ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a middle-aged client about hypertension. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Diuretics are the first-line treatment for hypertension as they reduce blood volume, lowering blood pressure.
Question 2 of 5
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water-seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Correct Answer: A
Rationale: Fluctuation (tidaling) in the water-seal chamber during inspiration and expiration indicates the chest tube is functioning properly.
Question 3 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for intervention?
Correct Answer: C
Rationale: Subcutaneous emphysema, where air gets trapped under the skin, may indicate an underlying pneumothorax and should be reported to the provider.
Question 4 of 5
A nurse cares for a client on ethambutol therapy for tuberculosis. What should be monitored?
Correct Answer: B
Rationale: The correct answer is B: Visual acuity. Ethambutol can cause optic neuritis, leading to visual disturbances. Monitoring visual acuity is crucial to detect any changes early.
Incorrect choices:
A: Hearing loss is associated with other medications for TB, not ethambutol.
C: Liver function is not typically affected by ethambutol.
D: Blood glucose is not directly impacted by ethambutol therapy.
In summary, monitoring visual acuity is essential due to the potential optic nerve toxicity of ethambutol, making it the most relevant parameter to monitor in this case.
Question 5 of 5
A nurse teaches a client about cervical polyps. What is an expected symptom?
Correct Answer: C
Rationale: The correct answer is C: Postcoital bleeding. Cervical polyps are benign growths on the cervix that can cause postcoital bleeding due to contact with the polyp during intercourse. Pelvic pain, heavy menstrual bleeding, and urinary incontinence are not typical symptoms of cervical polyps. Pelvic pain may occur in other conditions like endometriosis. Heavy menstrual bleeding can be a symptom of fibroids or hormonal imbalances. Urinary incontinence is more commonly associated with pelvic floor disorders or urinary tract infections. Postcoital bleeding specifically points to cervical polyps as the likely cause.