Questions 168

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ATI Med Surg Nursing 300 Day Exam Questions

Extract:


Question 1 of 5

What genetic abnormality would a nurse expect in a client diagnosed with Chronic Myelogenous Leukemia (CML)?

Correct Answer: D

Rationale: The Philadelphia chromosome, a translocation between chromosomes 9 and 22 forming the BCR-ABL fusion gene, is the hallmark genetic abnormality in CML.

Question 2 of 5

The nurse is caring for a client who is to have an autologous transfusion of packed red blood cells. The nurse recognizes the client requires additional teaching when they state:

Correct Answer: C

Rationale: Autologous transfusion eliminates the risk of hepatitis, as the blood is the patient's own.

Question 3 of 5

A client presents to the Emergency Department (ED) complaining of a 'racing' heart and nervousness. The client also admits to a history of cocaine abuse. The cardiac monitor displays the rhythm below. Which nursing intervention should the nurse perform?

Correct Answer: D

Rationale: Initial assessment of vital signs and stability is critical before interventions, especially with cocaine-related tachycardia.

Question 4 of 5

When using an ECG rhythm strip to quickly estimate the ventricular rate for a client, the nurse should:

Correct Answer: C

Rationale: Counting QRS complexes in a 6-second strip and multiplying by 10 is the fastest method to estimate heart rate.

Question 5 of 5

Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?

Correct Answer: B

Rationale: Severe hypertension (222/112 mmHg) is a major risk factor for hemorrhagic stroke due to vessel damage and potential rupture.

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