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ATI Adult Med Surg Nurs 4292 Exam

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Ati Medical Surgical
ATI Adult Med Surg Nurs 4292 Exam

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Question 1 of 78

A nurse is caring for a client who has a T-4 spinal cord injury. Which of the following findings should the nurse identify as a potential cause for autonomic dysreflexia?

A. The client's bladder becomes distended.

B. The client states having a severe headache.

C. The client states having nasal congestion.

D. The client's blood pressure becomes elevated.

Correct Answer:

Rationale:

Question 2 of 78

A nurse is planning care for a client who is receiving enteral feedings through a nasogastric (NG) tube. Which of the following actions should the nurse plan to take first?

A. Label the feeding bag with the date and time of the start of the feeding.

B. Aspirate the client's stomach contents.

C. Hang the feeding bag 30 cm (12 inches) above the client.

D. Warm the feeding to room temperature.

Correct Answer:

Rationale:

Question 3 of 78

A client with a history of angina is being admitted to the emergency department with a suspected myocardial infarction (MI). Which of the following findings will help the nurse distinguish stable angina from an MI?

A. MI only occurs with exertion.

B. Stable angina can occur for longer than 30 minutes.

C. Stable angina can be relieved with rest and nitroglycerin.

D. The pain of an MI lasts less than 15 minutes.

Correct Answer:

Rationale:

Question 4 of 78

A nurse is obtaining a health history for a client with chronic pancreatitis. Which of the following indicates the primary cause of the client's condition?

A. Weight gain

B. Use of alcohol

C. Abdominal pain relieved with food or antacids

D. Exposure to occupational chemicals

Correct Answer:

Rationale:

Question 5 of 78

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse that the client is developing this condition?

A. Anorexia

B. Weight gain

C. Distended abdomen

D. Dyspnea

Correct Answer:

Rationale:

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