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.) - CORRECT 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.) - CORRECT
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.) - CORRECT 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.) - CORRECT 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 - CORRECT 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.
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.) - CORRECT 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.) - CORRECT
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.) - CORRECT 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.) - CORRECT 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 - CORRECT 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.
