Questions 69

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ATI RN Test Bank

ATI Med Surg Nurs 224g Questions

Extract:


Question 1 of 5

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

Correct Answer: D

Rationale: Individuals with right hemisphere strokes may exhibit poor impulse control, as the right hemisphere is involved in judgment and behavior regulation.

Question 2 of 5

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

Correct Answer: C

Rationale: Sudden abdominal pain, especially in the upper abdomen, can be a sign of gastrointestinal perforation, often severe and accompanied by signs of peritonitis.

Question 3 of 5

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

Correct Answer: B

Rationale: Hyperkalemia, which is a high level of potassium in the blood, is a common electrolyte imbalance seen in prerenal AKI due to decreased kidney function and the inability to excrete potassium.

Question 4 of 5

A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lbs.) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?

Correct Answer: C

Rationale: Providing a quiet, low-stimulus environment reduces stress and agitation, potential triggers for a thyroid crisis.

Question 5 of 5

A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during the assessment? (Select all that apply.)

Correct Answer: A,B,D

Rationale: Enlarged distal extremities, coarse facial features, and hepatomegaly are classic signs of acromegaly due to excessive growth hormone effects.

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