Questions 71

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ATI Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)

Correct Answer: A,C,E

Rationale: Nausea, diaphoresis, and tachycardia are common manifestations of MI due to autonomic and sympathetic nervous system activation.

Question 2 of 5

A nurse is collecting data from a client who has an acute myocardial infarction (MI). Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.)

Correct Answer: A,C,E

Rationale: Nausea, diaphoresis, and tachycardia are common manifestations of MI due to autonomic and sympathetic nervous system activation.

Question 3 of 5

A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?

Correct Answer: A

Rationale: The postictal phase involves drowsiness or sleepiness following a seizure.

Question 4 of 5

A nurse is caring for a client who is 4 hr postoperative following a transurethral resection of the prostate (TURP). Which of the following is the priority finding for the nurse to report to the provider?

Correct Answer: D

Rationale: Thick, red-colored urine suggests possible bleeding, a serious complication post-TURP that requires immediate reporting.

Question 5 of 5

A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?

Correct Answer: B

Rationale: Pursed-lip breathing maintains positive airway pressure, improving gas exchange in emphysema.

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