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ATI Med Surg Nursing 300 Final Exam Questions

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Question 1 of 5

The nurse is evaluating the outcomes for a client diagnosed with disseminated intravascular coagulation (DIC). Which laboratory value reflects a positive outcome?

Correct Answer: D

Rationale: A decreased D-dimer level indicates reduced fibrinolysis and resolution of DIC, a positive outcome. Prolonged PT and decreased platelets are signs of ongoing DIC, and fibrinogen is typically low, not elevated.

Question 2 of 5

The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?

Correct Answer: B

Rationale: Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.

Question 3 of 5

The nurse knows which of the following types of angina is most closely related with an impending myocardial infarction (MI)?

Correct Answer: A

Rationale: Unstable angina, with unpredictable or worsening chest pain, often precedes MI due to partial coronary occlusion.

Question 4 of 5

The nurse is caring for a client with infectious endocarditis. Which information obtained from the health history could have contributed to the development of the disease progress?

Correct Answer: C

Rationale: Intravenous substance use is a major risk factor for infectious endocarditis due to the introduction of bacteria into the bloodstream via non-sterile needles, leading to valve infection.

Question 5 of 5

The nurse is caring for a client with a history of seizures who is prescribed phenytoin. Which laboratory value should the nurse monitor?

Correct Answer: B

Rationale: Phenytoin can cause hepatotoxicity, so monitoring liver function tests is essential to detect potential liver damage.

Similar Questions

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The nurse is caring for patient with severe, major burns who is receiving fluid resuscitation per protocol. Which of the following assessments indicate positive outcome?
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