ATI EW N300 Med Surg Exam | Nurselytic

Questions 59

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ATI EW N300 Med Surg Exam Questions

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Question 1 of 5

A nurse is caring for a client with dysphagia associated with a left-sided stroke and right-sided weakness. Which of the following strategies are appropriate to reduce the risk of aspiration?

Correct Answer: A

Rationale: Chin tuck improves epiglottic closure, reducing aspiration risk in dysphagia.

Question 2 of 5

The nurse is caring for a patient with an acute brain injury. Which of the following sets of vital signs would concern the nurse about increasing intracranial pressure (ICP)?

Correct Answer: A

Rationale: High systolic BP, bradycardia, and low respiratory rate suggest Cushing's triad, indicative of increased ICP.

Question 3 of 5

A nurse is caring for a patient with a spinal cord injury who is about to be transferred to a wheelchair for physical therapy. The patient complains of feeling dizzy and is diaphoretic. What would be the priority nursing action?

Correct Answer: C

Rationale: Lowering the head of the bed counters orthostatic hypotension, common in spinal cord injury patients, and vital signs guide further interventions.

Question 4 of 5

The nurse isa caring for a patient diagnosed with a brain injury to the cerebellum. Which nursing intervention is priority?

Correct Answer: A

Rationale: Cerebellar injury affects balance and coordination; ensuring bed alarm use prioritizes safety for patients at high fall risk due to impaired motor control.

Question 5 of 5

Which behaviors by the patient diagnosed with a chronic head injury would the nurse expect to find?

Correct Answer: C

Rationale: Chronic head injuries impair executive functions, causing difficulty in planning and organizing.

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A 64-year-old client is prescribed bifocals to correct myopia and presbyopia. To evaluate the effectiveness of the lenses, the nurse will assess the client for:
A nurse is calculating the intake of a client during the past 9 hours. The client's intake includes: Lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL, two IV bolus infusions of 250 mL of 0.9% sodium chloride, ranitidine 50 mg IV intermittent bolus in 50 mL of dextrose 5% in water. How many mL of intake should the nurse record?
A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss. Which point is appropriate for the nurse to teach?

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