Questions 35

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ATI nur330 Med Surg Exam Questions

Extract:


Question 1 of 5

Which signs and symptoms are NOT typically present in a patient with Cushing's?

Correct Answer: A,F

Rationale: Cushing's syndrome causes hirsutism, not thin hair, and hypernatremia, not hyponatremia. Striae, hyperglycemia, truncal obesity, and slow wound healing are characteristic.

Question 2 of 5

A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The SANE's priority is to ensure the client's safety and well-being. Legal testimony, police involvement, and evidence collection are secondary or not the nurse's role.

Question 3 of 5

A nurse is caring for a client who has a seizure disorder. Which of the following actions should the nurse take?

Correct Answer: A,C,E

Rationale: Supplemental oxygen addresses hypoxia, turning the client to the side prevents aspiration, and timing the seizure guides treatment. Inserting a tongue depressor can cause injury, and restraining may harm the client.

Question 4 of 5

A nurse is providing education to a client who has a newly diagnosed abdominal aortic aneurysm (AAA). Which of the following statements should the nurse include in the teaching?

Correct Answer: A

Rationale: An AAA is defined as a dilation of the aorta exceeding 30 mm. It results from weakened, not thickened, walls, occurs below the renal arteries, and high blood pressure increases rupture risk.

Question 5 of 5

A nurse is caring for a client who has severe burns. Which of the following actions should the nurse take when caring for a client with severe burns?

Correct Answer: B,D

Rationale: Severe burns require pain management with opioid analgesics due to excruciating pain and benzodiazepines to manage anxiety. Cooling with ice water can cause vasoconstriction and worsen tissue damage; tepid water is preferred. Systemic antibiotics are not routine unless infection is present. Laying the bed flat is inappropriate as raising the head helps maintain airway patency.

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