Questions 28

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ATI Rn 46 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?

Correct Answer: D

Rationale: An AAA is a dilation of the aorta greater than 30 mm. Most occur infrarenally, rupture risk increases with high blood pressure, and the wall is weakened, not thickened.

Question 2 of 5

A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?

Correct Answer: D

Rationale: An AAA is a dilation of the aorta greater than 30 mm. Most occur infrarenally, rupture risk increases with high blood pressure, and the wall is weakened, not thickened.

Question 3 of 5

A client in sinus bradycardia, with a heart rate of 45 beats per minute and blood pressure of 82/60 mm Hg, reports dizziness. Which intervention should the nurse anticipate will be prescribed?

Correct Answer: D

Rationale: Transcutaneous pacing is appropriate for symptomatic bradycardia with low heart rate and blood pressure. Digoxin may worsen bradycardia. Monitoring alone is insufficient. Defibrillation is for ventricular arrhythmias.

Question 4 of 5

Which of the following are risk factors for abdominal aortic aneurysm (AAA)? (Select all that apply.)

Correct Answer: A,B

Rationale: Smoking and family history increase AAA risk by weakening arterial walls and genetic predisposition. High HDL and normal total cholesterol are protective. Diabetes is not a direct risk factor.

Question 5 of 5

The nurse obtains a health history from an older adult with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse helps identify a risk factor for IE?

Correct Answer: D

Rationale: Recent dental work is a known risk factor for IE due to potential bacteremia. Immunizations, family history, and heart attack history are less directly related.

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