Questions 61

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ATI Med Surg Final Exam I Questions

Extract:

Vital Signs
Physical Examination Results
1515:
Temperature: 38.1°C (100.6°F)
Blood pressure: 88/54 mmHg
Heart rate: 122/min
Respiratory rate: 22/min
Oxygen saturation: 94% on room air


Question 1 of 5

The client is at risk for developing [condition] due to dehydration and hypovolemia. This risk may result in [symptom].

Correct Answer: D,A

Rationale: Hyponatremia is likely due to fluid loss from dehydration, potentially causing confusion from cerebral edema.

Extract:


Question 2 of 5

A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale. The nurse should monitor the patient for which expected finding if heart failure is present?

Correct Answer: B

Rationale: Peripheral edema is a common sign of heart failure in cor pulmonale due to venous pressure buildup.

Extract:

Vital Signs
Physical Examination Results
1515:
Temperature: 38.1°C (100.6°F)
Blood pressure: 88/54 mmHg
Heart rate: 122/min
Respiratory rate: 22/min
Oxygen saturation: 94% on room air


Question 3 of 5

The client is at risk for developing [condition] due to dehydration and hypovolemia. This risk may result in [symptom].

Correct Answer: D,A

Rationale: Hyponatremia is likely due to fluid loss from dehydration, potentially causing confusion from cerebral edema.

Extract:


Question 4 of 5

A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's highest priority?

Correct Answer: D

Rationale: Increasing IV fluid rate is the priority to stabilize hypotension and restore blood volume in acute blood loss.

Question 5 of 5

A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis. Which symptom should the nurse expect the client to report during the assessment?

Correct Answer: B

Rationale: Dysuria, or painful urination, is a hallmark symptom of acute cystitis due to bladder and urethral inflammation.

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