ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client diagnosed with esophageal varices has a Sengstaken-Blakemore tube. What is the most important safety intervention for this client?
Correct Answer: A
Rationale: Keeping scissors at the bedside allows quick tube removal in case of airway obstruction or bleeding, prioritizing safety. Mouth care prevents infections but is less critical. Deflating the balloon may cause bleeding. Monitoring IV fluids prevents fluid overload but is not the most important.
Question 2 of 5
Which goal for the client's care should take priority when caring for a client admitted due to exacerbation of ulcerative colitis?
Correct Answer: A
Rationale: Managing diarrhea is the priority to prevent dehydration, electrolyte imbalance, malnutrition, and infection. Rest and comfort, self-esteem, and self-care are important but not the priority during an acute exacerbation.
Question 3 of 5
A nurse reinforces instructions to a client with hypothyroidism about the dosage, method of administration, and side effects of levothyroxine sodium. Which statement by the client indicates an understanding of the nurse's instructions?
Correct Answer: C
Rationale: Calling the healthcare provider for a fast heart rate indicates understanding, as it may signal an overdose. Reducing the dose without consulting is incorrect. Diarrhea, insomnia, and sweating are overdose symptoms. Levothyroxine should be taken in the morning, not evening.
Question 4 of 5
A nurse is planning to reinforce teaching with a client who has hemorrhoids. Which of the following information should the nurse plan to include in the instructions?
Correct Answer: A
Rationale: A high-fiber diet softens stools and reduces hemorrhoid strain. Stimulant laxatives may cause diarrhea. Alcohol wipes irritate tissue. Fruits prevent constipation.
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.