ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse in the ambulatory care unit is caring for a client after cataract extraction. The client suddenly complains of severe pain in the affected eye unrelieved by pain medications. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Notifying the surgeon first addresses potential complications like increased intraocular pressure. Reassuring the client, supine positioning, or documenting delays intervention.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 310 mg/dL instead of 103 mg/dL and administered the insulin dose appropriate for a reading over 300 mg/dL. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: Giving 15 to 20 g of carbohydrate prevents hypoglycemia from insulin overdose. Calling the supervisor, reporting, or checking glucose delays treatment.
Question 4 of 5
A nurse is reinforcing teaching with a client who has cholecystitis about required dietary modifications. Which of the following food choices should the nurse inform the client to include in his diet?
Correct Answer: D
Rationale: Roast turkey, low in fat and high in protein, is suitable for cholecystitis to prevent gallbladder attacks. Ice cream, blueberry muffins, and macaroni and cheese are high in fat and may trigger symptoms.
Question 5 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.