ATI MEDSURG 2 NUR 265/ ER/SHOCK/ DISASTER DETAILED ANSWER KEY NEUROSHOCK & BURNS PRACTICE EXAM
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Course
ATI MEDSURG 2 NUR 265
Institution
ATI MEDSURG 2 NUR 265
A nurse is assessing a client who has a herniated cervical intervertebral disc. Which of the
following findings should the nurse expect? (Select all
that apply.) - ANSWER>>Tingling in the arms is correct. Numbness and tingling in the upper
extremities are common manifestations of a herni...
ATI MEDSURG 2 NUR 265/ ER/SHOCK/
DISASTER DETAILED ANSWER KEY NEURO-
SHOCK & BURNS PRACTICE EXAM 2024-2026
A nurse is assessing a client who has a herniated cervical intervertebral disc. Which of the
following findings should the nurse expect? (Select all
that apply.) - ANSWER>>Tingling in the arms is correct. Numbness and tingling in the upper
extremities are common manifestations of a herniated cervical intervertebral disc.
Low-back pain is incorrect. Low-back pain with muscle spasms is a common manifestation of a
herniated lumbar intervertebral disc.
Shoulder pain is correct. Shoulder pain, particularly on the top of the shoulders, is a common
manifestation of a herniated cervical intervertebral disc.
Muscle spasms is incorrect. Muscle spasms are a common manifestation of a herniated lumbar
intervertebral disc.
Stiff neck is correct. Pain and stiffness in the neck are common manifestations of a herniated
cervical intervertebral disc.
A nurse in a dermatologist's office is planning an educational session about skin cancer. Which
of the following should the nurse include as risk
factors for skin cancer? (Select all that apply.) - ANSWER>>Dark skin is incorrect. Light-skinned
individuals are at greater risk for developing skin cancer.
,Under 40 years of age is incorrect. Individuals over 60 years of age are at greater risk for
developing skin cancer.
Overexposure to ultraviolet light is correct. Overexposure to ultraviolet light is a risk factor for
developing skin cancer.
Previous skin injury is correct. Previous skin injury that resulted in a scar is a risk factor for
developing skin cancer.
Genetic predisposition is correct. Genetic predisposition is a risk factor for developing skin
cancer.
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus.
The nurse should recognize that the client
understands the teaching when he identifies which of the following as manifestations of
hypoglycemia? (Select all that apply.) - ANSWER>>Polyuria is incorrect. Manifestations of
hyperglycemia include polyuria (excessive urination).
Blurred vision is correct. Manifestations of hypoglycemia include blurred vision.
Polydipsia is incorrect. Manifestations of hyperglycemia include polydipsia (excessive thirst).
Tachycardia is correct. Manifestations of hypoglycemia include tachycardia.
Moist, clammy skin is correct. Manifestations of hypoglycemia include moist, clammy skin.
A nurse is planning care for a client who has quadriplegia. Which of the following actions should
the nurse take to prevent a pulmonary embolism
,(PE)? (Select all that apply.) - ANSWER>>Assess legs for redness is correct. The nurse should
assess the client's legs for redness, which would be an indication of thrombophlebitis
formation, which can lead
to a PE without appropriate treatment.
Apply elastic compression stockings is correct. The nurse should apply elastic compression
stockings to prevent thrombophlebitis formation and possible PE and
improve blood return to the heart.
Perform passive range of motion exercises is correct. The nurse should perform passive range
of motion exercises to improve blood return to the heart and
prevent thrombophlebitis formation and possible PE.
Place pillows under the client's knees when in bed is incorrect. The nurse should avoid putting
pillows under the client's knees or other mechanisms that would
place pressure under the popliteal space.
Massage calves every shift is incorrect. The nurse should never massage the client's calves, as
this can dislodge a thrombus and cause a PE.
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical
manifestations should the nurse monitor? (Select all - ANSWER>>Bicarbonate excess is correct.
Bicarbonate excess is a clinical manifestation for a client experiencing metabolic alkalosis.
Kussmaul's respirations is incorrect. Kussmaul's respirations are a clinical manifestation for a
client experiencing metabolic acidosis.
, Flushing is incorrect. Flushing is a clinical manifestation for a client experiencing respiratory
acidosis.
Circumoral paresthesia is correct. Circumoral paresthesia is a clinical manifestation for a client
experiencing metabolc alkalosis.
Lethargy is incorrect. Lethargy is a clinical manifestation for a client experiencing metabolic
acidosis.
A nurse is assessing a client who has Paget's disease of the bone. Which of the following
findings should the nurse expect? (Select all that apply.) - ANSWER>>Cranial enlargement is
correct. When the skull is involved, Paget's disease causes thickening and enlargement of the
skull bones and enlargement of the cranium.
Skeletal pain is correct. Paget's disease causes pain and tenderness over the affected bones.
Wadeling gait is correct. When the legs are involved Pagets disease causes bowing of the legs
and a waS ding palt.
Cold extremities is incorrect. Paget's disease causes warmth over the affected bones.
Vision deficits is incorrect. When the skull is involved. Paget's disease causes hearing loss, not
vision loss.
A nurse is teaching a client about risk factors for osteoporosis. Which of the following factors
should the nurse include in the teaching? (Select all - ANSWER>>Sedentary lifestyle is correct.
Immobility depletes bone.
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