Questions 70

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ATI Med Surg Nursing 300 Final Exam Questions

Extract:


Question 1 of 5

To properly identify a cardiac rhythm, the nurse will obtain the following factors. (SELECT ALL THAT APPLY)

Correct Answer: A,D,E

Rationale: QRS after P waves, P wave presence, and equal P-P/R-R intervals confirm normal conduction and rhythm regularity. A 3-second strip is inaccurate, and U waves are secondary.

Question 2 of 5

The nurse is preparing to administer a unit of packed red blood cells (PRBC's) to a patient whose blood type is A- (negative). The nurse knows that this patient can receive transfusions from which blood types? (SELECT ALL THAT APPLY).

Correct Answer: A,D

Rationale: A- patients can receive O- (universal donor) and A- blood, as both lack B and Rh antigens, preventing immune reactions.

Question 3 of 5

A patient presents to the Emergency Department (ED) reporting right facial weakness. The nurse understands that a patient suffering from Bell's Palsy will exhibit which assessment findings related to the cranial nerve involvement?

Correct Answer: C

Rationale: Bell's Palsy causes unilateral facial weakness, including the forehead, due to facial nerve (CN VII) dysfunction, distinguishing it from stroke.

Question 4 of 5

The client diagnosed with Parkinson's Disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain this assessment data?

Correct Answer: D

Rationale: Difficulty swallowing (dysphagia) in PD increases aspiration risk, leading to pneumonia with fever and lung infiltrates. Other PD symptoms like mask-like face, bradykinesia, or tremors do not directly cause pneumonia.

Question 5 of 5

The nurse is caring for a client who has a new prescription for warfarin. Which statement by the client indicates the need for further teaching?

Correct Answer: C

Rationale: A hard-bristled toothbrush increases bleeding risk in clients on warfarin, indicating a need for further teaching to use a soft-bristled brush.

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