Questions 71

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ATI Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?

Correct Answer: A

Rationale: Performing BSE a few days after menstruation reduces hormonal influences on breast tissue.

Question 2 of 5

A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?

Correct Answer: B

Rationale: Body weight changes directly reflect fluid losses during hemodialysis.

Question 3 of 5

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

Correct Answer: B

Rationale: Absence of bowel sounds, abdominal distention, and no passage of flatus are characteristic signs of paralytic ileus, which is a temporary impairment of bowel motility following surgery.

Question 4 of 5

A nurse is caring for a client who has dysphagia following a stroke. Which of the following is the priority action for the nurse to take when feeding the client?

Correct Answer: D

Rationale: The upright position prevents aspiration, a critical concern in dysphagia.

Question 5 of 5

A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?

Correct Answer: B

Rationale: Heart failure is characterized by dyspnea, fatigue, tachycardia, and edema due to fluid retention and reduced cardiac output.

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