ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?
Correct Answer: A
Rationale: Localized erythema is a manifestation of acute osteomyelitis, as the infection causes redness, warmth, and swelling over the affected area due to the body's inflammatory response.
Question 2 of 5
Which action would the nurse take first for a patient with a tracheostomy who appears anxious and is having difficulty in coughing up thick respiratory secretion?
Correct Answer: D
Rationale: Suctioning the tracheostomy is the priority action. The patient is unable to clear thick secretions, and suctioning is necessary to remove the obstruction and improve airway patency, which will also alleviate anxiety and improve oxygenation.
Question 3 of 5
A nurse is caring for a client who is postoperative following an open cholecystectomy. Which of the following actions should the nurse take when caring for the client's Jackson-Pratt (JP) drain?
Correct Answer: A
Rationale: After emptying a Jackson-Pratt drain, the air must be expelled from the bulb to re-establish suction. This helps maintain negative pressure, ensuring the effective drainage of fluid from the surgical site.
Question 4 of 5
A nurse at an urgent care center is caring for four clients who all have leg or foot injuries. Which of the following client reports should suggest to the nurse that the client has an ankle sprain?
Correct Answer: B
Rationale: Twisting the foot while running or changing direction quickly, as often happens in sports like baseball, is a common mechanism for an ankle sprain. Sprains occur when the ligaments are stretched or torn due to excessive force or twisting.
Question 5 of 5
A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?
Correct Answer: C
Rationale: Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach into the small intestine, overwhelming the digestive system. This leads to symptoms like abdominal cramping, dizziness, and diarrhea.