ATI RN
ATI Med-Surg 200 Questions
Extract:
Question 1 of 5
A client comes to the Urgent Care center complaining of urinary frequency accompanied by pain when voiding. Which clinical manifestation would make the nurse suspect acute pyelonephritis rather than cystitis?
Correct Answer: C
Rationale: Costovertebral tenderness indicates kidney involvement, characteristic of pyelonephritis rather than cystitis.
Question 2 of 5
A client is admitted with a possible small bowel obstruction. The nurse anticipates that the client's care will include: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D,E
Rationale: Keeping the client NPO, measuring abdominal girth, administering fluids, and preparing for radiologic studies are essential to manage small bowel obstruction and monitor for complications.
Question 3 of 5
While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:
Correct Answer: D
Rationale: Bloody diarrhea is a hallmark symptom of ulcerative colitis, particularly during disease flares. It typically presents as frequent and urgent bowel movements containing blood, mucus, and pus. Crohn's disease, on the other hand, may present with bloody diarrhea but usually involves less frequent bowel movements.
Question 4 of 5
The nurse suspects that the client, hospitalized with severe ulcerative colitis, is experiencing the complication of toxic megacolon. Which assessment finding would support this suspicion?
Correct Answer: B
Rationale:
Toxic megacolon causes severe colonic dilation, leading to increased abdominal girth due to distension.
Question 5 of 5
A client with Type 2 diabetes is brought into the emergency room in an unresponsive state. A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNK) is made. The nurse prepares for the administration of which initial therapy?
Correct Answer: B
Rationale: HHNK is characterized by severe dehydration due to osmotic diuresis from hyperglycemia, making IV saline solution the initial therapy to restore intravascular volume.