Questions 69

ATI RN

ATI RN Test Bank

ATI Med Surg Nurs 224g Questions

Extract:


Question 1 of 5

A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?

Correct Answer: D

Rationale: The upright position is preferred because it allows the fluid to pool at the lowest point of the abdominal cavity, facilitating its removal.

Question 2 of 5

A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?

Correct Answer: C

Rationale: Sudden abdominal pain, especially in the upper abdomen, can be a sign of gastrointestinal perforation, often severe and accompanied by signs of peritonitis.

Question 3 of 5

A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during the assessment? (Select all that apply.)

Correct Answer: A,B,D

Rationale: Enlarged distal extremities, coarse facial features, and hepatomegaly are classic signs of acromegaly due to excessive growth hormone effects.

Question 4 of 5

A nurse is teaching a client about the causes of biliary cirrhosis. Which of the following should the nurse include in the teaching?

Correct Answer: C

Rationale: Obstruction of the bile duct is a direct cause of biliary cirrhosis, leading to bile accumulation and liver damage.

Question 5 of 5

A nurse is caring for a client who has meningitis and a temperature of 39.7°C (103.5°F). The client is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must be carefully observed for which of the following complications?

Correct Answer: C

Rationale: Shivering is a natural response to cooling from the hypothermia blanket and may need to be controlled with medications.

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