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ATI Med Surg Final Exam Nsg 232 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is taking furosemide (Lasix) daily to treat heart failure. The nurse recognizes that the client is at risk for which electrolyte imbalance?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, promotes potassium excretion, leading to hypokalemia.

Question 2 of 5

A nurse is assessing a client with a chest tube and observes the water level in the water seal bubbling as the client breathes. How should the nurse best respond to this assessment finding?

Correct Answer: D

Rationale: Bubbling in the water seal during breathing indicates normal air movement in the pleural space.

Question 3 of 5

A home care visiting nurse suspects that an older adult client is developing chronic renal disease. Since the client has no history of cardiovascular disease, what data should the nurse assess further?

Correct Answer: C

Rationale: Progressive edema is a specific indicator of declining kidney function due to fluid retention.

Question 4 of 5

Identify the following Cardiac Rhythm:

Correct Answer: C

Rationale: Ventricular tachycardia is characterized by wide, abnormal QRS complexes with a fast rate (150-250 bpm), often with no visible P waves, matching the description provided.

Extract:

Nurses' Notes
1500:
Client presents to the ED and reports dyspnea, chest pain, and tachycardia. Client returned home from a vacation out of the country 24 hr ago.
1515:
The client has become diaphoretic, increasingly dyspneic, and states that their chest pain is sharp and increasing. The client states. "I feel like I'm going to die." Crackles auscultated in bilateral lower lobes, s3 and S4 heart sounds noted. Petechiae noted on the client's chest. Pulmonary embolism protocol initiated.
Vital signs
1500
T 38.1 (100.6 F),
HR 110/min, RR 24/min.
BP 138/52 (02)92% at 2L nasal canula 1515:
T 100.6 F,
HR 135/min, RR 32/min,
BP 120/50 mmHg,
02 90% at 4L nasal canula


Question 5 of 5

A nurse is caring for a client in the emergency department (ED). The nurse should first followed by

Correct Answer: A, E

Rationale: High Fowler's position improves breathing, and IV access prepares for medication administration in suspected pulmonary embolism.

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