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ATI SP 250 Exam 3 Med Surg Exam

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Total Questions : 49

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Question 1:
  • Temperature 38.1° C (100.6° F)
  • Heart rate 122/min
  • Respiratory rate 26/min
  • BP 136/85 mm Hg
  • Oxygen saturation 93% on room air

A nurse is caring for a client who has HIV.

Exhibits

The client is at risk for developing

.

Answer and Explanation

Explanation

Tuberculosis is a bacterial infection that affects the lungs and can be transmitted through respiratory droplets. People with HIV are more susceptible to tuberculosis because their immune system is weakened by the virus. Tuberculosis can cause fever, cough, weight loss, and night sweats. The client's vital signs indicate that they have a fever and a high heart rate and respiratory rate, which could be signs of tuberculosis.


A
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Question 2:

A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?

Answer and Explanation

A
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Question 3:

A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?

Answer and Explanation

A
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Question 4:

A nurse on a medical-surgical unit is caring for a newly admitted client with a diagnosis of R/O tuberculosis.

Which of the following findings should the nurse report to the provider?

Nurses' Notes

Day 1:

0900:

Client admitted from emergency department with hemoptysis, dull chest pain, increasing fatigue, anorexia, nausea, chest tightness, and 3.2 kg (7 Ib) weight loss in 2 weeks. Heart rate regular, lung sounds with crackles in bilateral upper lobes. No edema. Airborne precautions initiated upon admission.

Day 2:

Client reports shortness of breath, nausea, and fatigue. Crackles auscultated bilaterally throughout lung fields. Productive cough, with thick, blood-streaked sputum. Bowel sounds active, no edema.

Answer and Explanation

A
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Question 5:

A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?

Answer and Explanation

A
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Question 6:

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?

Answer and Explanation

A
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Question 7:

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Answer and Explanation

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Question 8:

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

Answer and Explanation

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Question 9:

A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this client?

Answer and Explanation

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Question 10:

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

Answer and Explanation

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