ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has suspected appendicitis. Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: A
Rationale: A distended, board-like abdomen can indicate peritonitis, a severe complication of appendicitis requiring immediate intervention to prevent sepsis.
Question 2 of 5
A nurse is caring for a client who is hyperventilating and has the following ABG results: pH 7.50 (7.35 to 7.45), PaCO₂ 29 mm Hg (35 to 45 mm Hg), and HCO₃ 25 mEq/L (21 to 28 mEq/L). The nurse should identify that the client has which of the following acid-base imbalances?
Correct Answer: B
Rationale: A high pH (7.50) and low PaCO₂ (29 mm Hg) indicate respiratory alkalosis, caused by hyperventilation leading to excessive CO₂ exhalation.
Question 3 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: An increase in the circumference of the client's upper arm by 10% can indicate swelling, which may be a sign of complications such as infection, thrombosis, or infiltration. This finding should be promptly reported to the provider for further evaluation and intervention.
Question 4 of 5
A nurse is caring for a client who has burn injuries covering their upper body and is concerned about their altered appearance. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Support groups provide emotional and psychological support, helping burn survivors cope with changes in appearance and other challenges. They offer a sense of community and shared experiences, which can be very beneficial for recovery.
Question 5 of 5
A nurse is caring for a client who is postoperative and reports frequent leakage of small amounts of urine. The nurse notes that the client's bladder is palpable upon examination. The nurse should identify these findings as which of the following forms of incontinence?
Correct Answer: D
Rationale: Overflow incontinence is characterized by frequent leakage of small amounts of urine due to an overfilled bladder that cannot empty completely. A palpable bladder indicates retention, consistent with overflow incontinence.