Questions 35

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ATI RN Test Bank

ATI nur330 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take?

Correct Answer: A,C,D

Rationale: Side-lying position prevents aspiration, removing objects reduces injury risk, and assessing airway patency prevents hypoxia.
Tongue depressors and restraints are contraindicated.

Question 2 of 5

A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?

Correct Answer: D

Rationale: Clients with Parkinson's disease require supervision due to increased fall and aspiration risks. Continuous television can cause overstimulation, loud speech is unnecessary, and physical activity should be encouraged to maintain mobility.

Question 3 of 5

A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?

Correct Answer: C

Rationale: Troponin is a heart muscle protein released into the bloodstream during myocardial injury, making it a specific marker for myocardial infarction. It is not a lipid, enzyme, or oxygen transporter.

Question 4 of 5

A nurse is caring for a client who had a traumatic brain injury (TBI). Which of the following manifestations indicate a mild TBI?

Correct Answer: C

Rationale: Mild TBI is commonly associated with headache and confusion due to transient brain injury. Aggression, loss of vision, depression, seizures, and weakness indicate moderate to severe TBI.

Question 5 of 5

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

Correct Answer: B

Rationale: DKA causes severe dehydration, and 0.9% sodium chloride IV bolus is the first priority to restore intravascular volume. Oral hypoglycemics, glucocorticoids, and dextrose are not initial treatments.

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