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ATI Med Surg Exam 3 Questions

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Question 1 of 5

A nurse is caring for a client who complains that he feels as though his ear is blocked and tells the nurse that he has a history of cerumen impaction in the external ear. The nurse, inspecting the ears for cerumen impaction, checks for which finding?

Correct Answer: B

Rationale: Yellowish or brownish waxy material indicates cerumen impaction. Edema suggests otitis externa. Redness of the tympanic membrane suggests otitis media. A longer canal is a normal variation.

Question 2 of 5

A nurse is reinforcing teaching with a client who has cholecystitis about required dietary modifications. Which of the following food choices should the nurse inform the client to include in his diet?

Correct Answer: D

Rationale: Roast turkey, low in fat and high in protein, is suitable for cholecystitis to prevent gallbladder attacks. Ice cream, blueberry muffins, and macaroni and cheese are high in fat and may trigger symptoms.

Question 3 of 5

A nurse is contributing to a teaching plan about the prevention of hepatitis A. The nurse should include which of the following activities can spread hepatitis A?

Correct Answer: C

Rationale: Eating uncooked foods can spread hepatitis A via fecal-contaminated food or water. Sharing razors or tattoos may transmit hepatitis B or C. Unprotected sexual activity is less common for hepatitis A transmission.

Question 4 of 5

The nurse is teaching a group of student nurses on the care of a client with Parkinson's disease. Which statement, if made by a student, indicates understanding of the topic?

Correct Answer: D

Rationale: Parkinson's is caused by dopamine depletion and acetylcholine excess, affecting movement control. Low acetylcholine suggests myasthenia gravis. Myelin sheath deterioration suggests multiple sclerosis. Excess dopamine is incorrect.

Question 5 of 5

A nurse is reinforcing teaching about TNM staging with a client who has cancer. Which of the following information should the nurse include in the teaching?

Correct Answer: D

Rationale: M1 indicates tumor metastasis to a single site, meaning cancer has spread to another organ or distant lymph node. N0 indicates no lymph node involvement. TIS means tumor in situ, not resolved. T4 indicates the largest tumor size.

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A nurse enters the room of a client with type 1 diabetes mellitus and finds the client difficult to arouse. The client's skin is warm and flushed and the pulse and respiratory rate are increased from the client's baseline. The nurse would first take which action?
A client has an arteriovenous fistula in place for hemodialysis. What should the nurse do to assess the patency of the fistula?
A nurse is caring for a client who complains that he feels as though his ear is blocked and tells the nurse that he has a history of cerumen impaction in the external ear. The nurse, inspecting the ears for cerumen impaction, checks for which finding?

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