer: B

Rationale: Serotonin regulates sleep and cognitive function; low levels cause these symptoms.

Question 3 of 5

Which of the following is not a common side effect of antidepressant medications?

Correct Answer: D

Rationale: Rashes are not routine side effects of antidepressants.

Question 4 of 5

The nurse is assessing a client with a diagnosis of acute emphysema. The client is receiving oxygen at a flow rate of 5 L/min by nasal cannula. Which assessment findings should be reported to the provider immediately?

Correct Answer: B

Rationale: This posture, known as the tripod position, is common among clients with emphysema as it helps them breathe more easily by using accessory muscles. While it indicates respiratory distress, it is not immediately life-threatening. A respiratory rate of 8 breaths/min is significantly below the normal range (12-20 breaths/min) and indicates hypoventilation, which can lead to life-threatening conditions such as hypercapnia (elevated carbon dioxide levels in the blood). This finding needs immediate attention from the provider. A barrel chest is a common physical finding in clients with chronic emphysema. It develops over time due to hyperinflation of the lungs but is not an urgent finding that needs immediate reporting. Fine bibasilar crackles can indicate fluid accumulation in the lungs or other lung pathology, but this finding alone does not necessarily require immediate intervention unless accompanied by other critical symptoms.

Question 5 of 5

A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?

Correct Answer: C

Rationale: Job loss is a significant stressor that increases suicide risk.

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