ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client's stool is clay in color. What additional information should the nurse obtain from this client? Select all that apply.
Correct Answer: A,C,E
Rationale: History of alcohol abuse, RUQ pain radiating to the shoulder, and bleeding ulcer may cause clay-colored stool due to liver damage, gallstone obstruction, or gastrointestinal bleeding. Fatty food intolerance suggests gallbladder issues but not directly linked. McBurney's point pain suggests appendicitis.
Question 2 of 5
A nurse is caring for a client who complains that he feels as though his ear is blocked and tells the nurse that he has a history of cerumen impaction in the external ear. The nurse, inspecting the ears for cerumen impaction, checks for which finding?
Correct Answer: B
Rationale: Yellowish or brownish waxy material indicates cerumen impaction. Edema suggests otitis externa. Redness of the tympanic membrane suggests otitis media. A longer canal is a normal variation.
Question 3 of 5
A nurse is reinforcing teaching about TNM staging with a client who has cancer. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: M1 indicates tumor metastasis to a single site, meaning cancer has spread to another organ or distant lymph node. N0 indicates no lymph node involvement. TIS means tumor in situ, not resolved. T4 indicates the largest tumor size.
Question 4 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.
Question 5 of 5
A client's stool is clay in color. What additional information should the nurse obtain from this client? Select all that apply.
Correct Answer: A,C,E
Rationale: History of alcohol abuse, RUQ pain radiating to the shoulder, and bleeding ulcer may cause clay-colored stool due to liver damage, gallstone obstruction, or gastrointestinal bleeding. Fatty food intolerance suggests gallbladder issues but not directly linked. McBurney's point pain suggests appendicitis.