ATI RN
ATI Capstone Adult Medical Surgical Assessment 2 Questions
Question 1 of 5
What is the priority intervention when a patient experiences abdominal cramping during enema administration?
Correct Answer: A
Rationale: The correct answer is to lower the height of the enema solution container. This action can help relieve abdominal cramping by slowing the flow of the enema, reducing discomfort for the patient.
Choice B, stopping the procedure and removing the tubing, is not the priority as adjusting the height of the container can often resolve the issue without needing to stop the procedure completely.
Choice C, continuing the enema at a slower rate, may not address the immediate discomfort experienced by the patient.
Choice D, increasing the flow of the enema solution, can exacerbate the cramping and should be avoided.
Question 2 of 5
A patient with a chest tube has continuous bubbling in the water seal chamber. What does this indicate?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber of a chest tube indicates an air leak. This situation requires immediate attention to prevent complications such as lung collapse. A blocked chest tube would typically result in absent or fluctuating bubbling. Drainage from the site would be observed in the collection chamber, not the water seal chamber. A blood clot in the chest tube would lead to cessation of drainage.
Question 3 of 5
What should be done when continuous bubbling is observed in the chest tube water seal chamber?
Correct Answer: A
Rationale: When continuous bubbling is observed in the chest tube water seal chamber, the appropriate action is to tighten the connections of the chest tube system. This may resolve an air leak that is causing the continuous bubbling. Option B, replacing the chest tube system, is not the initial step to take and is considered more invasive. Clamping the chest tube (option
C) can lead to complications and should not be done unless instructed by a healthcare provider. Continuing to monitor the chest tube (option
D) without taking any corrective action may delay necessary interventions.
Question 4 of 5
What dietary changes should a patient with GERD make to manage their symptoms?
Correct Answer: A
Rationale: The correct answer is A: Avoid mint and spicy foods. Patients with GERD should avoid foods like mint and spicy dishes as they can trigger symptoms by increasing gastric acid secretion.
Choices B, C, and D are incorrect. Eating large, frequent meals can exacerbate GERD symptoms by putting more pressure on the lower esophageal sphincter, consuming liquids with meals can lead to increased reflux, and eating small, frequent meals is the recommended approach to reduce symptoms and manage GERD.
Question 5 of 5
What lab value should be monitored in a patient with HIV?
Correct Answer: A
Rationale: The correct answer is A: CD4 T-cell count below 180 cells/mm3. Monitoring the CD4 T-cell count is crucial in patients with HIV as it indicates the level of immunocompromise. A CD4 T-cell count below 180 cells/mm3 signifies severe immunosuppression and an increased risk of opportunistic infections. Serum albumin levels (choice
B) are important for nutritional status assessment but not specific to HIV monitoring. Hemoglobin levels (choice
C) are important for assessing anemia but do not directly reflect HIV disease progression. White blood cell count (choice
D) is a general marker of inflammation and infection, but monitoring CD4 T-cell count is more specific and crucial in managing HIV.