Questions 78

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ATI RN Test Bank

ATI Adult Med Surg Nurs 4292 Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who reports a new onset of severe chest pain. Which of the following actions should the nurse take to determine if the client is experiencing a myocardial infarction?

Correct Answer: A

Rationale: ECG is the primary diagnostic tool for MI, showing characteristic ST changes.

Question 2 of 5

The healthcare provider prescribes lactulose for a patient with hepatic encephalopathy. What will the nurse assess to determine the effectiveness of this medication?

Correct Answer: A

Rationale: Lactulose works by reducing blood ammonia levels, which is its primary mechanism in treating hepatic encephalopathy.

Question 3 of 5

A client in the emergency department has suspected stomach perforation due to a peptic ulcer. The nurse is completing the assessment and should expect which of the following findings? (Select all that apply).

Correct Answer: A,B,C

Rationale: These are classic signs of perforation and peritonitis: tachycardia from pain/stress, rebound tenderness and rigidity from peritoneal irritation.

Question 4 of 5

A client is receiving continuous enteral nutrition through a nasogastric small-bore silicone feeding tube. What should the nurse plan for when this client has a computed tomography (CT) scan ordered?

Correct Answer: C

Rationale: Stopping feeding 30-60 minutes before the scan reduces aspiration risk and prevents stomach contents from interfering with imaging.

Question 5 of 5

A client arrives at the emergency room with symptoms of peptic ulcer disease. Which of these symptoms should the nurse identify as the priority?

Correct Answer: A

Rationale: Hematemesis indicates active bleeding and is the most urgent concern.

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