ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
Correct Answer: B
Rationale: Hematemesis indicates active bleeding, which is life-threatening and requires immediate intervention to prevent hypovolemic shock or other complications.
Question 2 of 5
The nurse is changing the subclavian dressing of a client who is receiving total parenteral nutrition. When assessing the catheter insertion site, the nurse noticed the presence of a yellow drainage from around the sutures that are anchoring the catheter. Which actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining a culture identifies potential infection, applying a sterile dressing maintains cleanliness, and monitoring prevents complications.
Question 3 of 5
A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Reviewing electrolyte values is the first action to take, as clients with acute exacerbations of ulcerative colitis are at risk for electrolyte imbalances due to diarrhea and fluid loss. It is essential to correct any imbalances promptly to avoid complications like cardiac arrhythmias.
Question 4 of 5
A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the mid epigastric region along with a rigid, board-like abdomen. These clinical manifestations are most likely indicative of which of the following?
Correct Answer: D
Rationale: Sudden, sharp pain and a rigid, board-like abdomen indicate a perforated ulcer, causing peritonitis, a medical emergency requiring immediate intervention.
Question 5 of 5
A patient who is taking NSAIDs to treat arthritis asks the nurse why Cytotec (misoprostol) has also been prescribed. Which explanation by the nurse is accurate?
Correct Answer: B
Rationale: Misoprostol (Cytotec) protects the stomach lining from NSAID-induced damage, preventing ulcers and GI complications.