Questions 52

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ATI RN Test Bank

ATI n300 Med Surg Exam Questions

Extract:


Question 1 of 5

The nurse cannot auscultate bowel sounds during the assessment of a client who has had a repair of an abdominal aortic aneurysm four days ago. The client is complaining of severe abdominal pain and the abdomen is distended. What action should the nurse take at this time?

Correct Answer: D

Rationale: Absent bowel sounds, severe pain, and distension suggest bowel ischemia, requiring immediate surgical evaluation.

Question 2 of 5

The nurse cannot auscultate bowel sounds during the assessment of a client who has had a repair of an abdominal aortic aneurysm four days ago. The client is complaining of severe abdominal pain and the abdomen is distended. What action should the nurse take at this time?

Correct Answer: D

Rationale: Absent bowel sounds, severe pain, and distension suggest bowel ischemia, requiring immediate surgical evaluation.

Question 3 of 5

What is the goal of treatment for the client diagnosed with cardiogenic shock?

Correct Answer: B

Rationale: Reducing cardiac workload and improving systemic perfusion are key to managing cardiogenic shock.

Question 4 of 5

How should the nurse evaluate the client's motor ability and function?

Correct Answer: B

Rationale: Asking the client to perform tasks like squeezing a hand or lifting an arm directly assesses motor strength and coordination, key components of motor function.

Question 5 of 5

The nurse is caring for a client receiving their second unit of Packed Red Blood Cells for an initial hemoglobin. The client appears flushed and complains of itching and urticaria. After following protocol (stopping transfusion, running 0.9% normal saline) and notifying the health care provider, the nurse would prepare to administer:

Correct Answer: C

Rationale: Diphenhydramine is used to treat mild allergic transfusion reactions such as flushing, itching, and urticaria.

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