Questions 57

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ATI Med Surg Nursing 200 Exam Questions

Extract:


Question 1 of 5

The nurse is reviewing the laboratory test results of a client with long-standing hypertension. Which result would be of most concern to the nurse?

Correct Answer: A

Rationale: Elevated creatinine (3.2 mg/dL) indicates significant kidney damage, a serious complication of hypertension, requiring urgent attention.

Question 2 of 5

When developing a plan of care for the client diagnosed with iron-deficiency anemia, the nurse would encourage intake of which foods?

Correct Answer: D

Rationale: Spinach is rich in iron, aiding hemoglobin production in iron-deficiency anemia, unlike the other options.

Question 3 of 5

The nurse is assisting a client diagnosed with hypertension with menu selection. Which items should the nurse suggest?

Correct Answer: D

Rationale: Baked tuna, broccoli, brown rice, and cantaloupe are low-sodium, low-fat, and nutrient-rich, ideal for hypertension management.

Question 4 of 5

A client has little use of the left side due to a stroke. To assist with ambulation for the first time, the nurse should walk:

Correct Answer: B

Rationale: Walking along the affected left side provides support for balance and foot clearance, aiding safe ambulation post-stroke.

Question 5 of 5

The nurse auscultates a systolic murmur in the second intercostal space to the right of the sternum while performing a cardiac assessment on a client. The nurse interprets this finding as:

Correct Answer: D

Rationale: A systolic murmur in this location suggests aortic valve issues, indicating valve distortion, not occlusion, aneurysm, or pericardial fluid changes.

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