ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point.
Correct Answer: A
Rationale: McBurney's point is located in the right lower quadrant of the abdomen, where tenderness is most likely to be maximal in cases of acute appendicitis.
Question 2 of 5
A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The oliguric phase is defined by a urine output of less than 400 mL per 24 hours due to decreased kidney function.
Question 3 of 5
A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?
Correct Answer: D
Rationale: The upright position is preferred because it allows the fluid to pool at the lowest point of the abdominal cavity, facilitating its removal.
Question 4 of 5
A nurse is talking with a client whose thyroid stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test?
Correct Answer: C
Rationale: TSH levels are measured to determine thyroid gland activity, which influences the metabolic rate.
Question 5 of 5
A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/79 mm Hg places him in which of the following categories?
Correct Answer: A
Rationale: A blood pressure of 124/79 mm Hg is considered elevated, with systolic readings from 120-129 and diastolic less than 80 mm Hg.