ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse assesses a client 2 hours after TURP. What indicates a complication?
Correct Answer: B
Rationale: The correct answer is B: Burgundy-colored urine output. This indicates a complication post-TURP due to potential bleeding. Clear urine output (
A) is normal. Mild pain at the incision site (
C) is expected. Temperature of 98.6°F (
D) is within normal range.
Question 2 of 5
A nurse is assessing a client before a packed RBC transfusion. What data is most important to obtain?
Correct Answer: B
Rationale: The correct answer is B: Temperature. Before a packed RBC transfusion, it is crucial to assess the client's temperature as hyperthermia can indicate a possible transfusion reaction. Monitoring temperature helps in early detection and intervention. Blood pressure (
A) is important but not the most crucial in this context. Respiratory rate (
C) and oxygen saturation (
D) are relevant but may not indicate an immediate issue with the transfusion. Other choices are not provided.
Question 3 of 5
A nurse in an ophthalmology clinic assesses a client suspected of having cataracts. What is an expected symptom?
Correct Answer: C
Rationale: The correct answer is C: Decreased ability to perceive colors. Cataracts cause clouding of the eye's lens, leading to a decrease in the perception of colors. Eye pain (
A) is not a typical symptom of cataracts. Sudden vision loss (
B) is more commonly associated with conditions like retinal detachment. Excessive tearing (
D) is not a prominent symptom of cataracts. Make sure to assess for other symptoms like blurred vision, sensitivity to light, and difficulty seeing at night.
Question 4 of 5
A nurse evaluates a client's PSA lab results. An increase in PSA indicates what condition?
Correct Answer: B
Rationale: The correct answer is B: Prostatic cancer. PSA levels are commonly used as a marker for prostate cancer. Elevated PSA levels indicate an increased likelihood of prostate cancer. Benign prostatic hyperplasia (choice
A) is a non-cancerous condition that can also cause elevated PSA levels but is not indicative of cancer. Urinary tract infection (choice
C) and kidney stones (choice
D) do not directly affect PSA levels. The other choices (E, F, G) are not provided, but the key is to understand that an increase in PSA specifically points towards the possibility of prostatic cancer.
Question 5 of 5
A nurse explains to a client why two chest tubes are in place after a lobectomy. What is the lower chest tube for?
Correct Answer: B
Rationale: The lower chest tube after a lobectomy is to drain blood and fluid from the pleural space. This is crucial to prevent complications such as fluid accumulation, which can lead to infection or impaired lung expansion. The other choices are incorrect because:
A) Draining air is usually done by the upper chest tube,
C) Providing oxygen does not require a chest tube, and
D) Preventing lung collapse is more related to the function of the upper chest tube in maintaining negative pressure in the pleural space.