Questions 35

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ATI nur330 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: A

Rationale: An AAA is defined as a dilation of the aorta exceeding 30 mm. It results from weakened, not thickened, walls, occurs below the renal arteries, and high blood pressure increases rupture risk.

Question 2 of 5

A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?

Correct Answer: A

Rationale: Oxygen therapy optimizes oxygen delivery to ischemic myocardial tissue, critical in the acute phase of MI. IV insertion, ECG, and blood samples are secondary.

Question 3 of 5

A patient with a TBI is experiencing increased Intracranial pressure. What position should the nurse place the patient?

Correct Answer: A

Rationale: Elevating the head to 30 degrees with neck midline facilitates venous drainage, reducing ICP. Other positions increase ICP by obstructing venous outflow or increasing cerebral blood flow.

Question 4 of 5

A nurse is caring for a client who has had a traumatic fall. Which of the following interventions should the nurse implement first?

Correct Answer: A

Rationale: A non-contrast CT scan is critical to assess for internal injuries like brain hemorrhage after a traumatic fall. History, catheter insertion, and pain management are secondary.

Question 5 of 5

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take.

Correct Answer: C,D,E,B,A

Rationale: The ABCDE framework prioritizes airway (jaw-thrust), breathing (ventilatory assessment), circulation (IV access), disability (Glasgow Coma Scale), and exposure (remove clothing).

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