ATI RN
ATI Med Surg Exam 3 Questions
Question 1 of 5
A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: Avoiding organ meats, high in purine, prevents gout flare-ups. Wine and red meat are high in purine. Fruits are low in purine and beneficial.
Question 2 of 5
A nurse is reinforcing teaching about an endoscopy with a client who has dysphagia. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: Remaining NPO for 6 to 8 hours before an endoscopy reduces aspiration risk and ensures a clear view. The tube is inserted through the mouth, not nose. No contrast dye is used; sedation is given. Clients are usually drowsy due to sedation.
Question 3 of 5
A nurse is assisting with data collection of a client with suspected cholecystitis. Which finding does the nurse expect to note if cholecystitis is present?
Correct Answer: A
Rationale: Murphy sign, pain on palpation of the right upper quadrant during deep breathing, indicates cholecystitis. McBurney sign suggests appendicitis. Cullen's sign indicates intra-abdominal bleeding. Homan sign suggests deep vein thrombosis.
Question 4 of 5
What should the nurse do first when a client with a head injury begins to have clear drainage from the nose?
Correct Answer: D
Rationale: Collecting the drainage first helps identify if it is cerebrospinal fluid (CSF) or nasal secretions and monitors its characteristics. Compressing nares may increase intracranial pressure. Decongestants may mask CSF leakage. Tilting the head back may cause aspiration or infection.
Question 5 of 5
A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?
Correct Answer: C
Rationale: Drinking 8 glasses of fluid daily prevents kidney stones and flushes uric acid. Ice packs or antihistamine lotions for swelling or rash require medical attention. Allopurinol should be taken after meals to avoid stomach upset.