Questions 61

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ATI Nur 221 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?

Correct Answer: B

Rationale: Heparin prevents clot growth in pulmonary embolism, stabilizing it. Dexamethasone reduces inflammation, atropine treats bradycardia, and furosemide manages fluid, not clots.

Question 2 of 5

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, I don't need this medication. I am not constipated. The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?

Correct Answer: B

Rationale: Lactulose traps ammonia in the gut, reducing toxic levels causing hepatic encephalopathy in cirrhosis. It doesn't lower glucose , potassium , or bicarbonate .

Question 3 of 5

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

Correct Answer: A

Rationale: Hypothyroidism slows metabolism, causing weight gain from fat accumulation and fluid retention. Diaphoresis , exophthalmos , and palpitations are hyperthyroid symptoms, not hypothyroidism.

Question 4 of 5

The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?

Correct Answer: D

Rationale: Tachycardia, restlessness, and pallor indicate early blood loss from varices. Epigastric fullness is vague, yellow sclera reflects liver issues, and bradycardia/lethargy are late signs.

Question 5 of 5

Which of the following hormones is secreted by the thyroid gland?

Correct Answer: D

Rationale: Calcitonin, from thyroid, lowers calcium. Renin is from kidneys, BNP from heart, and erythropoietin from kidneys, not thyroid.

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