ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for a client who has a fractured tibia and is in a cast. Which of the following findings is a manifestation of compartment syndrome?
Correct Answer: B
Rationale: Slow capillary refill indicates compartment syndrome due to impaired blood flow from increased fascial pressure. Redness and warmth suggest infection. Reduced consciousness suggests other conditions. Pain and bleeding are not specific.
Question 3 of 5
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY
Correct Answer: A,B,C
Rationale: Heat intolerance, diarrhea, and weight loss are common findings in hyperthyroidism due to increased metabolic rate, gastrointestinal motility, and calorie burning. Weight gain may indicate hypothyroidism or Cushing's syndrome. Bradycardia may indicate heart block or beta-blocker use.
Question 4 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 5 of 5
The nurse is caring for a client after a total thyroidectomy. The nurse's priority should be to:
Correct Answer: B
Rationale: Maintaining the client in a Fowler's position, with head neutral supported by pillows, helps reduce swelling and edema, prevent airway obstruction, and promote venous drainage. Coughing with neck flexed may increase bleeding risk. Supine position with sandbags may impair breathing and circulation. Turning head side to side may disrupt sutures or increase infection risk.