ATI RN
ATI Med Surg Exam 3 Questions
Question 1 of 5
A client has an arteriovenous fistula in place for hemodialysis. What should the nurse do to assess the patency of the fistula?
Correct Answer: D
Rationale: Palpating for a vibrating sensation (thrill) assesses fistula patency by confirming blood flow. Irrigating, flushing, or infusing saline may cause bleeding, infection, or fluid overload.
Question 2 of 5
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there have not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Determining tubing patency first addresses potential obstructions. Antispasmodics, notifying the provider, or offering fluids do not resolve the immediate issue.
Question 3 of 5
A client admitted to a medical-surgical unit for surgery has a history of Cushing's syndrome. Which physical assessment finding would the nurse expect to observe?
Correct Answer: A
Rationale: Buffalo hump and moon face are expected in Cushing's syndrome due to fat redistribution from excess cortisol. Dry skin suggests hypothyroidism. Dry mucous membranes suggest dehydration. Exophthalmos and tachycardia suggest hyperthyroidism.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Encouraging 3 L of fluids daily helps flush stones and prevent new ones. Decreased urine output suggests obstruction. High protein diets increase stone risk. Bed rest may increase urinary stasis.
Question 5 of 5
A nurse is collecting data from a client diagnosed with laryngeal cancer who is postoperative following a laryngectomy. Which of the following is a clinical manifestation of a hemorrhage?
Correct Answer: B
Rationale: Continuous swallowing indicates hemorrhage, as blood accumulation in the throat stimulates the swallowing reflex. Increased pain may indicate inflammation or infection. Poor fluid intake may indicate dehydration. Drooling may indicate impaired oral control.