Questions 78

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ATI Advanced Med Surg Final Exam 0924 Questions

Extract:


Question 1 of 5

A nurse is reviewing the laboratory findings for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following findings should the nurse expect to be decreased?

Correct Answer: D

Rationale: Platelets are expected to be decreased in ITP, which is characterized by an immune-mediated destruction of platelets.

Question 2 of 5

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Using log rolling to reposition the client helps to maintain spinal alignment and prevent increases in ICP.

Question 3 of 5

A nurse is preparing a client who is scheduled to undergo a paracentesis. Into which of the following positions should the nurse assist the client for this procedure?

Correct Answer: C

Rationale: High-Fowler's position helps pool the ascitic fluid in the lower abdomen, making it easier to access and drain during the procedure.

Question 4 of 5

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: A,E

Rationale: Placing a pillow under the client's head prevents head injury during a seizure. Loosening restrictive clothing helps prevent injury and allows for easier breathing.

Question 5 of 5

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

Correct Answer: C

Rationale: Instructing the client to wiggle his toes assesses motor function and circulation to the distal extremities, which are crucial for neurovascular status.

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