ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A client with chronic renal failure asks the nurse the effects of losing erythropoietin. Which of the following statements best explains the loss of this hormone?
Correct Answer: D
Rationale: Loss of erythropoietin results in anemia, as it stimulates red blood cell production. It does not directly affect immunologic function, may cause hypotension, and is not linked to elevated lipids.
Question 2 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.
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 caring for a client who had a cholecystectomy and has a T-tube drain. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Fowler's position promotes bile drainage and prevents reflux. Transparent dressings trap moisture. Clamping causes bile accumulation. Securing to the gown risks displacement.
Question 5 of 5
A nurse is reinforcing teaching with a client who has frequent urinary tract infections (UTIs). The nurse should identify that the client can use which of the following herbal supplements to help prevent UTIs?
Correct Answer: B
Rationale: Cranberry juice prevents UTIs by inhibiting bacterial adhesion. Black cohosh treats menopausal symptoms. Saw palmetto aids BPH. Echinacea supports immunity.