ATI RN
ATI Med Surg Exam 6 Questions
Question 1 of 5
A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?
Correct Answer: C
Rationale: Confirming the placement of the NG tube prior to each medication administration is crucial to ensure safe and effective delivery of medications and nutrition, preventing complications such as aspiration.
Question 2 of 5
A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The laxative helps eliminate the barium contrast material from the body after a barium swallow procedure to prevent complications such as constipation or obstruction.
Question 3 of 5
A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point.
Correct Answer: C
Rationale: McBurney's point is located in the right lower quadrant, one-third of the distance from the anterior superior iliac spine to the umbilicus, and is a key assessment area for appendicitis.
Question 4 of 5
A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?
Correct Answer: A
Rationale: Asterixis, characterized by a flapping tremor of the hands, is a hallmark sign of hepatic encephalopathy due to impaired ammonia metabolism affecting the brain.
Question 5 of 5
A nurse is teaching a client who has a hiatal hernia about dietary recommendations. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A,B,D
Rationale: Reducing caffeine and spicy foods, maintaining a healthy weight, and limiting fluid intake help manage hiatal hernia symptoms by reducing reflux and stomach distension.