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EXAM RETAKE 2 ATI RN
MEDICAL SURGICAL MED SURG A
WITH RATIONALES QUES TIONS
AND ANSWERS ( A+ GRADED 100%
VERIFIED).
Question : A nurse is caring for a client who has a closed
head injury and has an intraventricular catheter placed.Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)?(Select all that apply.)
- Flat jugular veins
- A Glasgow Coma Scale score of 15
- Sleepiness exhibited by the client
- Widening pulse pressure
- Decerebrate posturing
CORRECT ANSWER : C, D, E
Question : A nurse is preparing a client who has
supraventricular tachycardia for elective cardioversion.
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Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion?
- Enoxaparin
- Metformin
- Diazepam
- Digoxin
CORRECT ANSWER: D. Digoxin
Question : A nurse is assessing a client who has acute
cholecystitis. Which of the following findings is the nurse's priority?
- Anorexia
- Abdominal pain radiating to the right shoulder
- Tachycardia
- Rebound abdominal tenderness
CORRECT ANSWER : C. Tachycardia
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Question : A nurse is preparing to admit a client who has
dysphagia. The nurse should plan to place which of the following items at the client's bedside?
- Suction machine
- Wire cutters
- Padded clamp
- Communication board
CORRECT ANSWER : A. Suction machine
Question : A nurse is caring for a client who is having a
seizure. Which of the following interventions is the nurse's priority?
- Loosen the clothing around the client's neck
- Check the client's pupillary response
- Turn the client to the side
- Move furniture away from the client
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CORRECT ANSWER : C. Turn the client to the side
Question : A nurse is providing teaching to a client who
has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication?
- Ginkgo biloba
- Glucosamine
- Calcium
- Vitamin C
CORRECT ANSWER : C. Calcium
Question : A nurse is planning to irrigate and dress a
clean, granulating would for a client who has a pressure injury. Which of the following actions should the nurse take?
- Apply a wet-to-dry gauze dressing
- Irrigate with hydrogen peroxide solution