Questions 61

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ATI Nur 221 Med Surg Final Exam Questions

Extract:


Question 1 of 5

The nurse is caring for the following clients. Which client should the nurse assess first?

Correct Answer: D

Rationale: Coughing with esophageal varices risks rupture and bleeding, a life-threatening emergency. Creatinine elevation , pain , and itching/drowsiness are less urgent.

Question 2 of 5

The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?

Correct Answer: D

Rationale: Tachycardia, restlessness, and pallor indicate early blood loss from varices. Epigastric fullness is vague, yellow sclera reflects liver issues, and bradycardia/lethargy are late signs.

Question 3 of 5

A client is admitted to the hospital with the diagnosis of a right-sided brain attack (CVA). The client is right-handed. Which task will be most difficult for this client?

Correct Answer: B

Rationale: Writing, a fine motor skill, relies on the right hand, disrupted by right-sided CVA's left-sided impairment. Dressing , combing , and eating are less precise.

Question 4 of 5

The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

Correct Answer: B

Rationale: Bowel sounds and flatus indicate gut recovery, allowing oral intake post-pancreatitis. Pain/amylase , hunger , and activity are less reliable.

Question 5 of 5

The nurse is receiving hand-off report. Which of the following clients would the nurse assess first?

Correct Answer: C

Rationale: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening priority. Low NG drainage , respiratory distress in ascites , and low BP in varices are less immediately critical.

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