Questions 168

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ATI Med Surg Nursing 300 day Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client diagnosed with disseminated intravascular coagulation (DIC). When completing an assessment for decreased perfusion from clotting, the nurse would observe for which manifestation?

Correct Answer: A

Rationale: Cyanosis indicates poor oxygenation and perfusion due to clotting in DIC, affecting tissue oxygen delivery.

Question 2 of 5

The nurse is caring for a client who had a bowel resection for colon cancer. The vital signs were stable during surgery. While in the post-anesthesia care unit (PACU) the client is sleepy but awakens easily. The pulse ox is 88%. What would be the priority action by the nurse?

Correct Answer: D

Rationale: Encouraging deep breaths improves oxygen saturation and ventilation, addressing low pulse ox in a post-anesthesia state.

Question 3 of 5

The nurse is caring for a client with peripheral arterial disease. Which statement, by the client, indicates that they need additional teaching?

Correct Answer: D

Rationale: Compression stockings are generally used for venous issues, not arterial diseases like PAD, where they may reduce blood flow, indicating a need for further teaching.

Question 4 of 5

The nurse is caring for a male patient who complains about a small 'lump' that he discovered in his right testicle. What would be the best response by the nurse?

Correct Answer: A

Rationale: Asking about pain helps differentiate potential causes (e.g., testicular cancer, epididymitis), guiding further assessment of the testicular lump.

Question 5 of 5

The nurse is caring for a client diagnosed with acute myelogenous leukemia (AML) who is receiving outpatient chemotherapy. What should the nurse include in the teaching plan for this client?

Correct Answer: C,D

Rationale: C: Fever above 100.2°F indicates possible infection in immunocompromised patients. D: Raw vegetables pose infection risk. A and B are less critical or risky.

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