ATI RN
ATI Med Surg Exam 3 Questions
Question 1 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Decreased urinary stream is a common finding in BPH, as the enlarged prostate compresses the urethra and obstructs the flow of urine. Painful urination may indicate a urinary tract infection or bladder stones. Critically elevated PSA level may indicate prostate cancer or prostatitis. Urge incontinence may indicate an overactive bladder or neurogenic bladder.
Question 2 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: D
Rationale: Increased urine output is a common finding in diabetes insipidus, as the lack of antidiuretic hormone (ADH) causes the kidneys to excrete large amounts of diluted urine. Hypertension may indicate increased intracranial pressure or other complications. Fluid retention may indicate syndrome of inappropriate antidiuretic hormone secretion (SIADH) or heart failure. Elevated blood glucose may indicate diabetes mellitus or hyperglycemia.
Question 3 of 5
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY
Correct Answer: A,B,C
Rationale: Heat intolerance, diarrhea, and weight loss are common findings in hyperthyroidism due to increased metabolic rate, gastrointestinal motility, and calorie burning. Weight gain may indicate hypothyroidism or Cushing's syndrome. Bradycardia may indicate heart block or beta-blocker use.
Question 4 of 5
The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:
Correct Answer: B
Rationale: Maintaining the client in a Fowler's position, with head neutral supported by pillows, helps reduce swelling and edema, prevent airway obstruction, and promote venous drainage. Coughing with neck flexed may increase bleeding risk. Supine position with sandbags may impair breathing and circulation. Turning head side to side may disrupt sutures or increase infection risk.
Question 5 of 5
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: After the procedure, drinking plenty of fluids helps flush out contrast dye and prevent dehydration and kidney damage. Red blood cells in urinalysis may require evaluation but not cancellation. High frequency sound waves are used in ultrasound, not IVP. Remaining flat for 4 hours is not required.