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ATI RN · Concepts in Nursing · Medical Surgical Nursing Concepts and Practice Test Bank

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client diagnosed with peripheral vascular disease (PVD) is obese, has a 30-year history of cigarette smoking, and works as a contractor. When discussing risk factors for PVD, which statement by the nurse is appropriate?

A. "Nicotine causes vasospasms, which reduce blood flow to the legs."

B. "Obesity is a factor in cardiovascular disease but not peripheral vascular disease."

C. "Nicotine primarily affects coronary arteries and the lungs."

D. "Your current occupation is a major risk factor."

Expert Explanatory Rationale

Correct Answer: "Nicotine causes vasospasms, which reduce blood flow to the legs."

Question 2 of 5

The nurse is providing care to several clients on a medical-surgical unit. Which client is at highest risk for a nonthrombotic pulmonary embolism (PE)?

A. The client who is receiving intravenous pain medication

B. The client who is postoperative from a femur fracture repair

C. The client with a primary abdominal tumor

D. The client who uses intravenous illicit drugs

Expert Explanatory Rationale

Correct Answer: The client who is postoperative from a femur fracture repair

Question 3 of 5

The nurse is caring for a client with a new tracheostomy. After completing a teaching session on tracheostomy care, what should the nurse include in the documentation?

A. The language used for teaching

B. The need for additional teaching

C. The client's questions after the teaching session

D. The supplies required for teaching

Expert Explanatory Rationale

Correct Answer: The client's questions after the teaching session

Question 4 of 5

What is the most common clinical manifestation of coronary artery disease?

A. Chest pain

B. Dyspnea

C. Irritability

D. Tachycardia

Expert Explanatory Rationale

Correct Answer: Chest pain

Question 5 of 5

A baby will be having surgery to correct a congenital heart defect. On which topic should the parents be instructed regarding the care of the child before surgery?

A. Restricting immunizations until after the surgery

B. Preventing exposure to infection

C. Implementing no particular precautions

D. Restricting fluids for a week before the surgery

Expert Explanatory Rationale

Correct Answer: Preventing exposure to infection

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