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ATI Nur201 FA2 Med Surg 2 Exam Questions

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Question 1 of 5

A nurse is caring for a client who is found unresponsive and pulseless in their room. An ECG confirms the client is in pulseless ventricular tachycardia (VT). The nurse should anticipate the need for taking which of the following actions?

Correct Answer: A

Rationale: Defibrillation is the appropriate intervention for pulseless ventricular tachycardia to restore a normal rhythm.

Question 2 of 5

In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?

Correct Answer: C

Rationale: Severe eye pain is a significant manifestation of increased intraocular pressure, such as in acute angle-closure glaucoma, requiring immediate assessment.

Question 3 of 5

A nurse is caring for an older adult client whose wife passed away a month ago with cardiac issues and is currently being treated for similar cardiac issues. He is tearful and states, 'How could you possibly understand what I am going through?' Which of the following is an appropriate response by the nurse?

Correct Answer: A

Rationale: This response acknowledges the client's feelings and validates their experience, encouraging further expression of emotions in an empathetic manner.

Question 4 of 5

A client diagnosed with acute kidney injury has an elevated blood urea nitrogen (BUN) and is experiencing difficulty remembering information. Which interventions should the nurse implement when communicating with this client? (Select all that apply)

Correct Answer: A,B,C

Rationale: Using non-technical language, giving simple instructions, and including the family in care discussions help ensure the client understands and retains information, especially with cognitive difficulties due to elevated BUN.

Question 5 of 5

During an emergency code situation, a primary healthcare provider about to defibrillate a client diagnosed with ventricular fibrillation says in a loud voice, 'CLEAR!' Which action should the nurse implement immediately?

Correct Answer: B

Rationale:
Stepping away from the bed and ensuring others have done the same prevents accidental electrical shock during defibrillation.

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The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?
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