Questions 81

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ATI n120 Med Surg Exam Questions

Extract:


Question 1 of 5

During the acute phase of a stroke, the nurse assesses the patient's vital signs and neurologic status at least every cardiovascular sign that the nurse would see as the body attempts to increase cerebral blood flow?

Correct Answer: B

Rationale: Hypertension is a compensatory response to increase cerebral perfusion during a stroke, unlike dysrhythmias, heart sounds, or fluid overload.

Question 2 of 5

The nurse in a clinic reviewing laboratory results for a patient suspected of having undiagnosed diabetes mellitus. Which of the following results would be diagnostic for diabetes

Correct Answer: B

Rationale: An HbA1C of 7.2% is diagnostic for diabetes per ADA criteria, reflecting elevated blood glucose over time, unlike the other normal or prediabetes results.

Question 3 of 5

The nurse cares for a client who is a pale and reports frequent fatigue, weakness and dizziness. Which serum laboratory test result is the nurse's priority for planning care?

Correct Answer: C

Rationale: A hemoglobin of 9 g/dl indicates anemia, likely causing the symptoms, requiring priority intervention to address oxygenation, unlike the other normal results.

Question 4 of 5

A client is tested for human immunodeficiency virus (HIV) infection with an enzyme- linked immunosorbent assay (ELISA), and the test result & positive. What would the nurse tell the client?

Correct Answer: D

Rationale: A positive ELISA requires confirmation with a Western blot test to rule out false positives, ensuring accurate HIV diagnosis.

Question 5 of 5

The nurse is preparing to administer a shot of vitamin B12 to a client with low hemoglobin. The nurse knows that this medication is most indicative of which type of anemia?

Correct Answer: A

Rationale: Vitamin B12 injections treat pernicious anemia due to B12 deficiency from lack of intrinsic factor, unlike other anemias treated differently.

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