ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Question 1 of 5
A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ensuring the door to the client's room is closed at all times is a critical measure in preventing the spread of TB. This action helps to contain the airborne bacteria within the room, reducing the risk of transmission to others in the healthcare facility. This is part of airborne precautions, which are essential for managing patients with active TB.
Question 2 of 5
A nurse is providing teaching to a client who has a new onset of genital herpes. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: "Stress can activate an outbreak." This statement is correct. Stress is a known trigger for reactivation of the herpes simplex virus, leading to outbreaks of genital herpes. Other triggers can include illness, fatigue, and immune suppression.
Question 3 of 5
A nurse is reviewing laboratory reports for a client who is taking NSAIDs for rheumatoid arthritis. Which of the following results should the nurse recognize as a possible adverse effect of NSAID therapy?
Correct Answer: D
Rationale: Positive fecal occult blood test is the correct answer. NSAIDs can cause gastrointestinal bleeding, which can be detected through a fecal occult blood test. This is a well-documented adverse effect of NSAID therapy and is a significant concern for patients on long-term NSAID treatment.
Question 4 of 5
A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Using an electric shaver reduces the risk of bleeding due to low platelet counts post-chemotherapy. Avoiding crowds minimizes infection risk in immunocompromised patients. Monitoring for bruising helps detect bleeding complications early. Taking temperature weekly is insufficient, and a low-residue diet is not typically necessary.
Question 5 of 5
A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)
Correct Answer: B,E
Rationale: Monitoring blood glucose levels is crucial due to potential pancreatic dysfunction affecting insulin production. Managing acute pain improves comfort and reduces stress on the pancreas. Insulin drips are not standard for all cases, regular diets are avoided, and prolonged NPO status may not align with current guidelines favoring early enteral feeding.