ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client is transported to the recovery area of the ambulatory care unit after cataract surgery. In which position does the nurse place the client?
Correct Answer: D
Rationale: Semi Fowler's position reduces intraocular pressure and promotes healing post-cataract surgery. Side lying, supine, or prone positions may increase pressure or swelling.
Question 2 of 5
A client has an arteriovenous fistula in place for hemodialysis. What should the nurse do to assess the patency of the fistula?
Correct Answer: D
Rationale: Palpating for a vibrating sensation (thrill) assesses fistula patency by confirming blood flow. Irrigating, flushing, or infusing saline may cause bleeding, infection, or fluid overload.
Question 3 of 5
A client has been diagnosed with hypothyroidism. What information should the nurse obtain when conducting a focused assessment? Select all that apply.
Correct Answer: A,B,D
Rationale: Weight gain, constipation, and decreased energy are common in hypothyroidism due to slowed metabolism, reduced gastrointestinal motility, and fatigue. Rapid pulse may indicate hyperthyroidism or anxiety. Hypertension may indicate renal or cardiovascular disease.
Question 4 of 5
A nurse is collecting data from a client diagnosed with laryngeal cancer who is postoperative following a laryngectomy. Which of the following is a clinical manifestation of a hemorrhage?
Correct Answer: B
Rationale: Continuous swallowing indicates hemorrhage, as blood accumulation in the throat stimulates the swallowing reflex. Increased pain may indicate inflammation or infection. Poor fluid intake may indicate dehydration. Drooling may indicate impaired oral control.
Question 5 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: D
Rationale: Increased urine output is a common finding in diabetes insipidus, as the lack of antidiuretic hormone (ADH) causes the kidneys to excrete large amounts of diluted urine. Hypertension may indicate increased intracranial pressure or other complications. Fluid retention may indicate syndrome of inappropriate antidiuretic hormone secretion (SIADH) or heart failure. Elevated blood glucose may indicate diabetes mellitus or hyperglycemia.