ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client was admitted in the hospital with peptic ulcer disease tells the nurse about having black tarry stools. Which of the following is the most appropriate nursing action?
Correct Answer: B
Rationale: Notifying the provider addresses potential bleeding ulcer requiring immediate evaluation. Increasing fluids, iron foods, or documenting do not address the urgency.
Question 2 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.
Question 3 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 4 of 5
The nurse should teach a diabetic client that which symptom is indicative of hypoglycemia?
Correct Answer: D
Rationale: Nervousness is a symptom of hypoglycemia, as low blood glucose affects the brain, causing anxiety, irritability, confusion, and tremors. Anorexia may indicate nausea or depression. Warm skin may indicate fever or inflammation. Fruity breath indicates ketoacidosis, a complication of hyperglycemia.
Question 5 of 5
What should the nurse do first when a client with a head injury begins to have clear drainage from the nose?
Correct Answer: D
Rationale: Collecting the drainage first helps identify if it is cerebrospinal fluid (CSF) or nasal secretions and monitors its characteristics. Compressing nares may increase intracranial pressure. Decongestants may mask CSF leakage. Tilting the head back may cause aspiration or infection.