Questions 35

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ATI RN Test Bank

ATI nur330 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?

Correct Answer: D

Rationale: Clients with Parkinson's disease require supervision due to increased fall and aspiration risks. Continuous television can cause overstimulation, loud speech is unnecessary, and physical activity should be encouraged to maintain mobility.

Question 2 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).

Question 3 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 4 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 5 of 5

A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?

Correct Answer: D

Rationale: Tension pneumothorax causes respiratory distress, absent breath sounds, and tracheal deviation away from the affected side due to air accumulation in the pleural space. Flail chest, contusion, and fractured rib do not cause tracheal deviation.

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