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ATI MEDSURG 2 NUR 265/ ER/SHOCK/ DISASTER DETAILED ANSWER KEY NEUROSHOCK & BURNS PRACTICE EXAM

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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...

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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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